Is the arthroscopic modified tension band suture technique suitable for all full-thickness rotator cuff tears?

Is the arthroscopic suture bridge technique suitable for full-thickness rotator cuff tears of any size?

“…Bishop et al also reported a failure rate of 76% [4]. A high retear rate (69%) after the repair of large‐to‐massive rotator cuff tears with the MTB technique was also reported in a previous study [2]. In an effort to improve the integrity of the tendon after arthroscopic repair, the SB technique, which may contribute to a low rate of structural failure of the repaired rotator cuff by increasing the ultimate load to failure and reducing gap formation as compared to other repair methods, was proposed [30, 31].…”

“…Taking this into consideration, the authors of the current study postulated that the SB technique could result in better outcomes in terms of the OR and muscle hypotrophy because of the high initial fixation strength, minimal gap formation, and sustained mechanical stability. Further, when compared to the SB technique, the MTB technique results in lower contact pressure, especially because of the lack of contact between the medial portion of the tendon and the bone when abducting the shoulder [2].…”

“…Andres et al [1] also reported that the TB technique led to a higher pull‐out strength than did the single‐row or double‐row technique, and a higher pull‐out strength and total energy from pull to failure than did the single‐row or suture bridge (SB) technique. However, Bae et al [2] reported a high retear rate (69%) of repaired rotator cuffs when the modified tension band (MTB) technique was used for large‐to‐massive tears.…”

Comparison of Clinical and Structural Outcomes by Subscapularis Tendon Status in Massive Rotator Cuff Tear

“…Previous studies have reported high retear rates (24%-69%) after arthroscopic repair of massive rotator cuff tears with concomitant subscapularis tendon tears. 2,3,14,25,28 However, a review of the literature revealed that most studies on massive tears adopt the definition of a tear size >5 cm or a complete tear of at least 2 tendons and are focused on posterosuperior rotator cuff tears. The current investigations on massive tears also show the same trend and are focused on the restoration of the footprint area of the greater tuberosity by using an advanced surgical technique.…”

“…The current investigations on massive tears also show the same trend and are focused on the restoration of the footprint area of the greater tuberosity by using an advanced surgical technique. 2,28 Concomitant subscapularis tears in massive posterosuperior tears have been ignored despite the fact that the subscapularis tendon plays an important role in maintaining balanced force couples. 5,6 A few studies have investigated massive cuff tears into 3 patterns based on the subscapularis tendon status.…”