Repair Integrity and Functional Outcome After Arthroscopic Double-Row Rotator Cuff Repair

Sugaya, Hiroyuki; Maeda, Kazuhiko; Matsuki, Keisuke; Moriishi, Joji
May 2007
Journal of Bone & Joint Surgery, American Volume;May2007, Vol. 89-A Issue 5, p953
Academic Journal
Background: The retear rate following rotator cuff repair is variable. Recent biomechanical studies have demonstrated that double-row tendon-to-bone fixation excels in initial fixation strength and footprint coverage compared with the single-row or transosseous fixation methods. This study was designed to report the repair integrity and clinical outcome following arthroscopic double-row rotator cuff repair. Methods: A consecutive series of 106 patients with full-thickness rotator cuff tears underwent arthroscopic double- row rotator cuff repair with use of suture anchors and were followed prospectively. Twenty patients lacked complete follow-up data or were lost to follow-up. The eighty-six study subjects included fifty-two men and thirty-four women, with an average age of 60.5 years. There were twenty-six small, thirty medium, twenty-two large, and eight massive tears. Clinical outcomes were evaluated at an average of thirty-one months. Repair integrity was estimated with use of magnetic resonance imaging, which was performed, on the average, fourteen months postoperatively, and was classified into five categories, with type I indicating sufficient thickness with homogeneously low intensity; type II, sufficient thickness with partial high intensity; type III, insufficient thickness without discontinuity; type IV, the presence of a minor discontinuity; and type V, the presence of a major discontinuity. Results: The average clinical outcome scores all improved significantly at the time of the final follow-up (p < 0.01). At a mean of fourteen months postoperatively, magnetic resonance imaging revealed that thirty-seven shoulders had a type-I repair; twenty-one, a type-II repair; thirteen, a type-III repair; eight, a type-IV repair; and seven, a type-V repair. The overall rate of retears (types IV and V) was 17%. The retear rate was 5% for small-to-medium tears, while it was 40% for large and massive tears. The shoulders with a type-V repair demonstrated significantly inferior functional out-come in terms of overall scores and strength compared with the other types of repairs (p < 0.01). Conclusions: Arthroscopic double-row repair can result in improved repair integrity compared with open or mini-open repair methods. However, the retear rate for shoulders with large and massive tears remains higher than that for smaller tears, and shoulders with large repair defects (type V) demonstrate significantly inferior functional outcomes.


Related Articles

  • 360° arthroscopic capsular release in patients with adhesive capsulitis of the glenohumeral joint – indication, surgical technique, results. Jerosch, Joerg // Knee Surgery, Sports Traumatology, Arthroscopy;May2001, Vol. 9 Issue 3, p178 

    Adhesive capsulitis of the glenohumeral joint is said to be a self-limiting process. However, in some patients the disease can last much longer than 1 year, which may lead patients to more invasive treatment than merely undergoing physiotherapy. Other patients do not accept this severe...

  • Arthroscopic loose-body removal in posterior compartment of the knee joint: a technical note. Ahn, Jin; Yoo, Jae; Lee, Sang; Ahn, Jin Hwan; Yoo, Jae Chul; Lee, Sang Hak // Knee Surgery, Sports Traumatology, Arthroscopy;Jan2007, Vol. 15 Issue 1, p100 

    The arthroscopic removal of loose bodies in the knee joints is a relatively common procedure. Quite often intra-articular loose bodies tend to localize at the posterior compartment due to gravity effect. However, it is often technically demanding to find and remove loose bodies located at the...

  • Arthroscopic Anterior Stabilization of the Shoulder. Seung-Ho Kim; Kwon-Ick Ha; Yang-Bum Cho; Byung-Dam Ryu; Irvin Oh // Journal of Bone & Joint Surgery, American Volume;Aug2003, Vol. 85-A Issue 8, p1511 

    Evaluates prospectively the surgical outcomes of arthroscopic repair of anterior capsulolabral lesions with use of suture anchors in a large series of patients who were followed for two to six years. Mean age of patients with traumatic recurrent anterior instability of the shoulder; Objective...

  • Rationales of arthroscopic shoulder stabilization. Nebelung, W.; Jaeger, A.; Wiedemann, E. // Archives of Orthopaedic & Trauma Surgery;Aug2002, Vol. 122 Issue 8, p472 

    Arthroscopic reconstruction of glenohumeral instability has become more common during the past decade. Compared with open reconstruction, which is still the gold standard in the treatment of shoulder instability, arthroscopic techniques allow for improved diagnosis of numerous intraarticular...

  • Is the transglenoid suture technique recommendable for recurrent shoulder dislocation? A minimum 5-year follow-up in 59 non-athletic shoulders. Sung-Jae Kim; Min Jung; Hong-Kyo Moon; Woo-Hyuk Chang; Sul-Gee Kim; Yong-Min Chun // Knee Surgery, Sports Traumatology, Arthroscopy;Dec2009, Vol. 17 Issue 12, p1458 

    The aim of this retrospective study is to compare the clinical outcomes following arthroscopic Bankart repair employing the transglenoid technique versus suture anchors in non-athletic shoulders of patients 30 years or older at the time of surgery. Fifty-nine consecutive patients who were...

  • The effect of irrigation fluid temperature on core body temperature in arthroscopic shoulder surgery. Board, Timothy N.; Srinivasan, Makram S. // Archives of Orthopaedic & Trauma Surgery;May2008, Vol. 128 Issue 5, p531 

    The purpose of this study was to investigate the relationship between irrigation fluid temperature and core body temperature in patients undergoing arthroscopic shoulder surgery. Twenty-four consecutive patients undergoing arthroscopic subacromial decompression were allocated to receive...

  • Advances in Orthopaedics. Baker III, Champ L. // Hughston Health Alert;Winter2013, Vol. 25 Issue 1, p1 

    The article offers information regarding developments made in the field of orthopedics. It discusses several surgerical advances which include use of arthroscopic procedure for reconstruction of torn ligament in treatment of injured anterior cruciate ligament (ACL) and in stabilization of...

  • Restoration of joint congruency and the glenoidal labrum after arthroscopic revision Bankart repair: a MRI match-paired analysis comparing primary Bankart repair and the uninjured labrum. Stein, T.; Buckup, J.; Mehling, A.; Hoffmann, R.; Efe, T.; Eisenhart-Rothe, R.; Welsch, F. // Archives of Orthopaedic & Trauma Surgery;Aug2014, Vol. 134 Issue 8, p1121 

    Purpose: The restoration of joint congruency and labrum slope and height after arthroscopic revision Bankart repair (RB) compared to the primary arthroscopic Bankart repair (PB) remain unclear. Methods: Twenty-three consecutive patients after RB with minor glenoid deficits were matched to 23...

  • Arthroscopic Repair of Traumatic Combined Rotator Cuff Tears Involving the Subscapularis Tendon. Ide, Junji; Tokiyoshi, Akinari; Hirose, Jun; Mizuta, Hiroshi // Journal of Bone & Joint Surgery, American Volume;Nov2007, Vol. 89-A Issue 11, p2378 

    Background: Although the use of arthroscopic repair to treat rotator cuff tears involving the subscapularis has increased, there are few studies on treatment outcomes and repair integrity. We hypothesized that arthroscopic repair of combined rotator cuff tears that include the subscapularis...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics