Retear Rates After Arthroscopic Single-Row, Double-Row, and Suture Bridge Rotator Cuff Repair at a Minimum of 1 Year of Imaging Follow-up: A Systematic Review

Hein, Joel; Reilly, Jordan; Chae, Jonathan; Maerz, Tristan; Anderson, Kyle

doi:10.1016/j.arthro.2015.06.004

Cited by 226 publications

(169 citation statements)

References 56 publications

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“…1 This is in part due to the inability of natural physiologic healing to recreate the transitional 4-zone interface of the native fibrocartilaginous enthesis. Rather, the tendon heals to bone through a fibrovascular scar tissue, which has inferior biomechanical properties compared with the native enthesis, making the construct susceptible to failure.…”

mentioning

confidence: 99%

Kartogenin Enhances Collagen Organization and Mechanical Strength of the Repaired Enthesis in a Murine Model of Rotator Cuff Repair

Wang

Tan

Lebaschi

et al. 2018

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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mentioning

confidence: 99%

Kartogenin Enhances Collagen Organization and Mechanical Strength of the Repaired Enthesis in a Murine Model of Rotator Cuff Repair

Wang

Tan

Lebaschi

et al. 2018

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…Based on these findings, they concluded that when comparing tears of any size, the DR and TOE had significantly lower retear rates than SR. However, when tear size was accounted for, only medium and massive tears treated with DR or TOE demonstrated superiority over SR repairs, and DR had lower retear rates than SR for tears sized less than 1 cm 29. These findings underscore the importance of consistent tear size reporting in future studies, as most reports vary greatly in their documentation and classification of tear size.…”

Section: Discussionmentioning

confidence: 89%

“…Hein et al 29 performed a recent systematic review of retear rates after arthroscopic SR, DR and TOE repairs. Their data collection included 2048 rotator cuff tears across 32 studies; these tears were then classified as small (<1 cm), medium (1–3 cm), large (3–5 cm) and massive (>5 cm).…”

Section: Discussionmentioning

confidence: 99%

Double-row rotator cuff repair yields improved tendon structural integrity, but no difference in clinical outcomes compared with single-row and triple-row repair: a systematic review

2017

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ImportanceTechniques for arthroscopic rotator cuff repair are rapidly evolving. Single-row (SR) and double-row (DR) repair techniques have been well described, but recent studies have suggested the biomechanical superiority of transosseous-equivalent (TOE) DR repairs and triple-row (TR) repairs. However, there is conflicting literature regarding the clinical superiority of one technique over the other.ObjectiveTo systematically review the best available evidence for arthroscopic repair of rotator cuff tears using SR, DR and TR techniques, and to identify predictors of patient functional outcomes and retear rates in each group.Evidence reviewPubMed, Embase, Google Scholar and the Cochrane Database of Systematic Reviews were searched to identify all clinical papers describing arthroscopic repair of rotator cuffs using SR, DR or TR techniques.FindingsThere were 10 papers that met our study criteria; they involved 580 patients. There was no significant difference in clinical outcomes between SR and DR repairs (p=0.57). Studies involving TR repairs were too underpowered to detect any difference in clinical outcomes between SR and DR repairs. The imaging confirmed retear rate of SR repairs was 30.3% (71/234), whereas DR repairs demonstrated a retear rate of 19.3% (41/212). The retear rate of TR repairs was 23.5% (8/34), but the low number of reported TR repairs did not allow us to make any conclusions regarding its superiority or inferiority compared with SR or DR. DR repairs demonstrated a statically significant decrease in retear rates compared with SR repairs (p=0.001). A subgroup analysis of retear rates in SR repairs versus TOE DR repairs demonstrated a trend towards improved structural integrity of the TOE DR repairs, but this was not statistically significant (p=0.07).Conclusions and relevanceThere is no clear difference in clinical outcomes between SR, DR and TR techniques, but DR techniques demonstrate improved structural integrity at short-term follow-up.Level of evidenceIV.

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“…Given the complex cellular and matrix makeup of the interface and due to the inherently poor healing capacity of ligaments and tendons, regeneration of the enthesis has been particularly challenging, even with modern surgical repair techniques. For instance, in the case of rotator cuff repair, overall failure rates remain near 21% . Arthroscopic surgical techniques such as double‐row and suture‐bridge constructs have been refined to improve the time‐zero biomechanical properties of the repair, but these new techniques have not led to enduring clinical results .…”

Section: Studies Involving Biomaterials For Ligament‐bone Regenerationmentioning

confidence: 99%

Integrating soft and hard tissues via interface tissue engineering

Patel

Caldwell

Doty

et al. 2018

Journal Orthopaedic Research

108

100

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The enthesis, or interface between bone and soft tissues such as ligament and tendon, is prone to injury and often does not heal, even post surgical intervention. Interface tissue engineering represents an integrative strategy for regenerating the native enthesis by functionally connecting soft and hard tissues and thereby improving clinical outcome. This review focuses on integrative and cell-instructive scaffold designs that target the healing of the two most commonly injured soft tissue-bone junctions: tendon-bone interface (e.g., rotator cuff) and ligament-bone interface (e.g., anterior cruciate ligament). The inherent connectivity between soft and hard tissues is instrumental for musculoskeletal motion and is therefore a key design criterion for soft tissue regeneration. To this end, scaffold design for soft tissue regeneration have progressed from single tissue systems to the emerging focus on pre-integrated and functional composite tissue units. Specifically, a multifaceted, bioinspired approach has been pursued wherein scaffolds are tailored to stimulate relevant cell responses using spatially patterned structural and chemical cues, growth factors, and/or mechanical stimulation. Moreover, current efforts to elucidate the essential scaffold design criteria via strategic biomimicry are emphasized as these will reduce complexity in composite tissue regeneration and ease the related burden for clinical translation. These innovative studies underscore the clinical relevance of engineering connective tissue integration and have broader impact in the formation of complex tissues and total joint regeneration. © 2017 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 36:1069-1077, 2018.

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Retear Rates After Arthroscopic Single-Row, Double-Row, and Suture Bridge Rotator Cuff Repair at a Minimum of 1 Year of Imaging Follow-up: A Systematic Review

Cited by 226 publications

References 56 publications

Kartogenin Enhances Collagen Organization and Mechanical Strength of the Repaired Enthesis in a Murine Model of Rotator Cuff Repair

Kartogenin Enhances Collagen Organization and Mechanical Strength of the Repaired Enthesis in a Murine Model of Rotator Cuff Repair

Double-row rotator cuff repair yields improved tendon structural integrity, but no difference in clinical outcomes compared with single-row and triple-row repair: a systematic review

Integrating soft and hard tissues via interface tissue engineering

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