Research Article
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Year 2022, , 331 - 335, 17.01.2022
https://doi.org/10.32322/jhsm.1035358

Abstract

References

  • Kim KC, Shin HD, Lee WY, Yeon KW, Han SC. Clinical outcomes and repair integrity of arthroscopic rotator cuff repair using suture-bridge technique with or without medial tying: prospective comparative study. J Orthop Surg Res 2018; 13: 212.
  • Kitagaki JJ, Gomes G, Teruo F, Archetti N, Pozzetti J, Sugawara MJ. Functional outcomes of traumatic and non-traumatic rotator cuff tears after arthroscopic repair. World J Orthop 2017; 8: 631-7.
  • Aydin N, Karaismailoglu B, Gurcan M, Ozsahin MK. Arthroscopic double-row rotator cuff repair: a comprehensive review of the literature. SICOT J 2018; 4: 57.
  • Lo IK, Burkhart SS. Double-row arthroscopic rotator cuff repair: re-establishing the footprint of the rotator cuff. Arthroscopy 2003; 19: 1035-42.
  • Plachel F, Siegert P, Rüttershoff K, et al. Long-term results of arthroscopic rotator cuff repair: a follow-up study comparing single-row versus double-row fixation techniques. Am J Sports Med 2020; 48: 1568-74.
  • Abrams JS. Editorial commentary: improving strength and clinical outcomes after rotator cuff repair-role of choosing single- versus double-row repair. Arthroscopy 2019; 35: 2756-8.
  • Yoon JS, Kim SJ, Choi YR, Kim SH, Chun YM. arthroscopic repair of the isolated subscapularis full-thickness tear: single- versus double-row suture-bridge technique. Am J Sports Med 2019; 47: 1427-33.
  • Franceschi F, Ruzzini L, Longo UG. Equivalent clinical results of arthroscopic single-row and double-row suture anchor repair for rotator cuff tears: a randomized controlled trial. Am J Sports Med. 2007; 35: 1254-60. 
  • Bedeir YH, Schumaier AP, Abu-Sheasha G, Grawe BM. Type 2 retear after arthroscopic single-row, double-row and suture bridge rotator cuff repair: a systematic review. Eur J Orthop Surg Traumatol 2019 29: 373-82.
  • Rossi LA, Chahla J, Verma NN, Millett PJ, Ranalletta M. Rotator cuff retears. JBJS Rev 2020; 8: e0039.
  • De Orio JK, Cofield RH. Results of a second attempt at surgical repair of a failed initial rotator-cuff repair. J Bone Joint Surg Am 1984; 66: 563-7.
  • Jensen MP, Karoly P, Braver S. The measurement of clinical pain intensity: a comparison of six methods. Pain. 1986; 27: 117-26.
  • Ellman H, Hanker G, Bayer M. Repair of the rotator cuff. End-result study of factors influencing reconstruction. J Bone Joint Surg Am 1986; 68: 1136-44.
  • Richards RR, An KN, Bigliani LU, et al. A standardized method for the assessment of shoulder function. J Shoulder Elbow Surg 1994; 3: 347-52.
  • Burks RT, Crim J, Brown N, et al. A prospective randomized clinical trial comparing arthroscopic single- and double-row rotator cuff repair: magnetic resonance imaging and early clinical evaluation. Am J Sports Med 2009; 37: 674-82.
  • Grasso A, Milano G, Salvatore M, et al. Single-row versus double-row arthroscopic rotator cuff repair: a prospective randomized clinical study. Arthrosc J Arthrosc Relat Surg 2009; 25: 4-12.
  • Koh KH, Kang KC, Lim TK, et al. Prospective randomized clinical trial of single- versus double-row suture anchor repair in 2- to 4-cm rotator cuff tears: clinical and magnetic resonance imaging results. Arthroscopy 2011; 27: 453-62.
  • Aydin N, Kocaoglu B, Guven O. Single-row versus double-row arthroscopic rotator cuff repair in small- to medium-sized tears. J Shoulder Elbow Surg 2010; 19: 722-5.
  • Lapner P, Li A, Pollock JW, et al. A Multicenter randomized controlled trial comparing single-row with double-row fixation in arthroscopic rotator cuff repair: long-term follow-up. Am J Sports Med 2021; 49: 3021-9.
  • Sobhy MH, Khater AH, Hassan MR, El Shazly O. Do functional outcomes and cuff integrity correlate after single- versus double-row rotator cuff repair? a systematic review and meta-analysis study. Eur J Orthop Surg Traumatol 2018; 28: 593-605.
  • Khoriati AA, Antonios T, Gulihar A, Singh B. Single vs double row repair in rotator cuff tears-a review and analysis of current evidence. J Clin Orthop Trauma 2019; 10: 236-40.
  • Rossi LA, Rodeo SA, Chahla J, Ranalletta M. Current concepts in rotator cuff repair techniques: biomechanical, functional, and structural outcomes. Orthop J Sports Med 2019; 7: 2325967119868674.
  • Wu X, Briggs L, Murrell GA. Intraoperative determinants of rotator cuff repair integrity an analysis of 500 consecutive repairs. Am J Sports Med 2012; 40 : 2771-6.
  • Millett PJ, Warth RJ, Dornan GJ, Lee JT, Spiegl UJ. Clinical and structural outcomes after arthroscopic single-row versus double-row rotator cuff repair: a systematic review and meta-analysis of level I randomized clinical trials. J Shoulder Elbow Surg 2014; 23: 586-97.
  • Wang VM, Wang FC, McNickle AG, et al. Medial versus lateral supraspinatus tendon properties: implications for double-row rotator cuff repair. Am J Sports Med 2010; 38: 2456-63.
  • Kaplan K, Elattrache NS, Vazquez O, et al. Knotless rotator cuff repair in an external rotation model: the importance of medial-row horizontal mattress sutures. Arthroscopy 2011; 27: 471-8.
  • Kuroda S, Ishige N, Mikasa VM. Advantages of arthroscopic trans osseous suture repair of the rotator cuff without the use of anchors. Clin Orthop Relat Res. 2013; 471: 3514-22.
  • Lee KW, Seo DW, Bae KW, Choy WS. Clinical and radiological evaluation after arthroscopic rotator cuff repair using suture bridge technique. Clin Orthop Surg 2013; 5: 306-13.
  • Takeuchi Y, Sugaya H, Takahashi N, et al. Repair integrity and retear pattern after arthroscopic medial knot-tying after suture-bridge lateral row rotator cuff repair. Am J Sports Med 2020; 48: 2510-7.
  • Randelli P, Stoppani CA, Zaolino C, Menon A, Randelli F, Cabitza P. Advantages of arthroscopic rotator cuff repair with a trans osseous suture technique: a prospective randomized controlled trial. Am J Sports Med 2017; 45: 2000-9. 
  • Elkins AR, Lam PH, Murrell GAC. Duration of surgery and learning curve affect rotator cuff repair retear rates: a post hoc analysis of 1600 cases. Orthop J Sports Med 2020; 8: 2325967120954341.
  • Le BT, Wu XL, Lam PH, Murrell GA. Factors predicting rotator cuff retears: an analysis of 1000 consecutive rotator cuff repairs. Am J Sports Med 2014; 42: 1134-42.

The effect of the number of anchors used in the medial row on clinical outcomes in arthroscopic double row repair of rotator cuff tears: retrospective evaluation of patients with 3 to 7 years of follow-up

Year 2022, , 331 - 335, 17.01.2022
https://doi.org/10.32322/jhsm.1035358

Abstract

Aim: Arthroscopic double row (DR) suture anchor repair is one of the most frequently applied methods in the surgical treatment of rotator cuff tear (RCT). Various modifications have been tried to eliminate some of the disadvantages of this technique such as operation time, high cost, and the high risk of retearing. In this study, we aimed to investigate whether placing a single or double suture anchor in the medial row affects clinical and functional outcomes and retear rates in patients with RCT who were operated with the DR suture anchor technique.
Material and Method: A retrospective study including 58 patients aged 18-65 years who underwent DR suture anchor repair due to medium-sized RCT and had a minimum follow-up period of 3 years was conducted. One knotless anchor was placed in the lateral row in all patients. In the medial row, we placed 1 all suture anchor (ASA) in group 1 and 2 ASAs in group 2. Visual pain scale (VAS), University of California Los Angeles Score (UCLA), American shoulder and elbow score (ASES) scales were used for preoperative and postoperative clinical and functional evaluation, and complications and retears were recorded.
Results: When the preoperative and postoperative VAS, UCLA and ASES scores were compared within groups, there were significant difference from pre- to post-operative findings in both groups (p <0.001). However, there was no statistically significant difference between the groups in terms of preoperative and postoperative VAS, UCLA and ASES score (p >0.05). Operation time in Group 1 was significantly shorter than in Group 2 (p <0.001).
Conclusion: In DR suture anchor repair, there is no difference in clinical outcomes and retear rates in surgeries utilizing single or double suture anchor placement in the medial row. Increasing the number of anchors in the medial row does not contribute to clinical and functional results, and has disadvantages such as increasing operation time and cost.

References

  • Kim KC, Shin HD, Lee WY, Yeon KW, Han SC. Clinical outcomes and repair integrity of arthroscopic rotator cuff repair using suture-bridge technique with or without medial tying: prospective comparative study. J Orthop Surg Res 2018; 13: 212.
  • Kitagaki JJ, Gomes G, Teruo F, Archetti N, Pozzetti J, Sugawara MJ. Functional outcomes of traumatic and non-traumatic rotator cuff tears after arthroscopic repair. World J Orthop 2017; 8: 631-7.
  • Aydin N, Karaismailoglu B, Gurcan M, Ozsahin MK. Arthroscopic double-row rotator cuff repair: a comprehensive review of the literature. SICOT J 2018; 4: 57.
  • Lo IK, Burkhart SS. Double-row arthroscopic rotator cuff repair: re-establishing the footprint of the rotator cuff. Arthroscopy 2003; 19: 1035-42.
  • Plachel F, Siegert P, Rüttershoff K, et al. Long-term results of arthroscopic rotator cuff repair: a follow-up study comparing single-row versus double-row fixation techniques. Am J Sports Med 2020; 48: 1568-74.
  • Abrams JS. Editorial commentary: improving strength and clinical outcomes after rotator cuff repair-role of choosing single- versus double-row repair. Arthroscopy 2019; 35: 2756-8.
  • Yoon JS, Kim SJ, Choi YR, Kim SH, Chun YM. arthroscopic repair of the isolated subscapularis full-thickness tear: single- versus double-row suture-bridge technique. Am J Sports Med 2019; 47: 1427-33.
  • Franceschi F, Ruzzini L, Longo UG. Equivalent clinical results of arthroscopic single-row and double-row suture anchor repair for rotator cuff tears: a randomized controlled trial. Am J Sports Med. 2007; 35: 1254-60. 
  • Bedeir YH, Schumaier AP, Abu-Sheasha G, Grawe BM. Type 2 retear after arthroscopic single-row, double-row and suture bridge rotator cuff repair: a systematic review. Eur J Orthop Surg Traumatol 2019 29: 373-82.
  • Rossi LA, Chahla J, Verma NN, Millett PJ, Ranalletta M. Rotator cuff retears. JBJS Rev 2020; 8: e0039.
  • De Orio JK, Cofield RH. Results of a second attempt at surgical repair of a failed initial rotator-cuff repair. J Bone Joint Surg Am 1984; 66: 563-7.
  • Jensen MP, Karoly P, Braver S. The measurement of clinical pain intensity: a comparison of six methods. Pain. 1986; 27: 117-26.
  • Ellman H, Hanker G, Bayer M. Repair of the rotator cuff. End-result study of factors influencing reconstruction. J Bone Joint Surg Am 1986; 68: 1136-44.
  • Richards RR, An KN, Bigliani LU, et al. A standardized method for the assessment of shoulder function. J Shoulder Elbow Surg 1994; 3: 347-52.
  • Burks RT, Crim J, Brown N, et al. A prospective randomized clinical trial comparing arthroscopic single- and double-row rotator cuff repair: magnetic resonance imaging and early clinical evaluation. Am J Sports Med 2009; 37: 674-82.
  • Grasso A, Milano G, Salvatore M, et al. Single-row versus double-row arthroscopic rotator cuff repair: a prospective randomized clinical study. Arthrosc J Arthrosc Relat Surg 2009; 25: 4-12.
  • Koh KH, Kang KC, Lim TK, et al. Prospective randomized clinical trial of single- versus double-row suture anchor repair in 2- to 4-cm rotator cuff tears: clinical and magnetic resonance imaging results. Arthroscopy 2011; 27: 453-62.
  • Aydin N, Kocaoglu B, Guven O. Single-row versus double-row arthroscopic rotator cuff repair in small- to medium-sized tears. J Shoulder Elbow Surg 2010; 19: 722-5.
  • Lapner P, Li A, Pollock JW, et al. A Multicenter randomized controlled trial comparing single-row with double-row fixation in arthroscopic rotator cuff repair: long-term follow-up. Am J Sports Med 2021; 49: 3021-9.
  • Sobhy MH, Khater AH, Hassan MR, El Shazly O. Do functional outcomes and cuff integrity correlate after single- versus double-row rotator cuff repair? a systematic review and meta-analysis study. Eur J Orthop Surg Traumatol 2018; 28: 593-605.
  • Khoriati AA, Antonios T, Gulihar A, Singh B. Single vs double row repair in rotator cuff tears-a review and analysis of current evidence. J Clin Orthop Trauma 2019; 10: 236-40.
  • Rossi LA, Rodeo SA, Chahla J, Ranalletta M. Current concepts in rotator cuff repair techniques: biomechanical, functional, and structural outcomes. Orthop J Sports Med 2019; 7: 2325967119868674.
  • Wu X, Briggs L, Murrell GA. Intraoperative determinants of rotator cuff repair integrity an analysis of 500 consecutive repairs. Am J Sports Med 2012; 40 : 2771-6.
  • Millett PJ, Warth RJ, Dornan GJ, Lee JT, Spiegl UJ. Clinical and structural outcomes after arthroscopic single-row versus double-row rotator cuff repair: a systematic review and meta-analysis of level I randomized clinical trials. J Shoulder Elbow Surg 2014; 23: 586-97.
  • Wang VM, Wang FC, McNickle AG, et al. Medial versus lateral supraspinatus tendon properties: implications for double-row rotator cuff repair. Am J Sports Med 2010; 38: 2456-63.
  • Kaplan K, Elattrache NS, Vazquez O, et al. Knotless rotator cuff repair in an external rotation model: the importance of medial-row horizontal mattress sutures. Arthroscopy 2011; 27: 471-8.
  • Kuroda S, Ishige N, Mikasa VM. Advantages of arthroscopic trans osseous suture repair of the rotator cuff without the use of anchors. Clin Orthop Relat Res. 2013; 471: 3514-22.
  • Lee KW, Seo DW, Bae KW, Choy WS. Clinical and radiological evaluation after arthroscopic rotator cuff repair using suture bridge technique. Clin Orthop Surg 2013; 5: 306-13.
  • Takeuchi Y, Sugaya H, Takahashi N, et al. Repair integrity and retear pattern after arthroscopic medial knot-tying after suture-bridge lateral row rotator cuff repair. Am J Sports Med 2020; 48: 2510-7.
  • Randelli P, Stoppani CA, Zaolino C, Menon A, Randelli F, Cabitza P. Advantages of arthroscopic rotator cuff repair with a trans osseous suture technique: a prospective randomized controlled trial. Am J Sports Med 2017; 45: 2000-9. 
  • Elkins AR, Lam PH, Murrell GAC. Duration of surgery and learning curve affect rotator cuff repair retear rates: a post hoc analysis of 1600 cases. Orthop J Sports Med 2020; 8: 2325967120954341.
  • Le BT, Wu XL, Lam PH, Murrell GA. Factors predicting rotator cuff retears: an analysis of 1000 consecutive rotator cuff repairs. Am J Sports Med 2014; 42: 1134-42.
There are 32 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Article
Authors

Bertan Cengiz 0000-0003-1069-3990

Publication Date January 17, 2022
Published in Issue Year 2022

Cite

AMA Cengiz B. The effect of the number of anchors used in the medial row on clinical outcomes in arthroscopic double row repair of rotator cuff tears: retrospective evaluation of patients with 3 to 7 years of follow-up. J Health Sci Med /JHSM /jhsm. January 2022;5(1):331-335. doi:10.32322/jhsm.1035358

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