Arthroscopic single-row repair of massive potentially irreparable postero-superior cuff tear

Carbone, Stefano; Razzano, Cristina; Passaretti, Daniele; Mezzoprete, R

doi:10.1007/s12306-018-0555-7

Cited by 7 publications

(7 citation statements)

References 28 publications

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“…The mean age was 62.4 years. Sex was reported by 24 studies with 51% of included patients being male [1, 2, 4, 6, 8–12, 14, 15, 17, 18, 23, 25, 26, 30, 33, 35, 36, 41, 43, 44, 47]. Dominance of the injured arm was reported by 16 studies involving 904 rotator cuff tears of which 83% involved the dominant arm [2, 9, 11, 12, 17, 18, 23, 25, 26, 30, 35, 36, 43].…”

Section: Resultsmentioning

confidence: 99%

“…Among partial repairs, there were 120 single‐row repairs, 8 double‐row repairs, and 178 repairs for which the technique was not reported. The number of anchors was presented in 14 studies [6, 8, 10, 11, 14, 17, 25, 26, 33, 36, 39, 41, 43, 47] and ranged from 2 to 9 anchors. 2 studies presented the mean number of anchors alongside the range [6, 15], but due to the heterogeneity in reporting, no pooled analysis was conducted for the repair technique or the number of anchors used.…”

Section: Resultsmentioning

confidence: 99%

“…Within these two groups of studies, there was no obvious correlation between tissue quality and outcome scores, but the studies often did not report the same outcome measures making it difficult to identify patterns. Furthermore, 6 studies only included tears which were either irreparable or highly contracted [8, 10, 17, 33, 36, 43]. These were repaired with partial repairs and various release techniques.…”

Section: Discussionmentioning

confidence: 99%

“…All included studies involved RCTs which were considered massive by our criteria; however, there was variability in how this was defined. Nine studies met the Gerber definition [2,9,12,18,29,36,41,43,47], five studies utilized the Cofield definition [6,8,11,39,44], ten studies used either the Cofield or Gerber definition [1,4,10,14,15,17,23,30,33,35] and 2 studies included only tears involving 3 tendons [25,26]. In total there were 16 retrospective studies and 10 prospective studies.…”

Section: Study Characteristicsmentioning

confidence: 99%

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Primary arthroscopic repair of massive rotator cuff tears results in significant improvements with low rate of re-tear

Haleem

Gohal

Leroux

et al. 2020

Knee Surg Sports Traumatol Arthrosc

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Purpose To conduct a systematic review of outcomes following primary arthroscopic repair of chronic massive rotator cuff tears (RCTs) and to assess clinical outcomes and rates of repair failure. The authors' preferred treatment algorithm is also provided. Methods Medline, Embase and PubMed were searched identifying articles pertaining to primary arthroscopic repair of chronic massive RCTs without the use of augmentation. Primary outcomes were patient-reported outcomes and the secondary outcome was the rate of repair failure. Outcome data were pooled and presented as well as assessment of study methodological quality. Data from studies reporting similar outcome measures were pooled when possible, and mean differences alongside confidence intervals and p values were reported, where appropriate. Results Twenty-six studies (1405 participants) were included, with mean age of 62 years (range 52-69). The mean duration of symptoms pre-operatively was 31 months (range 6-40), and the mean follow-up time was 39 months (range 12-111). Complete repair was performed in 78% of patients and partial repair was performed in 22%. Both complete and partial repairs resulted in significant improvements with respect to pain, range of motion and functional outcome scores. The rate of repair failure for the total cohort was 36% at a mean follow-up of 31 months, and for the complete and partial repair subgroups the failure rate was 35% and 40%, respectively. Conclusions Arthroscopic repairs of chronic, massive RCTs, whether complete or partial, are associated with significant improvements in pain, function and objective outcome scores. The rate of repair failure is lower than previously reported, however, still high at 36%. The present paper finds that arthroscopic repair is still a viable treatment option for massive RCTs. Level of evidence IV.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

See 2 more Smart Citations

Primary arthroscopic repair of massive rotator cuff tears results in significant improvements with low rate of re-tear

Haleem

Gohal

Leroux

et al. 2020

Knee Surg Sports Traumatol Arthrosc

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“…Clinical outcomes are comparable among the multitude of arthroscopic techniques [32]. In fact, most authors reported clinical results of arthroscopic rotator cuff repair with the single row technique as good or excellent [33][34][35][36][37], with a success rate greater than 80% in terms of pain control, joint function restoration, and patient satisfaction. In our study, the outcomes are overall positive and in accordance with the literature.…”

Section: Discussionmentioning

confidence: 99%

Rotator cuff repair with single row technique provides satisfying clinical results despite consistent MRI retear rate

et al. 2022

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Background The number of shoulder arthroscopies is steadily increasing to treat glenohumeral joint disorders, among which the rotator cuff tear is the most common. The prevalence of this condition ranges from 13% to 37% in the general population without considering the number of asymptomatic patients. The gold standard procedure for rotator cuff repair is still undefined. The purpose of this study is to evaluate a population who underwent a single row (SR) rotator cuff repair and correlate their clinical results with MRI findings. Materials and methods Sixty-seven consecutive rotator cuff procedures were retrospectively selected. All patients were diagnosed with a full-thickness rotator cuff tear and subsequently treated with an arthroscopic SR repair technique. Each patient was clinically assessed with the DASH questionnaire and the Constant–Murley Score to grade their satisfaction. Moreover, rotator cuff repair integrity was evaluated by MRI and graded using the Sugaya score. Results Mean follow-up was 19.5 ± 5.7 months. The mean Constant score was 82.8 ± 13.0 points, with 55 patients reporting excellent results. No patient scored less than 30 points, which could be deemed as unsatisfying. Meanwhile, on the DASH questionnaire, 6.1% of our patients rated their clinical outcome as unsatisfying, whereas 75.8% rated their outcome as excellent. Postoperative MRI classified 45 patients (83.3%) as either Sugaya type I, II, or III, whereas 9 patients (16.7%) presented a Sugaya type IV consistent with a full-thickness cuff retear. Of these nine patients, five (55.6%) and three (33.3%) reported excellent results for the Constant score and DASH questionnaire, respectively. The Mann–Whitney test reported that the retear group had worse scores than the intact repaired cuff group for pain (8.3 ± 5.0 versus 13.1 ± 3.4), Constant Score (68.8 ± 18.5 versus 83.1 ± 11.6), and DASH (66.2 ± 22.1 versus 44.2 ± 14.9). Still, range of motion (ROM) differences were not significant, except for better forward flexion in the intact group (p < 0.039). Conclusions Both groups with intact repaired and retorn cuffs showed improvement in their condition, but unexpectedly, there is no significant correlation between patient satisfaction and rotator cuff integrity. Level of evidence IV

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Superior Capsular Reconstruction with Dermal Allograft

Macken

Uyeki

Romeo

et al. 2021

The Failed Rotator Cuff

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Arthroscopic single-row repair of massive potentially irreparable postero-superior cuff tear

Cited by 7 publications

References 28 publications

Primary arthroscopic repair of massive rotator cuff tears results in significant improvements with low rate of re-tear

Primary arthroscopic repair of massive rotator cuff tears results in significant improvements with low rate of re-tear

Rotator cuff repair with single row technique provides satisfying clinical results despite consistent MRI retear rate

Superior Capsular Reconstruction with Dermal Allograft

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