Initial Fixation Strength of Transosseous-Equivalent Suture Bridge Rotator Cuff Repair Is Comparable With Transosseous Repair

Behrens, Steve B.; Bruce, Benjamin; Zonno, Alan J.; Paller, David; Green, Andrew

doi:10.1177/0363546511426071

Cited by 44 publications

(33 citation statements)

References 43 publications

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“…One of the primary reasons for implementing this technique was to reduce the amount of suture in the tendon because of the number of foreign body reactions and adhesive tenosynovitis we had encountered using other techniques. A previous study has shown that tendon-to-bone healing is affected by mechanical factors and the goal of any repair should be to minimize gap formation and maintain the stability of the repair (3). Although the volume of clinical research focusing on tendon-to-bone healing in the foot and ankle is increasing, much more has been described with regard to rotator cuff repair in the shoulder.…”

Section: Discussionmentioning

confidence: 99%

“…However, in recent years, soft tissue bone anchors have gained popularity, because they can be used to quickly and easily provide secure fixation, decreasing the surgical time in many cases. Although some companies have highlighted the pullout strength of their soft tissue bone anchors, it is known that the suture material will typically fail before the anchor will pull out of bone (2)(3)(4)(5)(6). This places particular emphasis on ensuring that the suturetendon interface is secure, without being excessively prominent or strangulating the attached tendon.…”

Section: Introductionmentioning

confidence: 99%

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A Modified Suture Bridge Technique for Application With Bone Anchors in Foot and Ankle Surgery

Walters

Correa

Moss

2015

The Journal of Foot and Ankle Surgery

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Modified Suture Bridge Technique for Application With Bone Anchors in Foot and Ankle Surgery

Walters

Correa

Moss

2015

The Journal of Foot and Ankle Surgery

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“…Such techniques lead to greater contact area and pressure over the native cuff footprint than single or double-row suture and equivalent to traditional transosseous techniques. [2021] Early results have demonstrated improved clinical and radiographic healing at short-term follow-up. [11]…”

Section: Discussionmentioning

confidence: 99%

Single-row, double-row, and transosseous equivalent techniques for isolated supraspinatus tendon tears with minimal atrophy: A retrospective comparative outcome and radiographic analysis at minimum 2-year followup

McCormick

Gupta

Bruce

et al. 2014

Int J Shoulder Surg

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Purpose:The purpose of this study was to measure and compare the subjective, objective, and radiographic healing outcomes of single-row (SR), double-row (DR), and transosseous equivalent (TOE) suture techniques for arthroscopic rotator cuff repair.Materials and Methods:A retrospective comparative analysis of arthroscopic rotator cuff repairs by one surgeon from 2004 to 2010 at minimum 2-year followup was performed. Cohorts were matched for age, sex, and tear size. Subjective outcome variables included ASES, Constant, SST, UCLA, and SF-12 scores. Objective outcome variables included strength, active range of motion (ROM). Radiographic healing was assessed by magnetic resonance imaging (MRI). Statistical analysis was performed using analysis of variance (ANOVA), Mann — Whitney and Kruskal — Wallis tests with significance, and the Fisher exact probability test <0.05.Results:Sixty-three patients completed the study requirements (20 SR, 21 DR, 22 TOE). There was a clinically and statistically significant improvement in outcomes with all repair techniques (ASES mean improvement P = <0.0001). The mean final ASES scores were: SR 83; (SD 21.4); DR 87 (SD 18.2); TOE 87 (SD 13.2); (P = 0.73). There was a statistically significant improvement in strength for each repair technique (P < 0.001). There was no significant difference between techniques across all secondary outcome assessments: ASES improvement, Constant, SST, UCLA, SF-12, ROM, Strength, and MRI re-tear rates. There was a decrease in re-tear rates from single row (22%) to double-row (18%) to transosseous equivalent (11%); however, this difference was not statistically significant (P = 0.6).Conclusions:Compared to preoperatively, arthroscopic rotator cuff repair, using SR, DR, or TOE techniques, yielded a clinically and statistically significant improvement in subjective and objective outcomes at a minimum 2-year follow-up.Level of Evidence:Therapeutic level 3.

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“…7 Another biomechanical study showed that a transosseous-equivalent suture bridge technique had the same initial fixation strength as a traditional transosseous repair. 8 In a clinical study of 154 patients who underwent transosseous-equivalent repairs with a double-row suture bridge construct, the patients showed significant improvements in range of motion and subjective outcomes at a mean of 15 months' clinical follow-up. 9 The described technique combines 2 techniques previously described: a knotless transosseous-equivalent repair (modified SpeedBridge) and a knotted doublepulley technique.…”

Section: Discussionmentioning

confidence: 99%

Hybrid Repair of Large Crescent Rotator Cuff Tears Using a Modified SpeedBridge and Double-Pulley Technique

Chauhan

Regal

Frank

2014

Arthroscopy Techniques

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An ideal rotator cuff repair maximizes the tendon-bone interface and has adequate biomechanical strength that can withstand a high level of demand. Arthroscopic transosseous-equivalent rotator cuff repairs have become popular and have been shown to be superior to many other methods of fixation. We present an alternative method of repair for large crescent rotator cuff tears that combines 2 well-known methods of fixation: modified SpeedBridge (Arthrex, Naples, FL) and double-pulley techniques. These 2 repair constructs were combined to provide the greatest amount of compression across the footprint while also providing rigid fixation. Ultimately, this can provide an optimal environment for healing in otherwise significant injuries.

show abstract

Initial Fixation Strength of Transosseous-Equivalent Suture Bridge Rotator Cuff Repair Is Comparable With Transosseous Repair

Abstract: Arthroscopic techniques can achieve initial fixation strength comparable with traditional TO techniques performed without suture anchors.

Cited by 44 publications

References 43 publications

A Modified Suture Bridge Technique for Application With Bone Anchors in Foot and Ankle Surgery

A Modified Suture Bridge Technique for Application With Bone Anchors in Foot and Ankle Surgery

Single-row, double-row, and transosseous equivalent techniques for isolated supraspinatus tendon tears with minimal atrophy: A retrospective comparative outcome and radiographic analysis at minimum 2-year followup

Hybrid Repair of Large Crescent Rotator Cuff Tears Using a Modified SpeedBridge and Double-Pulley Technique

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