scholarly journals Outcome of Arthroscopic Suture Bridge Technique for Rotator Cuff Tear: Short Term Clinical Outcome In Full-thickness Tear With Fatty Degeneration Less Than Moderate Degree

2009 ◽  
Vol 12 (2) ◽  
pp. 180-188 ◽  
Author(s):  
Sang-Jin Cheon ◽  
Joon-Oh Hur ◽  
Jeung-Tak Suh ◽  
Chong-Il Yoo
Keyword(s):  
Rotator Cuff ◽  
Clinical Outcome ◽  
Rotator Cuff Tear ◽  
Fatty Degeneration ◽  
Moderate Degree ◽  
Full Thickness ◽  
Short Term ◽  
Suture Bridge ◽  
Cuff Tear ◽  
Suture Bridge Technique

scholarly journals Modified Double-Row Suture Bridge Technique With Double-Row Biceps Tenodesis for Massive Rotator Cuff Tear

2020 ◽  
Vol 9 (6) ◽  
pp. e829-e835
Author(s):  
Joseph Maalouly ◽  
Dany Aouad ◽  
Antonios Tawk ◽  
Georges El Rassi
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Biceps Tenodesis ◽  
Massive Rotator Cuff Tear ◽  
Double Row ◽  
Suture Bridge ◽  
Cuff Tear ◽  
Suture Bridge Technique

scholarly journals Clinical Result of Layered Suture Bridge Technique in Arthroscopic Repair for Delaminated Rotator Cuff Tear

2013 ◽  
Vol 16 (2) ◽  
pp. 84-93 ◽  
Author(s):  
Eui-Sung Choi ◽  
Kyoung-Jin Park ◽  
Yong-Min Kim ◽  
Dong-Soo Kim ◽  
Hyun-Chul Shon ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Clinical Result ◽  
Arthroscopic Repair ◽  
Suture Bridge ◽  
Cuff Tear ◽  
Suture Bridge Technique

scholarly journals Tendon-to-Bone Healing after Repairing Full-Thickness Rotator Cuff tear with a Triple-Loaded Single-row Method in Young Patients

2021 ◽  
Author(s):  
He Bei He ◽  
Yong Hu ◽  
Min Cong Wang ◽  
Hui Feng Zhu ◽  
Yue Meng ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Clinical Outcome ◽  
Rotator Cuff Tear ◽  
Bone Healing ◽  
Young Patients ◽  
Full Thickness ◽  
Postoperative Assessment ◽  
Cuff Tear ◽  
Postoperative Mri ◽  
Constant Murley Score

Abstract Background: Arthroscopic repair has been recommended for young patients with full-thickness rotator cuff tear (RCT), but the healing rates raise concern. The SCOI (Southern California Orthopedic Institute) row has been developed over three decades of experience, which reported an excellent clinical outcome. However, studies that focus purely on a younger patient population remains limited in number. The current study aims to discuss the initial tendon-to-bone healing after repairing full-thickness RCT with SCOI row method in young cohort.Methods: Patients younger than 55 years who had a full-thickness RCT and underwent an arthroscopic repair with SCOI row method were reviewed. Clinical outcome were assessed at baseline, 3 and 6 months post-operatively. Visual analog scale (VAS), University of California at Angeles (UCLA) scale and Constant-Murley score were completed to assess pain and function. Active range of motion was also examined, including abduction and flexion of the involved shoulder. Preoperative MRI was performed to assess the condition of torn tendon, while postoperative MRIs in 3 and 6 months post-operatively were carried out to assess the tendon-to-bone healing. Repeated measurement ANOVA and chi-square test were used where applicable.Results: 89 patients (57 males and 32 females) who met the criteria were including in the study, with a mean age of 44.14 ± 8.638 years. Compared with baseline, clinical outcome was significantly improved in 3 and 6 months post operation, supported by improvement in VAS, UCLA score and Constant-Murley score, as well as range of motions. Greater improvement was also noted in 6-month postoperative assessment than 3-month postoperative assessment. Three- and six-month postoperative MRI demonstrated an intact repair in all shoulders, and regeneration of the footprint, which supported the manifestation of tendon-to-bone healing. The mean thickness of regeneration tissue was 7.35±0.76mm when measured in 3-month postoperative MRI, and 7.75±0.79mm in 6-month MRI, which showed statistical difference (P=0.002). The total satisfactory rate reached 93.3%.Conclusion: Arthroscopic primary rotator cuff repair of fullthickness RCT with SCOI row method in patients aged younger than 55 years provides excellent clinical outcomes and rapid regeneration of footprint.

scholarly journals Clinical Outcomes of Arthroscopic Repair for Large or Massive Rotator Cuff Tear with Delamination: Comparison of Three Suture-Bridge Technique

2021 ◽  
Author(s):  
Atsushi Okubo ◽  
Tadahiko Yotsumoto ◽  
Nobuyoshi Watanabe ◽  
Teruyoshi Kajikawa ◽  
Shun Nakajima ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Clinical Outcomes ◽  
Double Layer ◽  
Rotator Cuff Tear ◽  
Fatty Degeneration ◽  
Rotator Cuff Tears ◽  
Suture Bridge ◽  
Cuff Tear ◽  
Massive Rotator Cuff Tears ◽  
The Mean

Abstract Background: Rotator cuff tear with delamination is considered as a risk factor for postoperative retear after rotator cuff repair. The purpose of this study was to compare clinical outcomes between 3 repair procedures for large or massive rotator cuff tears with delamination: conventional en masse suture bridge (EMSB), double-layer suture bridge (DLSB), and combination of double-layer suture bridge and modified Debyere-Patte (DLSB+DP) methods.Methods: A total of 53 shoulders of 52 patients who had large or massive rotator cuff tears with delamination were included. The patients were categorized into 3 groups: EMSB group comprised 18 patients, DLSB group comprised 24 shoulders of 23 patients, and DLSB+DP group comprised 11 patients. DP was applied for cases in which the rotator cuff was unable to be covered up to the footprint even though it was sufficiently mobilized. The mean postoperative follow-up period was 34.6 months (range, 24-72 months). Pre- and postoperative evaluations included the Constant scores and range of motion (ROM). Tendon integrity according to Sugaya classification, and fatty degeneration were also evaluated by magnetic resonance images (MRI).Results: The ROM significantly improved after the operation in all groups. Mean constant scores significantly improved (from 45.5±14.3 to 77.4±13.6, in the EMSB, from 45.5±11.6 to 87.6±11.4 in the DLSB, and from 46.3±11.2 to , and 88.0±10.5 in the DLSB+DP). Significant differences were noted in the postoperative Constant score (p<0.05: DLSB vs. EMSB , and p<0.05: DLSB+DP vs. EMSB)． The Constant pain score was better in the DLSB+DP than in the EMSB group. The mean pre-operative global fatty degeneration index was 1.52 in the EMSB group, 1.80 in the DLSB group, and 2.28 in the DLSB+DP group. Retear occurred in 27.8% in the EMSB group, 12.5% in the DLSB group, and 9.1% in the DLSB+DP group. Conclusions: Comparison of 3 groups demonstrated that DLSB and DLSB+DP achieved better clinical outcome than EMSB. DLSB+DP is useful for large or massive rotator cuff tears with severe fatty degeneration or for cases where presence of excessive tension is anticipated when repairing the torn cuff.

scholarly journals Arthroscopic Suture Bridge Repair Technique for Full Thickness Rotator Cuff Tear

2010 ◽  
Vol 2 (2) ◽  
pp. 105 ◽  
Author(s):  
Jin Woong Yi ◽  
Nam Su Cho ◽  
Seung Hyun Cho ◽  
Yong Girl Rhee
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Full Thickness ◽  
Suture Bridge ◽  
Cuff Tear ◽  
Repair Technique

scholarly journals Comparison of three suture-bridge techniques for large or massive rotator cuff tear with delamination

SICOT-J ◽  
2021 ◽  
Vol 7 ◽  
pp. 41
Author(s):  
Atsushi Okubo ◽  
Tadahiko Yotsumoto ◽  
Nobuyoshi Watanabe ◽  
Teruyoshi Kajikawa ◽  
Shun Nakajima ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Clinical Outcomes ◽  
Rotator Cuff Tear ◽  
Fatty Degeneration ◽  
Magnetic Resonance Images ◽  
Rotator Cuff Tears ◽  
Suture Bridge ◽  
Cuff Tear ◽  
Massive Rotator Cuff Tears ◽  
Constant Pain

Introduction: Rotator cuff tear with delamination is considered a risk factor for postoperative retear. The purpose of this study was to compare clinical outcomes between three repair procedures for large or massive rotator cuff tears with delamination: conventional en masse suture bridge (EMSB), double-layer suture bridge (DLSB), and the combination of DLSB with modified Debyere-Patte (DLSB + DP). Methods: 53 shoulders of 52 patients who had massive rotator cuff tears with delamination were categorized into three groups: EMSB (18 shoulders), DLSB (24 shoulders), and DLSB + DP (11 shoulders). The mean postoperative follow-up period was 34.6 months. Pre- and postoperative evaluations included a range of motion (ROM), Constant scores, global fatty degeneration (GFDI), and tendon integrity according to Sugaya’s classification by magnetic resonance images (MRI). Results: In all groups, ROM significantly improved after the procedures. Mean constant scores significantly improved: from 45.5 to 77.4 after EMSB, from 45.5 to 87.6 after DLSB, and from 46.3 to 88.0 after DLSB + DP. Significant differences were noted in postoperative Constant scores (p = 0.018: DLSB vs. EMSB, and p = 0.045: DLSB + DP vs. EMSB). The Constant pain scores were better for DLSB + DP than for EMSB (p = 0.012). Global fatty degeneration index (GFDI) with DLSB + DP was significantly higher than that for either EMSB or DLSB, indicating significant preoperative fatty degeneration for DLSB + DP. Retear occurred in 27.8% of the EMSB group, 12.5% of the DLSB group, and 9.1% of the DLSB + DP group. Discussion: Comparisons of the three groups demonstrated that DLSB and DLSB + DP achieved better clinical outcomes than EMSB for the repair of large or massive rotator cuff tears. DLSB + DP is useful for massive rotator cuff tears with severe fatty degeneration or for cases where the presence of excessive tension is anticipated when repairing the torn cuff.

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