Ultrasound evaluation of arthroscopic full-thickness supraspinatus rotator cuff repair: single-row versus double-row suture bridge (transosseous equivalent) fixation. Results of a prospective, randomized study

Gartsman, Gary M.; Drake, Gregory N.; Edwards, T. Bradley; Elkousy, Hussein; Hammerman, Steven M.; O’Connor, Daniel P.; Press, Cyrus M.

doi:10.1016/j.jse.2013.06.020

Cited by 112 publications

(76 citation statements)

References 60 publications

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“…Surgical considerations such as double-row repair techniques have been shown to offer better initial biomechanical strength, better footprint coverage, and better radiographic healing rates in most studies. However, it has been difficult to conduct studies with sufficient power to consistently show a clinical advantage of double-row techniques over single-row [25,31,32]. There remains a discrepancy between clinical outcomes and radiographic healing rates with patients still capable of achieving a clinically successful outcome despite radiographic evidence of failure [17].…”

Section: Discussionmentioning

confidence: 99%

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Expectations Following Rotator Cuff Surgery

Novoa-Boldo

Gulotta

2018

Curr Rev Musculoskelet Med

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Purpose of Review To outline the radiographic and clinical outcomes after a rotator cuff surgery in order to set the expectations with the patient before the surgery to obtain a better outcome, taking into account the factors that can affect the outcome and the technique used for the repair. Recent Findings The majority of surgeons use arthroscopic repair.The double-row repair has better biomechanical strength, footprint coverage, and radiographic healing rates. The principal factors that can affect the outcome of the surgery are the tendon quality, tear size and retraction, fatty infiltration, chronicity of the tear, and concomitant pathologies. Summary Arthroscopic rotator cuff repair can decrease pain and increase function allowing patients to improve their quality of life; 90% of patients are happy 6 months after the surgery and maintain stability during 5 years. Greater preoperative expectations would show better outcomes and patient satisfaction after the surgery.

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Section: Discussionmentioning

confidence: 99%

“…Studies have shown that early postoperative MRIs and ultrasounds that have shown non-retracted re-tears have to ability to remodel and "heal" with time [7••, 14••, [24][25][26]. Therefore, early postoperative imaging should be interpreted within the context of the clinical presentation of the patient.…”

Section: Radiographic Outcomesmentioning

confidence: 99%

Expectations Following Rotator Cuff Surgery

Novoa-Boldo

Gulotta

2018

Curr Rev Musculoskelet Med

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“…In an arthroscopic rotator cuff repair procedure, a doublerow suture bridge resulted in a significantly higher tendon healing rate than a single-row repair. 8,16 Moreover, double-row suture bridge technique seemed superior to the single-row technique in terms of the bone-tendon contact surface and pressure in an in vitro biomechanical study. 17 Therefore, we mimicked the double-row suture bridge technique used for rotator cuff tear and placed a fully threaded, knotless anchor (3.5-mm PEEK SwiveLock) into the lateral aspect of the fibula.…”

Section: Discussionmentioning

confidence: 97%

“…In arthroscopic rotator cuff repair surgery, a doublerow suture bridge results in a significantly higher tendon healing rate than a single-row repair. 8 The purpose of this study was to introduce and examine the utility of the tendoscopic double-row suture bridge peroneal retinaculum repair for peroneal tendon dislocation, which has not been previously reported.…”

mentioning

confidence: 99%

Tendoscopic Double-Row Suture Bridge Peroneal Retinaculum Repair for Recurrent Dislocation of Peroneal Tendons in the Ankle

Nishimura

Nakazora

Ito

et al. 2016

Arthroscopy Techniques

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Traumatic dislocation of peroneal tendons in the ankle is an uncommon lesion that mainly affects young adults. Unfortunately, most cases lead to recurrent dislocation of the peroneal tendons of the ankle (RPTD). Therefore, most cases need operative treatment. One of the most common operative procedures is superior peroneal retinaculum (SPR) repair. Recently, surgery for RPTD has been achieved with less invasive arthroscopic procedures. In this article, tendoscopic surgery for RPTD using a double-row suture bridge technique is introduced. This technique consists of debridement of the lateral aspect of the fibula under an intrasheath pseudo-cavity, suture anchor insertion into the fibular ridge, and reattachment of the SPR to the fibula using a knotless anchor screwed into the lateral aspect of the fibula. This technique mimics the double-row suture bridge technique for rotator cuff tear repair. The double-row suture bridge technique requires more surgical steps than the single-row technique, but it provides a wider bone-SPR contact surface and tighter fixation than the single-row technique. This procedure is an attractive option because it is less invasive and has achieved results similar to open procedures.

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“…3 Clinically, transosseous-equivalent repairs were also shown to have a higher tendon healing rate based on ultrasound examination when compared with single-row repairs at 10 months after surgery. 4 Many single-row and older double-row repair techniques did not achieve enough biomechanical compression and evenly distributed contact area over the majority of the footprint. Arrigoni et al 5 described an alternative double-row rotator cuff repair using medialrow anchors with an extracorporeal and static knot, termed the "double-pulley technique," which was designed to help maximize medial footprint compression.…”

mentioning

confidence: 99%

Hybrid Repair of Large Crescent Rotator Cuff Tears Using a Modified SpeedBridge and Double-Pulley Technique

Chauhan

Regal

Frank

2014

Arthroscopy Techniques

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An ideal rotator cuff repair maximizes the tendon-bone interface and has adequate biomechanical strength that can withstand a high level of demand. Arthroscopic transosseous-equivalent rotator cuff repairs have become popular and have been shown to be superior to many other methods of fixation. We present an alternative method of repair for large crescent rotator cuff tears that combines 2 well-known methods of fixation: modified SpeedBridge (Arthrex, Naples, FL) and double-pulley techniques. These 2 repair constructs were combined to provide the greatest amount of compression across the footprint while also providing rigid fixation. Ultimately, this can provide an optimal environment for healing in otherwise significant injuries.

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Ultrasound evaluation of arthroscopic full-thickness supraspinatus rotator cuff repair: single-row versus double-row suture bridge (transosseous equivalent) fixation. Results of a prospective, randomized study

Cited by 112 publications

References 60 publications

Expectations Following Rotator Cuff Surgery

Expectations Following Rotator Cuff Surgery

Tendoscopic Double-Row Suture Bridge Peroneal Retinaculum Repair for Recurrent Dislocation of Peroneal Tendons in the Ankle

Hybrid Repair of Large Crescent Rotator Cuff Tears Using a Modified SpeedBridge and Double-Pulley Technique

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