Characteristic Retear Patterns Assessed by Magnetic Resonance Imaging After Arthroscopic Double-Row Rotator Cuff Repair

Hayashida, Kenji; Tanaka, Makoto; Koizumi, Kota; Kakiuchi, Masaaki

doi:10.1016/j.arthro.2011.09.006

Cited by 57 publications

(30 citation statements)

References 22 publications

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“…All five patients had retearing medial to the medial row as sutures were placed near the musculotendinous junction of the supraspinatus. 51 Hayashida et al 52 observed that the prevalence of complete retearing of the tendon after a double-row RCR is similar around the medial anchors, with a well-preserved footprint. Another point of interest is the quality of the tendon.…”

Section: Resultsmentioning

confidence: 99%

“…When milestones of typical postoperative recovery are not met, analysis of RCR should be considered, and a multimodal evaluation is required. The goal of imaging studies is to confirm the site of the recurrent tear ( figure 1 ), 52 64 the type of failure (eg, in continuity) 65 and, if possible, its cause. Other points of interest are the quality of the bone (tuberosity deficiency), 57 tendon and muscle, 54 and whether further surgery is feasible.…”

Section: Discussionmentioning

confidence: 99%

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Management of failed rotator cuff repair: a systematic review

Lädermann¹,

Denard²,

Burkhart

2016

Journal of ISAKOS

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ImportanceRecurrent tear after rotator cuff repair (RCR) is common. Conservative, and open and arthroscopic revisions, have been advocated to treat these failures.Aim or objectiveThe purpose of this systematic review was to evaluate the different options for managing recurrent rotator cuff tears.Evidence reviewA search was conducted of level I through 4 studies from January 2000 to October 2015, to identify studies reporting on failed RCR. 10 articles were identified. The overall quality of evidence was very low.FindingsMid-term to long-term follow-up of patients treated conservatively revealed acceptable results; a persistent defect is a well-tolerated condition that only occasionally requires subsequent surgery. Conservative treatment might be indicated in most patients, particularly in case of posterosuperior involvement and poor preoperative range of motion. Revision surgery might be indicated in a young patient with a repairable lesion, a 3 tendon tear, and in those with involvement of the subscapularis.Conclusions and relevanceThe current review indicates that arthroscopic revision RCR can lead to improvement in functional outcome despite a high retear rate. Further studies are needed to develop specific rehabilitation in the case of primary rotator cuff failure, to better understand the place of each treatment option, and, in case of repair, to optimise tendon healing.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Management of failed rotator cuff repair: a systematic review

Lädermann¹,

Denard²,

Burkhart

2016

Journal of ISAKOS

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“…8,9 This means that 85% of all failures resulted in irreparable tendons consistent with prior reports about the negative effect of the suture-bridging double-row repair technique. [8][9][10][11][12] The authors explained these medial cuff failures as due to the patch playing a protective mechanical role at the suture site, and due to the negative biological factors of the xenograft. However, 3 of the 4 nongrafted controls also failed at the medial cuff.…”

Section: Suture-bridge Techniquementioning

confidence: 99%

Editorial Commentary: Don't Pig Out When Selecting a Shoulder, Rotator Cuff Augmentation Graft! Xenografts Are Not the Way to Go

Barber¹

2018

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Porcine xenograft dermal onlay augmentation of rotator cuff repair does not provide improved cuff integrity or provide better clinical outcomes. The retear rate was actually higher in repairs augmented with a porcine xenograft than the control group. Adverse events occurred in 60% of the xenograft patients compared with 40% of the controls. The use of liquid platelet-rich plasma had no discernible impact. A total of 85% of the observed failures with the suture-bridging double-row repair were at the medial cuff (Cho type 2).

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“… 2 Although various suture configurations have been tested in previous biomechanical studies, 3 , 4 , 5 the most widely used stitch configurations are simple, mattress or a combination of the two, the massive cuff stitch, 6 , 7 , 8 since the mattress suture is stronger than a simple suture. 6 , 9 Recent studies have reported that the medial or lateral distance of the stitch from the tear edge 2 , 10 , 11 and bite size of the horizontal mattress configuration (distance between the limbs passed through the tendon) 12 has an effect on the strength of the mattress configuration repair. No study has reported the effect of both parameters though.…”

Section: Introductionmentioning

confidence: 99%

The primary factor for suture configuration at rotator cuff repair: Width of mattress or distance from tear edge

Hapa

Karakaşlı

Başçı

et al. 2016

Acta Orthopaedica et Traumatologica Turcica

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ObjectivesThe aims of this study was first to investigate whether the bite size or the bite distance from the tear edge is of primary importance in mattress suture configuration for rotator cuff repair. Secondly, whether the use of a 450 left side bent Arthro-Pierce™ (Smith & Nephew, Andover, USA) during suture passage can be more effective on the strength of the configuration compared to a straight Arthro-Pierce™.Materials and methodsTwenty-eight bovine infraspinatus muscle tendons were randomized into four groups. Group 1; 5 mm wide ‘bite size’ × 15 mm length ‘distance from the tear edge's mattress’; Group 2: 7.5 mm × 10 mm; Group 3: 15 mm × 5 mm ‘using straight Arthro-Pierce™’ and Group 4: 5 mm × 15 mm using left sided 450 bent Arthro-Pierce™. The repair specimens underwent cyclic loading prior to loading the failure testing. Cyclic elongation (mm), peak-to-peak displacement (mm), ultimate load (N), stiffness (N/mm) and failure mode were recorded for each specimen.ResultsThe mean ultimate load in Group 1 was higher compared to group 3. The peak to peak displacement was higher in Group 4 compared to Group 1 (p < 0.05). The predominant failure mode in Groups 1, 2 and 4 was suture rupture. The Group 3 most specimens failed due to suture cut through the tendon.ConclusionBite size from the edge of the tendon seems to be more important than the width of the mattress. The curve of the suture passing device may also have an effect on the strength of the suture tendon interface.

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Characteristic Retear Patterns Assessed by Magnetic Resonance Imaging After Arthroscopic Double-Row Rotator Cuff Repair

Cited by 57 publications

References 22 publications

Management of failed rotator cuff repair: a systematic review

Management of failed rotator cuff repair: a systematic review

Editorial Commentary: Don't Pig Out When Selecting a Shoulder, Rotator Cuff Augmentation Graft! Xenografts Are Not the Way to Go

The primary factor for suture configuration at rotator cuff repair: Width of mattress or distance from tear edge

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