scholarly journals A comparison of clinical outcomes after arthroscopic rotator cuff repair using single-row, double-row and suture bridge technique

Author(s):  
Huanghe Song ◽  
Wang Qing
Author(s):  
Nixon K. Dias ◽  
Rakesh Sera

<ol><li><p><strong>Background:</strong> The methods of repairing rotator cuff tear are single-row technique, traditional double-row technique and suture-bridge technique. Studies have shown that the arthroscopic suture-bridge technique improved the pressurized contact area between the tendon and footprint. Controversy exists regarding the influence of early versus delayed motion on stiffness and healing rate after cuff repair. Early motion rehabilitation increases range of motion after cuff repair, although risk of re-tear is higher compared to immobilization. This study evaluated the functional outcomes in patients who underwent arthroscopic rotator cuff repair using the suture-bridge technique followed by an early exercise physiotherapy regime.</p><p><strong>Methods:</strong> The study was a prospective and retrospective analysis of patients treated arthroscopically for rotator cuff tears in Hosmat hospital, Bangalore. 30 patients who had only a supraspinatus/infraspinatus tear were included in the study. The functional outcome was assessed by two scoring systems, UCLA and ASES scores. Post operatively, patients were immobilized for 3 weeks only. They were followed up at 3 weeks, 6 weeks, 12 weeks and at 6 months.</p><p><strong>Results:</strong> Our study had 20 patients reporting a good outcome, whereas 9 patients had a fair outcome. Only 1 patient reported a poor outcome. The mean ASES scores improved from 20.43 to 77.87 whereas the UCLA score improved from 10.03 to 27.93. None had re-tears.</p><strong>Conclusions:</strong> The arthroscopic suture-bridge technique resulted in acceptable patient satisfaction and functional outcome as 67% of our patients had a “good” outcome. Early ROM exercise accelerated recovery from postoperative stiffness for patients after arthroscopic rotator cuff repair. </li></ol>


2016 ◽  
Vol 5 (6) ◽  
pp. e1297-e1304 ◽  
Author(s):  
Mina Abdelshahed ◽  
Siddharth A. Mahure ◽  
Daniel J. Kaplan ◽  
Brent Mollon ◽  
Joseph D. Zuckerman ◽  
...  

2020 ◽  
Author(s):  
Zhangsheng Dai ◽  
Hong Li ◽  
Shiyi Chen

Abstract Background: Previous studies have shown re-tear signs of rotator cuff tendon tearing after single row or suture bridge repair during follow-up. Few studies have investigated tendon integrity initially after successful rotator cuff repair. The purpose of this study was to assess and compare the magnetic resonance imaging (MRI) appearance of the completely repaired rotator cuff initially after surgery between single row and suture bridge techniques.Methods: Fifty patients with full-thickness rotator cuff tears were included in this study. Twenty-five patients underwent arthroscopic rotator cuff repair with single row technique (SR group) or and the other 25 patients underwent double row suture bridge technique (SB group). MRI examinations were performed at the second day after arthroscopic rotator cuff repair. Postoperative rotator cuff integrity was classified into 5 categories according to Sugaya method.Results: Postoperative MRI revealed 3 type I, 9 type II, 8 type III, 5 type IV, and 0 type V in single-row group (SR group), and 1 type I, 11 type II, 10 type III, 3 type IV, and no type V in suture bridge group (SB group). The postoperative re-tear rate was 20% in SR group and 12% in SB group, while no significant difference of re-tear rate was detected between groups (p = 0.70). In the 3 type IV cases of SB group, 1 case was found to have configuration deformity, and the other 2 cases revealed poor tissue quality of rotator cuff under arthroscopy. In the 5 type IV cases of SR group, 3 cases were found to have configuration deformity, and the other 2 cases revealed poor tissue quality of rotator cuff under arthroscopy.Conclusion: No difference of tendon integrity was detected between single row and suture bridge techniques initially after surgery. The re-tear sign of successfully repaired rotator cuff tendon was related with poor tendon tissue quality and also with configuration deformity after surgery.


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