Biomechanical Comparison of a Single-Row versus Double-Row Suture Anchor Technique for Rotator Cuff Repair

Kim, David H.; ElAttrache, Neal S.; Tibone, James E.; Jun, Bong-Jae; DeLaMora, Sergai N.; Kvitne, Ronald S.; Lee, Thay Q.

doi:10.1177/0363546505281238

Cited by 440 publications

(387 citation statements)

References 33 publications

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“…Several investigators have noted a correlation between preoperative shoulder function and outcome after surgical repair. 20 Generally, patients who are active before surgery are the ones who most frequently return to an active lifestyle after surgery.…”

Section: Journal Of Orthopaedicmentioning

confidence: 99%

“…7,20,29,34,63 Although the development of reliable, procedurespecific, arthroscopic instrumentation and various fixation methods have led to arthroscopically assisted rotator cuff repair techniques, open rotator cuff repair continues to be used by many surgeons, particularly for large or massive tears. Open cuff repair is performed in these instances, as the quality of the remaining tissue may be poor and significant tendon retraction and adhesions are likely, making arthroscopic rotator cuff repair challenging.…”

mentioning

confidence: 99%

“…13,20,33,47 In a study of 100 patients at 4.2-year follow-up, Hawkins et al 33 (1) sling immobilization and passive ROM for the first 6 weeks postsurgery, (2) active assisted ROM exercises and progression to active motion between 6 to 12 weeks postoperatively, (3) resistive exercises starting at 12 weeks, and (4) return to full activity at 6 months.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Open, Mini-open, and All-Arthroscopic Rotator Cuff Repair Surgery: Indications and Implications for Rehabilitation

Ghodadra

Provencher²,

Verma³

et al. 2009

J Orthop Sports Phys Ther

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Section: Journal Of Orthopaedicmentioning

confidence: 99%

mentioning

confidence: 99%

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Open, Mini-open, and All-Arthroscopic Rotator Cuff Repair Surgery: Indications and Implications for Rehabilitation

Ghodadra

Provencher²,

Verma³

et al. 2009

J Orthop Sports Phys Ther

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“…Arthroscopic double-row suture anchor fixation, previously used in rotator cuff repair, has been reported for the treatment of greater tuberosity fractures [17,19,22,27,28]. This technique improves the initial repair strength and provides a tendon-bone interface better suited for biologic healing and restoration of the normal anatomy [17,18,20,24].…”

Section: Introductionmentioning

confidence: 99%

Is Arthroscopic Technique Superior to Open Reduction Internal Fixation in the Treatment of Isolated Displaced Greater Tuberosity Fractures?

Liao¹,

Zhang²,

Li³

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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Background Arthroscopic double-row suture-anchor fixation and open reduction and internal fixation (ORIF) are used to treat displaced greater tuberosity fractures, but there are few data that can help guide the surgeon in choosing between these approaches. Questions/Purposes We therefore asked: (1) Is there a difference in surgical time between arthroscopic doublerow suture anchor fixation and ORIF for isolated displaced greater tuberosity fractures? (2) Are there differences in the postoperative ROM and functional scores between arthroscopic double-row suture anchor fixation and ORIF for isolated displaced greater tuberosity fractures? (3) Are there differences in complications resulting in additional operations between the two approaches?Methods Between 2006 and 2012, we treated 79 patients surgically for displaced greater tuberosity fractures. Of those, 32 (41%) were considered eligible for our study based on inclusion criteria for isolated displaced greater tuberosity fractures with a displacement of at least 5 mm but less than 2 cm. During that time, we generally treated patients with displaced greater tuberosity fractures with a displacement greater than 1 cm or with a fragment size greater than 393 cm with open treatment, and patients with displaced greater tuberosity fractures with a displacement less than 1 cm or with a fragment size less than 393 cm with arthroscopic treatment. Fifty-three underwent open treatment based on those indications, and 26 underwent arthroscopic treatment, of whom 17 (32%) and 15 (58%) were available for followup at a mean of 34 months (range, 24-28 months). All patients with such fractures identified from our institutional database were treated by these two approaches and no other methods were used. Surgical time was defined as the time from initiation of the incision to the time when suture of the incision was finished, and was determined by an observer with a stopwatch. Patients were followed up in the outpatient department at 6, 12, and 24 weeks, and every 6 month thereafter. Radiographs showed optimal reduction immediately after surgery and at every followup. Radiographs were obtained to assess fracture healing. Patients were followed up for a mean of 34 months (range, 24-48 months). At the last followup, ROM, VAS score, and American Shoulder and Elbow Surgeons (ASES) score were used to evaluate clinical outcomes. All these data were retrieved from our institutional database through chart review. Complications were assessed through chart review by one observer other than the operating surgeon.

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“…In contrast, recent studies conclude double row RC repairs result in improved footplate restoration with greater coverage, fewer RC retears thereby reducing revision surgeries, and an increased ultimate load to failure. DR repairs are especially recommended for massive tears [9][10][11][12][13][14][15][16]. There has recently been a movement towards maximizing the number of suture passes through the tendon and minimizing anchor usage to preserve the greater tuberosity footprint real estate.…”

Section: Introductionmentioning

confidence: 99%

Cost Comparison of Rotator Cuff Repair between Double and Triple Loaded Anchors

Rhode¹

2016

MOJOR

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We performed a retrospective case series that examined efficiencies that accrue by virtue of triple loading rotator cuff anchors with suture. Patients were divided into two groups: 34 patients had rotator cuff tears arthroscopically repaired using double-loaded anchors and 34 patients had rotator cuff tears repaired using triple-loaded anchors using double row repair techniques. Based on number of anchors used per repair and the number of suture passes through the tendon, triple-loaded anchors were 30% more efficient than double loaded while using 15% fewer anchors per unit area. Stable technology implants were used and demonstrated to offer substantial cost savings relative to branded commercial anchors. Level of evidence IV.

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Biomechanical Comparison of a Single-Row versus Double-Row Suture Anchor Technique for Rotator Cuff Repair

Abstract: To achieve maximal initial fixation strength and minimal gap formation for rotator cuff repair, reconstructing the footprint attachment with 2 rows of suture anchors should be considered.

Cited by 440 publications

References 33 publications

Open, Mini-open, and All-Arthroscopic Rotator Cuff Repair Surgery: Indications and Implications for Rehabilitation

Open, Mini-open, and All-Arthroscopic Rotator Cuff Repair Surgery: Indications and Implications for Rehabilitation

Is Arthroscopic Technique Superior to Open Reduction Internal Fixation in the Treatment of Isolated Displaced Greater Tuberosity Fractures?

Cost Comparison of Rotator Cuff Repair between Double and Triple Loaded Anchors

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