Double-row arthroscopic rotator cuff repair: re-establishing the footprint of the rotator cuff

Lo, Ian K.Y.; Burkhart, Stephen S.

doi:10.1016/j.arthro.2003.09.036

Cited by 335 publications

(229 citation statements)

References 17 publications

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“…Each subject had surgical repair of a supraspinatus tendon tear 3−4 months prior to enrolling in the study. All tears were arthroscopically repaired to bone by the same surgeon using a double row technique (Lo and Burkhart 2003). Each subject's contralateral shoulder was asymptomatic, with no history of injury or surgery.…”

Section: Methodsmentioning

confidence: 99%

Measuring dynamic in-vivo glenohumeral joint kinematics: Technique and preliminary results

Bey

Kline

Zauel

et al. 2008

Journal of Biomechanics

111

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Rotator cuff tears are a common injury that affect a significant percentage of the population over age 60. Although it is widely believed that the rotator cuff's primary function is to stabilize the humerus against the glenoid during shoulder motion, accurately measuring the three-dimensional (3D) motion of the shoulder's glenohumeral joint under in-vivo conditions has been a challenging endeavor. In particular, conventional motion measurement techniques have frequently been limited to static or two-dimensional (2D) analyses, and have suffered from limited or unknown in-vivo accuracy. We have recently developed and validated a new model-based tracking technique that is capable of accurately measuring the 3D position and orientation of the scapula and humerus from biplane x-ray images. Herein we demonstrate the in-vivo application of this technique for accurately measuring glenohumeral joint translations during shoulder motion in the repaired and contralateral shoulders of patients following rotator cuff repair. Five male subjects were tested at 3−4 months following arthroscopic rotator cuff repair. Superior-inferior humeral translation was measured during elevation, and anterior-posterior humeral translation was measured during external rotation in both the repaired and contralateral shoulders. The data failed to detect statistically significant differences between the repaired and contralateral shoulders in superior-inferior translation (p=0.74) or anterior-posterior translation (p=0.77). The measurement technique overcomes the limitations of conventional motion measurement techniques by providing accurate, 3D, in-vivo measures of glenohumeral joint motion during dynamic activities. On-going research is using this technique to assess the effects of conservative and surgical treatment of rotator cuff tears.

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Section: Methodsmentioning

confidence: 99%

Measuring dynamic in-vivo glenohumeral joint kinematics: Technique and preliminary results

Bey

Kline

Zauel

et al. 2008

Journal of Biomechanics

111

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show abstract

“…An acromioplasty was performed, the greater tuberosity was lightly abraded, and the rotator cuff tear was repaired using a double-row technique (Lo and Burkhart, 2003). Postoperatively, patients wore a sling for six weeks.…”

Section: Methodsmentioning

confidence: 99%

In vivo measurement of subacromial space width during shoulder elevation: Technique and preliminary results in patients following unilateral rotator cuff repair

Bey¹,

Brock²,

Beierwaltes³

et al. 2007

Clinical Biomechanics

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Background: The shoulder's subacromial space is of significant clinical interest due to its association with rotator cuff disease. Previous studies have estimated the subacromial space width to be 2-17 mm, but no study has measured in-vivo subacromial space width during shoulder motion. The purpose of this study was to measure the in-vivo subacromial space width during shoulder elevation in patients following rotator cuff repair.

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“…Double-row repair was created to increase the footprint contact area and distribute the stress over multiple fixation points. Lo and Burkhart 21) then described their arthroscopic technique for a double-row repair. The medial sutures are passed through the medial aspect of the tendon in a mattress fashion and tied down.…”

mentioning

confidence: 99%

“…Initial reports demonstrated that standard arthroscopic repairs using a single row of anchors did not adequately restore the footprint contact area. 21) The technique of using double rows of suture anchors to re-create the native footprint attachment has been recently described. 22) This double-row technique has been shown to closely re-create the repair site of the footprint insertion and would theoretically improve the ability of the tendon to heal to bone.…”

mentioning

confidence: 99%

Biomechanical Test for Repair Technique of Full-thickness Rotator Cuff Tear

Lim¹,

Park²

2016

Clinics in Shoulder and Elbow

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The arthroscopic rotator cuff repair is now considered a mainstream technique with highly satisfactory clinical results. However, concerns remain regarding healing failures for large and massive tears and high revision rate. In recent decades, various repair strategies and construct configurations have been developed for rotator cuff repair with the understanding that many factors contribute to the structural integrity of the repaired construct. The focus of biomechanical test in arthroscopic repair has been on increasing fixation strength and restoration of the footprint contact characteristics to provide early rehabilitation and improve healing. These include repaired rotator cuff tendon-footprint motion, increased tendon-footprint contact area and pressure, and tissue quality of tendon and bone. Recent studies have shown that a transosseous tunnel technique provides improved contact area and pressure between rotator cuff tendon and insertion footprint, and the technique of using double rows of suture anchors to recreate the native footprint attachment has been recently described. The transosseous equivalent suture bridge technique has the highest contact pressure and fixation force. In this review, the biomechanical tests about repair techniques of rotator cuff tear will be reviewed and discussed.

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Double-row arthroscopic rotator cuff repair: re-establishing the footprint of the rotator cuff

Cited by 335 publications

References 17 publications

Measuring dynamic in-vivo glenohumeral joint kinematics: Technique and preliminary results

Measuring dynamic in-vivo glenohumeral joint kinematics: Technique and preliminary results

In vivo measurement of subacromial space width during shoulder elevation: Technique and preliminary results in patients following unilateral rotator cuff repair

Biomechanical Test for Repair Technique of Full-thickness Rotator Cuff Tear

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