Knotless Suture Bridge Technique in High-Grade Bursal-Sided Rotator Cuff Tears. Is This The Way Forward?

C้hernchujit, Bancha; Hamid, Mohd Azrin Shahul; Aimprasittichai, Sittan

doi:10.1016/j.eats.2017.08.016

Cited by 5 publications

(2 citation statements)

References 9 publications

(9 reference statements)

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“…12,13 Other studies have found that for PTRCTs, intact articular side rotator cuff-fiber preservation can be done. 6,7,10,[14][15][16][17][18][19] There were five studes that mentioned repair integrity and clinical outcomes. 7,12,13,15,16 Only several study that confirm the PTRCTs in high-grade settings (>50% partial tear).…”

Section: Discussionmentioning

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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Section: Discussionmentioning

confidence: 99%

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

Prasetia¹,

Kholinne²,

Suvarly³

et al. 2021

ORR

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“…The most common adverse events of RF use are thermal inju- [16,[44][45][46][47][48][49]69]. All four studies reporting these adverse events specify second-degree burns as related to direct contact of the irrigation fluid from outflow tubing rather than from contiguous, elevated intraarticular temperatures [65][66][67][68].…”

Section: Safety and Complicationsmentioning

confidence: 99%

Radiofrequency in arthroscopic shoulder surgery: a systematic review

Vij¹,

Liu²,

Amin³

2023

Clin Shoulder Elb

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BackgroundRadiofrequency has seen an increase in use in orthopedics including cartilage lesion debridement in the hip and knee as well as many applications in arthroscopic shoulder surgery. The purpose of this systematic review is to evaluate the safety and usage of radiofrequency in the shoulder.MethodsThis systematic review was registered with PROSPERO (international registry) and followed the preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) guidelines. Embase and PubMed were searched using: “shoulder,” “rotator cuff,” “biceps,” “acromion” AND “monopolar,” “bipolar,” “ablation,” “coblation,” and “radiofrequency ablation.” The title and abstract review were performed independently. Any discrepancies were addressed through open discussion.ResultsA total of 63 studies were included. Radiofrequency is currently utilized in impingement syndrome, fracture fixation, instability, nerve injury, adhesive capsulitis, postoperative stiffness, and rotator cuff disease. Adverse events, namely superficial burns, are limited to case reports and case series, with higher-level evidence demonstrating safe use when used below the temperature threshold. Bipolar radiofrequency may decrease operative time and decrease the cost per case.DiscussionShoulder radiofrequency has a wide scope of application in various shoulder pathologies. Shoulder radiofrequency is safe; however, requires practitioners to be cognizant of the potential for thermal burn injuries. Bipolar radiofrequency may represent a more efficacious and economic treatment modality. Safety precautions have been executed by institutions to cut down patient complications from shoulder radiofrequency. Future research is required to determine what measures can be taken to further minimize the risk of thermal burns.

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