ShoulderSingle-row versus double-row arthroscopic rotator cuff repair in small- to medium-sized tears
Section snippets
Materials and methods
This prospective, randomized study enrolled 68 patients with a full-thickness rotator cuff tear. The patients provided informed consent to their data being included in the study. The inclusion criteria included a full-thickness tear as seen on magnetic resonance imaging (MRI), willingness to comply with a standardized rotator cuff physical therapy program, and a tear pattern that was amenable to repair with either single-row or double-row fixation when evaluated at the time of surgery.
The
Results
No patients were lost to follow-up, and all completed at least a 2-year evaluation. The average preoperative duration of symptoms for the study patients was 14 months (range, 2 months-6 years). The mean follow-up was 36 months (range, 24-40 months). The patients were an average age of 58 years (range, 36-69 years) in the entire group, 59 (range, 40-69) in the single-row group, and 57 (range, 36-67 years) in the double-row group. The mean operation time was 87 minutes (range, 58-137 minutes) in
Discussion
The recent arthroscopic repair techniques for rotator cuff tears have emphasized the potential for a double-row repair to add strength to the repair and decrease the anatomic failure rate.1, 2, 9 One of the most common complications of arthroscopic rotator cuff repair is rerupture.3 Among the factors that have been investigated as predictors of durability of rotator cuff repair, primary fixation of tendon to bone is considered a success key of the procedure. Different suture techniques have
Conclusion
This prospective randomized evaluation of single-row compared with double-row rotator cuff fixation did not show a significant difference in outcome in terms of clinical results in small to medium tears.
Disclaimer
The authors, their immediate families, and any research foundations with which they are affiliated have not received any financial payments or other benefits from any commercial entity related to the subject of this article.
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