The Outcome and Structural Integrity of Arthroscopic Rotator Cuff Repair Using the Double-Row Suture Anchor Technique (SS-39)

Gobezie, Reuben; Toussaint, Bruno; Brozska, Roman; Lafosse, Laurent

doi:10.1016/j.arthro.2007.03.051

Cited by 4 publications

(2 citation statements)

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“…A number of studies have reported excellent clinical outcomes after arthroscopic rotator cuff repair (ARCR) [1]–[24]. However, recurrent tears remain the most common complication.…”

Section: Introductionmentioning

confidence: 99%

“…However, recurrent tears remain the most common complication. Early reports have reported a relatively high tear rate after ARCR [13][14][15][16][17], but double-row ARCR has been developed and has become more popular [16][17][18][19][20][21][22][23][24][25][26][27][28][29][30]. As a result of advances in suture anchor design and suture materials, failure occurs most commonly at the suture-tendon interface, especially when a suture pulls out of the cuff [31][32][33][34].…”

Section: Introductionmentioning

confidence: 99%

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Biomechanical Analysis of a Modified Mattress Configuration: The Cross-Mattress Suture

Yamakado

2011

Shoulder & Elbow

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Background A modification to the traditional horizontal mattress suture technique was developed for double-loaded anchors and named the cross-mattress suture. The sutures are placed similar to a traditional horizontal mattress suture; however, the limbs from the same pair of sutures are placed alternately. The present study aimed to compare the biomechanical stability of the cross-mattress suture with the simple and traditional horizontal mattress suture.Methods Eighteen fresh porcine infraspinatus tendons were divided into three different repair groups (the simple, the mattress or the cross-mattress group) and were fixed using a suture anchor loaded with two high-tension sutures. Maximum failure load was recorded. ResultsThe cross-mattress suture showed a significantly greater maximum load to failure. The average maximum load to failure was 23.0 N for the simple stitch, 35.1 N for the mattress and 67.7 N for the cross-mattress group. The maximum load to failure for the cross-mattress was greater than the simple (p < 0.05) and the mattress (p < 0.05). DiscussionThe results obtained in the present study indicate that the cross-mattress suture supports the greatest maximum failure load, and suggests that it is biomechanically superior to the traditional mattress or the simple suture configuration. It is easy, compact and reproducible.

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“…A number of studies have reported excellent clinical outcomes after arthroscopic rotator cuff repair (ARCR) [1]–[24]. However, recurrent tears remain the most common complication.…”

Section: Introductionmentioning

confidence: 99%