Arthroscopy: The Journal of Arthroscopic & Related Surgery
Original ArticleFunctional Outcome and Healing With a Load-Sharing Rip-Stop Repair Compared With a Single-Row Repair for Large and Massive Rotator Cuff Tears
Section snippets
Methods
We performed a retrospective comparative study of prospectively collected data on arthroscopic rotator cuff repairs for large and massive tears performed at 2 institutions between January 2014 and December 2015. Institutional review board approval was obtained as part of the prospective collection of the data. The inclusion criteria included a large or massive rotator cuff tear repaired with an LSRS technique or SR repair during the aforementioned time frame. All tears had decreased tendon
Results
In total, 21 LSRS repairs and 24 SR repairs met the study criteria. The LSRS repair group lost 4 patients to follow-up, leaving 17 patients (81%) available for analysis, whereas the SR repair group lost 6 patients to follow-up, leaving 18 patients (75%). The mean follow-up period was 25.1 months (range, 24-29 months) in the LSRS repair group and 25.9 months (range, 24-31 months) in the SR repair group. A complete tear of both the SS and IS tendons was present in both study groups. The operative
Discussion
The first important finding of this study is that there is no difference in functional outcomes between the 2 techniques. The second important finding is that the healing rate of the posterosuperior rotator cuff was higher in the LSRS repair group (complete healing, 53%) than in the SR repair group (complete healing, 11%).
Previous authors have reported satisfactory functional improvement for large and massive rotator cuff tears repaired with an SR technique. Jones and Savioe12 noted that 98% of
Conclusions
At short-term follow-up, there is no difference in functional outcomes after an LSRS technique versus an SR repair technique for large and massive rotator cuff tears with limited tendon mobility. However, structural healing appears to be higher with an LSRS technique.
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Cited by (13)
Editorial Commentary: Improved Suture Configurations Can Enhance Shoulder Rotator Cuff Healing: The Cuff Doesn't Always Heal—But We Can Nudge It in the Right Direction
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2023, Arthroscopy - Journal of Arthroscopic and Related Surgery“Double Row Rip-Stop” Arthroscopic Repair Technique for Acute, Retracted Rotator Cuff Tears
2023, Arthroscopy TechniquesArthroscopic Repair of Massive Rotator Cuff Tears Leads to Functional Improvement in Most Patients at 4-Year Follow-up
2023, Arthroscopy, Sports Medicine, and RehabilitationArthroscopic Rotator Cuff Repair: A Review of Surgical Techniques and Outcomes
2023, Clinics in Sports MedicineCitation Excerpt :With sufficient tendon mobility, a suture-bridging technique is preferred to restore the anatomic footprint. If tendon mobility is inadequate, or if there is significant tendon loss, an anatomic footprint reconstruction is sacrificed to avoid over tensioning the tendon.30–34 The type of knotless suture-bridging construct depends on the tissue quality.
Arthroscopic rotator cuff repair: Is healing enough?
2021, Revue de Chirurgie Orthopedique et Traumatologique
The authors report the following potential conflicts of interest or sources of funding: M.P.N. is a shareholder in Tenex Health. A.L. is a paid consultant for and receives royalties from Wright and is a paid consultant for Medacta and Arthrex. P.J.D. is a consultant for and receives royalties and grants from Arthrex and receives royalties from Lippincott Williams & Wilkins. Full ICMJE author disclosure forms are available for this article online, as supplementary material.
See commentary on page 2301