Arthroscopy: The Journal of Arthroscopic & Related Surgery
Original ArticleSingle-Row Versus Double-Row Arthroscopic Rotator Cuff Repair: A Prospective Randomized Clinical Study
Section snippets
Methods
For this study, we enlisted 80 patients with a full-thickness rotator cuff tear who accepted our invitation to enter the study and who signed an agreement disclosure form. In all cases the lesion was diagnosed preoperatively with a magnetic resonance imaging (MRI) study of the affected shoulder. Inclusion criteria for the study group were patients with a repairable full-thickness tear of the supraspinatus or the posterior-superior rotator cuff. Patients with rotator interval involvement or
Results
The mean follow-up was 24.8 ± 1.4 months. We lost 8 patients to follow-up, 3 from group 1 and 5 from group 2. We did not determine the causes for their lack of follow-up participation. The final evaluation was thus carried out in 72 patients. There were 34 men and 38 women. The age ranged between 41 and 74 years (mean age, 56.8 ± 8.7 years). Comparison between groups did not show significant differences between them for each independent variable (Table 1).
Comparison between groups did not show
Discussion
One of the most common complications of arthroscopic rotator cuff repair is rerupture.3, 4 Partial or complete failure of repair does not seem to be correlated with functional outcome31; however, tendon healing is significantly correlated with postoperative strength.4 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. For this reason, many different suture
Conclusions
At short-term follow-up, arthroscopic repair of full-thickness rotator cuff tears with the double-row technique showed no significant difference in clinical outcome compared with single-row repair.
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The authors report no conflict of interest. Drs. Grasso and Milano contributed equally to the paper.