Clinical outcomes and repair integrity after arthroscopic full-thickness rotator cuff repair: suture-bridge versus double-row modified Mason-Allen technique

Objectives: All-suture anchor use for rotator cuff repair is increasing. Potential benefits of these anchors include less bone loss from anchor hole drilling and decreased injury to the chondral surface with anchor pullout. Minimal evidence exists comparing clinical outcomes of all suture to solid medial row anchor fixation in double row suture bridge rotator cuff repair. The purpose of this study was to compare patient-reported outcomes for rotator cuff tears treated with all-suture medial row anchors to those treated with more traditional solid anchors. The null hypothesis was that there is no difference in outcomes between the all-suture and solid anchor rotator cuff repairs. Methods: Three sports medicine fellowship trained surgeons performed rotator cuff repairs using the double row suture bridge technique with minimum 3 years of follow up. Patients were separated into two groups based on whether or not they received all-suture or solid anchor fixation for the medial row of their repair. All lateral row fixation was performed with solid anchors. Primary outcomes were evaluated with telephone follow-up and included the American Shoulder and Elbow Surgery Score (ASES), Single Assessment Numeric Evaluation (SANE), and Visual Analog Scale (VAS). The Rehabilitation protocol was the same for all subjects in the study. Results: 3 sports medicine fellowship trained orthopaedic surgeons performed 153 rotator cuff repairs. 91 of these subjects had all-suture fixation of the medial row and 62 received solid anchor fixation. Follow up was 3.6 years ± 0.6 for the all-suture group and 3.7 years ± 0.6 in the solid anchor group (p= 0.28). ASES scores were 92 ± 16 in the all-suture group and 90 ± 17 in the solid group (p =0.35). SANE scores were 91 ± 13 in the all-suture and also 91 ± 13 in the solid anchor cohort (p = 0.97). VAS scores were 1.1 ± 2.0 in the all-suture and 0.7± 1.8 in the solid anchor group (p=0.17). There were no significant differences between groups with regards to re-operation rate or anchor configuration. Conclusions: All suture anchors used in medial row fixation for double row suture bridge rotator cuff repairs have similar clinical outcomes to rotator cuff tears treated in similar fashion with solid medial row anchors.

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Clinical outcomes of arthroscopic rotator cuff repair: a retrospective comparison of double-layer, double-row and suture bridge methods

BMC Musculoskeletal Disorders ◽

10.1186/s12891-018-2244-y ◽

2018 ◽

Vol 19 (1) ◽

Cited By ~ 2

Author(s):

Hironori Kakoi ◽

Toshihiko Izumi ◽

Yasunari Fujii ◽

Satoshi Nagano ◽

Takao Setoguchi ◽

...

Keyword(s):

Rotator Cuff ◽

Clinical Outcomes ◽

Double Layer ◽

Rotator Cuff Repair ◽

Arthroscopic Rotator Cuff Repair ◽

Double Row ◽

Suture Bridge ◽

Retrospective Comparison ◽

Arthroscopic Rotator Cuff ◽

Cuff Repair

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MRI evaluation of arthroscopic full-thickness postero-superior rotator cuff repair using double row versus suture bridge fixation. A prospective, randomized study

Journal of Shoulder and Elbow Surgery ◽

10.1016/j.jse.2015.08.029 ◽

2015 ◽

Vol 24 (12) ◽

pp. e348

Author(s):

Koji Fujii ◽

Yoshitsugu Takeda ◽

Katsutoshi Miyatake

Keyword(s):

Rotator Cuff ◽

Rotator Cuff Repair ◽

Randomized Study ◽

Prospective Randomized Study ◽

Full Thickness ◽

Double Row ◽

Suture Bridge ◽

Cuff Repair ◽

Mri Evaluation

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Clinical Outcomes After Arthroscopic Double-Row Rotator Cuff Repair and Evaluation of Cuff Integrity by CT Arthrography

Clinics in Shoulder and Elbow ◽

10.5397/cise.2009.12.2.199 ◽

2009 ◽

Vol 12 (2) ◽

pp. 199-206

Author(s):

Chris H. Jo ◽

Je-Kyoon Kim ◽

Kang-Sup Yoon ◽

Ji-Ho Lee ◽

Seung-Baek Kang ◽

...

Keyword(s):

Rotator Cuff ◽

Clinical Outcomes ◽

Rotator Cuff Repair ◽

Double Row ◽

Ct Arthrography ◽

Cuff Repair

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Outcome and Structural Integrity of Rotator Cuff after Arthroscopic Treatment of Large and Massive Tears with Double Row Technique: A 2-Year Followup

Advances in Orthopedics ◽

10.1155/2013/914148 ◽

2013 ◽

Vol 2013 ◽

pp. 1-6 ◽

Cited By ~ 13

Author(s):

Ignacio Carbonel ◽

Angel A. Martínez ◽

Elisa Aldea ◽

Jorge Ripalda ◽

Antonio Herrera

Keyword(s):

Rotator Cuff ◽

Range Of Motion ◽

Functional Outcome ◽

Rotator Cuff Repair ◽

Structural Integrity ◽

Rotator Cuff Tears ◽

Full Thickness ◽

Double Row ◽

Massive Rotator Cuff Tears ◽

Cuff Repair

Purpose. The purpose of this study was to evaluate the functional outcome and the tendon healing after arthroscopic double row rotator cuff repair of large and massive rotator cuff tears.Methods. 82 patients with a full-thickness large and massive rotator cuff tear underwent arthroscopic repair with double row technique. Results were evaluated by use of the UCLA, ASES, and Constant questionnaires, the Shoulder Strength Index (SSI), and range of motion. Follow-up time was 2 years. Magnetic resonance imaging (MRI) studies were performed on each shoulder preoperatively and 2 years after repair.Results. 100% of the patients were followed up. UCLA, ASES, and Constant questionnaires showed significant improvement compared with preoperatively (P<0.001). Range of motion and SSI in flexion, abduction, and internal and external rotation also showed significant improvement (P<0.001). MRI studies showed 24 cases of tear after repair (29%). Only 8 cases were a full-thickness tear.Conclusions. At two years of followup, in large and massive rotator cuff tears, an arthroscopic double row rotator cuff repair technique produces an excellent functional outcome and structural integrity.

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