Outcomes of Single-Row and Double-Row Arthroscopic Rotator Cuff Repair: A Systematic Review

Saridakis, Paul; Jones, Grant L.

doi:10.2106/jbjs.i.01295

Cited by 149 publications

(91 citation statements)

References 31 publications

(125 reference statements)

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“…This review found that re-tear rates were found between 7 and 17 % in tears <1 cm and 41-69 % in tears greater than 5 cm; other studies corroborate this finding in re-tears based on the size of the tear [84]. Systematic literature reviews have not found a significant difference in percentage of re-tears based on the technique used for cuff repair, nor have more recent articles comparing newer techniques of fixation such as the suturebridge technique [85,86]. There has also been recent focus to determine whether or not clinical results are associated with the ultimate integrity of the repair; however, patients are found to do well clinically even when their repairs have failed radiographically [87][88][89][90][91].…”

Section: Osteonecrosismentioning

confidence: 84%

Management of complications after rotator cuff surgery

Parada

Dilisio

Kennedy

2014

Curr Rev Musculoskelet Med

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Rotator cuff repair (RCR) is a common procedure performed by orthopedic surgeons via arthroscopic, open, or mini-open techniques. While this surgery is considered to be of low morbidity, several potential complications can arise either intraoperatively or during the postoperative time period. Some of these complications are related to the surgical approach (arthroscopic or open), while others are patient dependent. Many of these complications can be managed through nonoperative means; however, early recognition and timely treatment is essential in limiting the long-term sequela and improving patient outcome. There are several different ways to classify complications after RCR repair: timing, severity, preventability, whether or not the pathology is intra-or extraarticular, and the type of treatment necessary. It is essential that the surgeon is cognizant of the etiology contributing to the failed RCR surgery in order to provide timely and proper management.

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Section: Osteonecrosismentioning

confidence: 84%

Management of complications after rotator cuff surgery

Parada

Dilisio

Kennedy

2014

Curr Rev Musculoskelet Med

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“…However, biomechanical or structural advantages do not always translate into a superior clinical outcome. 26) Despite weaker time zero strength, the current results showed a relatively low retear rate, suggesting the importance of the in vivo healing process. The additional advantage of the current technique along with the reduction of strangulation is technical simplicity.…”

Section: Discussionmentioning

confidence: 51%

Minimal Medial-row Tie with Suture-bridge Technique for Medium to Large Rotator Cuff Tears

Lee

Ryu²,

Shim

et al. 2015

Clinics in Shoulder and Elbow

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Background: The purpose of this study was to evaluate the postoperative magnetic resonance imaging (MRI) results of minimal-tying (one medial-row tie among 4 medial-row sutures) on the medial-row in double-row suture-bridge configuration (2×2 anchor with 4×4 suture stands). Methods: From 2011 March to 2012 July, 79 patients underwent arthroscopic rotator cuff repair using 2×2 anchor double-row configuration. The mean age was 61.3 years (range, 31-81 years). Two double-loaded suture anchors were used for medial-row. Four medialrow stitches were made with only one medial-row knot-tying (the most anterior suture). Lateral-row was secured using the conventional suture-bridge anchor technique; all 4 strands were used for each anchor. Repair integrity was evaluated with MRI at mean 6.2 months postoperatively. Retear and the pattern of retear, change of fatty infiltration, and muscle atrophy of supraspinatus were evaluated using pre-and postoperative MRI. Results: Repaired tendon integrity was 38 for type I, 30 for type II, 6 for type III, 4 for type IV, and 1 for type V, according to Sugaya classification. Considering type IV/V as retear, the rate was 6.3% (5 out of 79 patients). Medial cuff failure was observed in 4 patients. Fatty atrophy of supraspinatus was significantly improved postoperatively according to Goutallier grading (p=0.01). The level of muscle atrophy of supraspinatus was not changed significantly after surgery. Conclusions: Minimal tying technique with suture configuration of four-by-four strand double-row suture-bridge yielded a lower retear rate (6.3%) in medium to large rotator cuff tears. (Clin Shoulder Elbow 2015;18(4):197-205)

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“…Mean preop UCLA scores (12.2) and ASES (30.08) scores(were improved upto UCLA(30.64) and ASES(77.43) at end of 12 months follow-up. We have compared our results with Cochrane review article conducted by Paul Saridikas at Ohio state university which reviewed ten articles systemically [23] . …”

Section: Discussionmentioning

confidence: 99%

Results of arthroscopic rotator cuff repair

Vora¹,

Shah²,

Patel³

et al. 2018

Int. J. Orthop. Sci.

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Background: Rotator cuff disease is one of the most common condition afflicting shoulder joint. It includes spectrum from minimal bursal/articular inflammation of tendons to severe degenerative cuff tear/arthropathy. With advent in arthroscopic techniques, most RC tears are nowadays treated arthroscopically than open, miniopen or nonoperative management. The purpose of this prospective study is to assess results of arthroscopic repair of rotator cuff tear using UCLA (University of California at Los Angeles) and ASES (American Shoulder and Elbow Surgeons) shoulder scoring systems. Methods: 25 patients operated arthroscopically by single senior arthroscopic surgeon at Civil hospital, Ahmedabad, over a period of 30 months (Dec 2012 to June 2015) were followed for minimum of 12 months duration and included in study. Outcome measures used are preoperative and postoperative UCLA and ASES scores. A proforma was prepared to collect and analyse data using descriptive and inferential statistical methods. Results: In our study, we have measured UCLA and ASES scores over 12 months period. Our study shows improved functional outcome from UCLApresentation-12.2 and ASESpresentation-30.8 to UCLA12 months-30.64 and ASES12 months-77.43. Evident from our study, there is no significant gender difference in terms of incidence and postoperative functional outcome. Maximum incidence is seen in age group-41-50 years with etiological inclination towards precedent trauma. Conclusion: Arthroscopic repair of rotator cuff tear offers excellent functional outcome; with minimal morbidity. Improvement in pain, range of motion and strength of cuff tendons can be achieved only by meticulous repair techniques, adequate subacromial decompression, and strict rehabilitation programme.

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Outcomes of Single-Row and Double-Row Arthroscopic Rotator Cuff Repair: A Systematic Review

Cited by 149 publications

References 31 publications

Management of complications after rotator cuff surgery

Management of complications after rotator cuff surgery

Minimal Medial-row Tie with Suture-bridge Technique for Medium to Large Rotator Cuff Tears

Results of arthroscopic rotator cuff repair

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