Clinical features and repair integrity after knotless – In situ suture bridge technique in high-grade bursal side rotator cuff tears

Prasetia, Renaldi; Sukhapradit, Bordee; C้hernchujit, Bancha

doi:10.1016/j.jor.2020.06.019

Cited by 4 publications

(7 citation statements)

References 18 publications

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“…Some findings were included in the analysis. (1) ere was a markable difference of 0.01 between the preoperative 48 h maximum pain value and the postoperative 48 h maximum pain value in the observation group. (2) ere was a markable difference of 0.01 between the size and shape of the wound tear and the maximum pain value at 48 h after operation in the observation group.…”

Section: Discussionmentioning

confidence: 88%

“…Rotator cuff suture reduces the postoperative adhesion of the shoulder joint in wound treatment and can restore the shoulder joint function of patients to the maximum degree [1,2]. Compared with the previous incision treatment, the rotator cuff suture has the advantages of less trauma [3], smaller incision, and more beautiful appearance after operation [4,5].…”

Section: Introductionmentioning

confidence: 99%

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SPSS Analysis of Pain Factors in Rotator Cuff Repair

Zhou

Chen

Wang

et al. 2021

Journal of Chemistry

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In this study, the matched case-control study was used. Nineteen cases of severe pain in the early postoperative period among 55 patients were set as the observation group, and 57 cases of simultaneous rotator cuff repair without severe pain were matched in a 1 : 3 ratio as the control group. Patients’ general information, disease characteristics, anesthesia and analgesia scheme, and operation information were collected. Frequency statistics, Wilcoxon signed rank sum test, regulatory effect analysis, and Poisson regression analysis were performed on these data. Some findings are included in the analysis. (1) There was a markable difference of 0.01 between the preoperative 48 h maximum pain value and the postoperative 48 h maximum pain value in the observation group. (2) There was a markable difference of 0.01 between the size and shape of the wound tear and the maximum pain value at 48 h after operation in the observation group. (3) When the number of opioid use affected the maximum pain value at 48 h after operation, the regulatory variables (type, quantity, and number of days of postoperative analgesics) were at different levels, and the impact amplitude had markable differences. (4) Age has a markable negative impact on the postoperative hospital stay. (5) The operation duration has a markable positive relationship with the postoperative hospital stay. (6) The analgesic pump had a markable positive impact on the postoperative hospital stay. (7) The location of injury did not affect the postoperative hospital stay.

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Section: Discussionmentioning

confidence: 88%

Section: Introductionmentioning

confidence: 99%

SPSS Analysis of Pain Factors in Rotator Cuff Repair

Zhou

Chen

Wang

et al. 2021

Journal of Chemistry

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“…One study preserved any intact articular fibers while removing diseased tissue after bursectomy and debriding diseased tissue on the bursal side. 20 There are three possible reasons to preserve the articular footprint in repairing a bursal side RCT. The first is to protect the bursal side repair (intact articular fibers act as an internal splint).…”

Section: Discussionmentioning

confidence: 99%

“…All five studies showed significant improvement on each functional outcome score at the final follow-up. The most commonly used measures were the constant score (79.1% of patients) and ASES score (77.1% of patients), followed by the UCLA score (52.7% of patients) and SST score (20 External rotation improved from 41 preoperatively to 44 postoperatively. However, because of insufficient data on internal and external rotation from the study that used RP for the surgical technique, the mean internal and external rotation could not be compared between the BTD and RP groups.…”

Section: Functional Outcomesmentioning

confidence: 99%

High-Grade Bursal Side Rotator-Cuff Repair: A Surgical Outcome Review

Prasetia¹,

Kholinne²,

Suvarly³

et al. 2021

ORR

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Purpose:We aimed to evaluate surgical outcomes of high-grade bursal rotator cuff-tear repairs. Methods: This systematic review was performed in May 2020 in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines using PubMed. Inclusion criteria were English-language studies reporting the results of pain improvement, functional outcome scores, and radiographic examinations after repair of bursal side partial rotator-cuff tears at any time point in patients of any age and with all levels of evidence. Exclusion criteria were articles not in English, in vitro or animal studies, epidemiological studies, and such article types as technical notes or narrative reviews. Results: Of 58 articles, five were included in this study, of which three and two had level III and IV evidence, respectively, four were comparative studies, and one was a case series. Visual analogue scales were used in four of the five studies, all showing improvement in pain assessment from 5.87 preoperatively to 1.02 postoperatively. All five studies showed significant improvement on each functional outcome score at the final follow-up. The retear rate for all studies was 10.97% (27 of 246). Conclusion: High-grade bursal side partial-thickness rotator cuff-tear repair gave satisfactory results in terms of pain scores, range of motion, and functional outcomes. The retear rate was still considerably high (10.9%), necessitating better understanding of the basic science, such as molecular mechanisms during adaptation, to improve the surgical technique.

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“…In situ transtendinous repair techniques are commonly performed on articular sided tears and preserve the lateral tendon tissue of the rotator cuff whilst restoring medial tendon-bone contact ( Figure 2 and Table 3 ). 7 , 59 , 60 Maintaining viable tissue in this manner has the theoretical advantage of permitting a more anatomical reconstruction of the enthesis. Zafra et al 61 followed up 50 patients for a mean of 32.5 months who had either a single- or double-row in situ repair for a partial thickness tear.…”

Section: Arthroscopic Proceduresmentioning

confidence: 99%

Optimal Management of Partial Thickness Rotator Cuff Tears: Clinical Considerations and Practical Management

Thangarajah

2022

ORR

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Partial thickness rotator cuff tears have been diagnosed with increased frequency due to heightened awareness and an improvement in diagnostic modalities. When >50% of the tendon thickness has ruptured, intra-tendinous strain of the residual tendon increases. Surgery is generally confined to patients who have failed non-operative measures and have persistent symptoms. The rationale for repairing partial thickness tears lies in their limited self-healing capacity, and propensity to enlarge over time and progress to a full thickness defect. Although tear debridement and acromioplasty can improve pain and function, tear progression can occur, in addition to worse results being noted in bursal-sided defects. Several surgical strategies have been recommended but there is a lack of evidence to advocate one form of treatment over another. The aim of this narrative review is to discuss the treatment options for partial thickness tears of the rotator cuff.

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Clinical features and repair integrity after knotless – In situ suture bridge technique in high-grade bursal side rotator cuff tears

Cited by 4 publications

References 18 publications

SPSS Analysis of Pain Factors in Rotator Cuff Repair

SPSS Analysis of Pain Factors in Rotator Cuff Repair

High-Grade Bursal Side Rotator-Cuff Repair: A Surgical Outcome Review

Optimal Management of Partial Thickness Rotator Cuff Tears: Clinical Considerations and Practical Management

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