Arthroscopic Linked Triple Row Repair for Large and Massive Rotator Cuff Tears

Morsy, Mohamed G; Gawish, Hesham Mohamed; Galal, Mostafa Ashraf

doi:10.1016/j.eats.2020.09.017

Cited by 3 publications

(2 citation statements)

References 22 publications

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“…In fact, several triple‐row techniques have been documented to enhance the contact area and pressure within the cuff footprint. This is achieved by incorporating an additional middle‐row anchor to secure the leading edge of the cuff to the bone 34,35,40–43 . In contrast, en masse repair techniques disregard the multilayered structure of the rotator cuff and neglect to restore the native superior capsule and cuff insertion.…”

Section: Discussionmentioning

confidence: 99%

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A Modified Arthroscopic Triple‐row Repair Technique for L‐shaped Delaminated Rotator Cuff Tears

Fang,

Zhang,

Xiong

et al. 2024

Orthopaedic Surgery

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ObjectiveTo compare the clinical outcomes of a modified arthroscopic triple‐row (TR) repair technique with the suture bridge (SB) repair technique in treating L‐shaped delaminated rotator cuff tears. Various surgical techniques for L‐shaped delaminated rotator cuff tears have been reported, many of which aid in increasing the contact area and pressure of the rotator cuff. However, there is still debate over which technique yields superior results.MethodsFrom January 2017 to March 2020, 61 cases of L‐shaped delaminated rotator cuff tears were included in this study. Of these, 34 cases underwent the modified arthroscopic triple‐row repair technique, while 27 cases were addressed with the suture bridge repair technique. Functional assessment was conducted using the American Shoulder and Elbow Surgeons (ASES) score, the University of California Los Angeles (UCLA) shoulder score, the Constant score (CS), and the visual analogue scale (VAS) score. Magnetic Resonance Imaging (MRI) assessments for rotator cuff healing were performed at the 24‐month postoperative mark. Statistical evaluations were conducted using SPSS for Windows (Version 25.0, IBM, Armonk, NY, USA), employing the Wilcoxon signed‐rank test to compare preoperative and postoperative data and ROM differences, and the Mann–Whitney U test for statistical differences in clinical outcome scores between the two groups. A p‐value of less than 0.05 was considered statistically significant.ResultsComparative analysis of the preoperative and final follow‐up scores revealed a substantial enhancement in shoulder function, as indicated by the ASES, UCLA, CS, and VAS scores, with statistical significance (p < 0.001). At both the preoperative stage and final follow‐up, no notable differences were observed in ASES, UCLA, CS, and VAS scores between the two groups. However, the TR repair group exhibited lower VAS scores than the SB group at 1 and 3 months postoperatively. Active range of motion (ROM) showed significant improvement in both groups. No significant differences in ROM were noted between the two groups either before the surgery or at the final follow‐up.ConclusionThe study demonstrates that both the modified arthroscopic TR and SB techniques for L‐shaped delaminated cuff tears yield satisfactory outcomes, with no significant differences in overall clinical performance. Notably, early postoperative pain management appears more effective with the modified TR technique, suggesting its potential for enhanced early recovery experiences. This technique's design, promoting securer fixation and optimal contact conditions, is implied to facilitate superior long‐term healing, warranting further investigation into its long‐term benefits.

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Section: Discussionmentioning

confidence: 99%

“…This is achieved by incorporating an additional middle‐row anchor to secure the leading edge of the cuff to the bone. 34 , 35 , 40 , 41 , 42 , 43 In contrast, en masse repair techniques disregard the multilayered structure of the rotator cuff and neglect to restore the native superior capsule and cuff insertion.…”

Section: Discussionmentioning

confidence: 99%

A Modified Arthroscopic Triple‐row Repair Technique for L‐shaped Delaminated Rotator Cuff Tears

Fang,

Zhang,

Xiong

et al. 2024

Orthopaedic Surgery

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Clinical outcomes of primary repair for large and massive rotator cuff tears using an all-arthroscopic rotator cuff muscle advancement technique

Morihara,

Furukawa,

Kida

et al. 2024

JSES International

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Lesiones del manguito rotador. Revisión de la literatura

Lanuza-Lira,

García-Ramírez,

Acosta-Olivo

et al. 2024

Ortho-Tips

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Introducción: las lesiones del manguito rotador causan incapacidad y dolor en hombro. La identificación y un adecuado tratamiento nos conducirán a una buena evolución en estos pacientes. Objetivos: el objetivo del trabajo fue realizar una revisión narrativa de la literatura de las lesiones del manguito rotador, así como del manejo quirúrgico que existe actualmente entre hilera sencilla y doble hilera. Material y métodos: fueron incluidos artículos en los que se abordan descripción y tratamiento de rupturas del manguito de los rotadores del 2016 al 2023 (aleatorizados, cohortes prospectivas y retrospectivas, así como revisiones sistemáticas y metaanálisis). La información de esta revisión se basó principalmente en búsquedas en PubMed que utilizan los términos «manguito rotador» en combinación con «doble-hilera», «hilera-sencilla», «artroscopia de hombro», «aleatorizado» y «metaanálisis», empleando filtros adecuados. La búsqueda se completó mediante una pesquisa manual de artículos para obtener material adicional relevante. Se seleccionaron publicaciones en inglés en función de su relevancia para los conceptos discutidos. Se incluyeron principalmente artículos publicados en los últimos siete años para ensayos clínicos, metaanálisis y revisiones que informaron resultados de seguimiento iguales o superiores a un año. Además, se realizaron revisiones de artículos considerados clásicos de la literatura. Resultados: se revisaron un total de siete estudios, entre ellos cuatro ensayos controlados aleatorizados y tres estudios retrospectivos, con un total de 854 pacientes incluidos, donde se comparaba el tratamiento quirúrgico de las lesiones completas del manguito de los rotadores entre hilera sencilla y doble hilera. Encontrando mejores resultados en las escalas de funcionalidad (UCLA, ASES Y CONSTANT) en los pacientes manejados con doble hilera. Conclusiones: la evidencia actual sugiere la superioridad del uso de la doble hilera en las rupturas totales del manguito de los rotadores; sin embargo, se encuentran limitaciones de los estudios, en cuanto a la descripción de los pacientes, como por ejemplo: En los estudios no se describe la clasificación de infiltración grasa de los pacientes, tiempo de evolución (lesiones crónicas o agudas), técnica quirúrgica y materiales utilizados, por lo que se considera que estos resultados pueden variar.

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Arthroscopic Linked Triple Row Repair for Large and Massive Rotator Cuff Tears

Cited by 3 publications

References 22 publications

A Modified Arthroscopic Triple‐row Repair Technique for L‐shaped Delaminated Rotator Cuff Tears

A Modified Arthroscopic Triple‐row Repair Technique for L‐shaped Delaminated Rotator Cuff Tears

Clinical outcomes of primary repair for large and massive rotator cuff tears using an all-arthroscopic rotator cuff muscle advancement technique

Lesiones del manguito rotador. Revisión de la literatura

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