scholarly journals Double-Row Repair Technique for Bursal-Sided Partial-Thickness Rotator Cuff Tears

2018 ◽  
Vol 7 (3) ◽  
pp. e199-e203 ◽  
Author(s):  
Hytham Salem ◽  
Aaron Carter ◽  
Fotios Tjoumakaris ◽  
Kevin B. Freedman
2017 ◽  
Vol 5 (2_suppl2) ◽  
pp. 2325967117S0005
Author(s):  
Hakan Tırın ◽  
Murat Gülçek

Background: Rotator cuff tears have an adverse effect on daily activities in personal disability and functional restriction. A few clinical studies have demonstrated the structural superiority of the double row technique. The aim of our study 3 cm below and the top of the rotator cuff tears and a double row repair technique with the results of the retrospectively our patients treated by comparing the results of double row repair techniques to understand the relationship between the tear size. Methods: In this retrospective study, and the data of patients who underwent arthroscopic rotator cuff repair in the years 2011-2014 were scanned as a single center. Inclusion criteria:1)3 cm above and below the rotator cuff tear preoperative identified by MRI imaging and confirmed by arthroscopy,2)which is operated by a double row repair techniques 3)do not benefit from conservative treatment 4)before patients are no operation history. Exclusion criteria: 1)partial tears, 2)irrepereabl tears, 3)arthritis in the shoulder x-ray, 4)are the follow-up of the patients over 2 years ago. In our study, patients under 3 cm (small and medium) and 3 cm above (large and massive) as we group. Tears under 3 cm was named as group 1, 3 cm above the tears were classified as group 2. 33 patients in group 1, 31 patients group 2 were classified. The patients preoperatively, postoperatively at 6 months, 12 months and finally at 24 months VAS scores, joint ROMs, Constant and UCLA scores were evaluated. At the end of 2 years, patients MRI taken as a result of rupture rates and functional outcomes were compared. Results: Between the groups; age, sex, side, AC joint pathology and the dominant limb with respect was found that no statistically significant difference (p>0.05). According to MRI results rupture rate of 33.3% in group 1, group 2 was found to be 19.4%. The comparison between groups; Constant score at all measurement values were found to be statistically significant difference (p<0.05). 3 cm below the rotator cuff tear time of four measurements was found to be higher than the constant score. The comparison between groups; VAS and UCLA scores in all measured time was found that no statistically significant difference (p>0.05). Conclusions: Double row repair technique is a safe surgical technique that can be applied regardless of the size of the tear. 3 cm above the rotator cuff tear in functional outcomes are worse, rupture rate is higher.


Medicine ◽  
2020 ◽  
Vol 99 (29) ◽  
pp. e21030
Author(s):  
Yanming Lin ◽  
Jiasong Zhao ◽  
Heng Qiu ◽  
Yong Huang

2016 ◽  
Vol 10 (1) ◽  
pp. 330-338 ◽  
Author(s):  
U.J. Spiegl ◽  
S.A. Euler ◽  
P.J. Millett ◽  
P. Hepp

Background: Several meta-analyses of randomized clinical trials have been performed to analyze whether double-row (DR) rotator cuff repair (RCR) provides superior clinical outcomes and structural healing compared to single-row (SR) repair. The purpose of this study was to sum up the results of meta-analysis comparing SR and DR repair with respect on clinical outcomes and re-tear rates. Methods: A literature search was undertaken to identify all meta-analyses dealing with randomized controlled trials comparing clinical und structural outcomes after SR versus DR RCR. Results: Eight meta-analyses met the eligibility criteria: two including Level I studies only, five including both Level I and Level II studies, and one including additional Level III studies. Four meta-analyses found no differences between SR and DR RCR for patient outcomes, whereas four favored DR RCR for tears greater than 3 cm. Two meta-analyses found no structural healing differences between SR and DR RCR, whereas six found DR repair to be superior for tears greater than 3 cm tears. Conclusion: No clinical differences are seen between single-row and double-row repair for small and medium rotator cuff tears after a short-term follow-up period with a higher re-tear rate following single-row repairs. There seems to be a trend to superior results with double-row repair in large to massive tear sizes.


2007 ◽  
Vol 16 (4) ◽  
pp. 461-468 ◽  
Author(s):  
Maxwell C. Park ◽  
Neal S. ElAttrache ◽  
James E. Tibone ◽  
Christopher S. Ahmad ◽  
Bong-Jae Jun ◽  
...  

2007 ◽  
Vol 16 (4) ◽  
pp. 469-476 ◽  
Author(s):  
Maxwell C. Park ◽  
James E. Tibone ◽  
Neal S. ElAttrache ◽  
Christopher S. Ahmad ◽  
Bong-Jae Jun ◽  
...  

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