Clinical and structural outcomes after arthroscopic single-row versus double-row rotator cuff repair: a systematic review and meta-analysis of level I randomized clinical trials

Cost Comparison of Rotator Cuff Repair between Double and Triple Loaded Anchors

“…In contrast, recent studies conclude double row RC repairs result in improved footplate restoration with greater coverage, fewer RC retears thereby reducing revision surgeries, and an increased ultimate load to failure. DR repairs are especially recommended for massive tears [9][10][11][12][13][14][15][16]. There has recently been a movement towards maximizing the number of suture passes through the tendon and minimizing anchor usage to preserve the greater tuberosity footprint real estate.…”

Arthroscopic Knotless, Double-Row, Extended Linked Repair for Massive Rotator Cuff Tears

“…11 Denard et al 12 noted that a double-row repair was 4.89 times more likely to result in a good or excellent University of California, Los Angeles score. A recent meta-analysis of Level I randomized clinical studies conducted by Millett et al 13 found a significantly higher retear rate in rotator cuff repairs performed with a single row compared with double-row repairs. However, no differences were noted in postoperative clinical outcome scores at a mean of less than 2 years.…”

Triple-Row Modification of the Suture-Bridge Technique for Arthroscopic Rotator Cuff Repair

“…In fact, imaging studies examining the structural integrity after single-row repair have found recurrence rates ranging from 19% to 94%. 5 Millet et al 6 in their meta-analysis of Level I randomized controlled trials comparing single-row with double-row repairs showed an overall retear rate of 25.9% in the single-row group compared with 14.2% in the double-row group. The authors also found a statistically significant increased risk of sustaining an imaging-proven retear of any type in the single-row repair group, with partial-thickness retears accounting for the majority of the difference.…”

“…[1][2][3][4][5][6] Yet, although studies have shown biomechanical advantages with the use of double-row repairs compared with single-row repairs, there is no definitive difference in clinical outcomes between the 2 repair constucts. [5][6][7] Furthermore, retear rates of 10% to 30% have been found in double-row techniques with higher rates (40% to 64%) in those patients with largeto-massive tears ( 3 cm). 3,4,6,[8][9][10][11] When using this technique for larger tears, it can be difficult to get the lateral portion of the rotator cuff into an anatomic position.…”

“…[5][6][7] Furthermore, retear rates of 10% to 30% have been found in double-row techniques with higher rates (40% to 64%) in those patients with largeto-massive tears ( 3 cm). 3,4,6,[8][9][10][11] When using this technique for larger tears, it can be difficult to get the lateral portion of the rotator cuff into an anatomic position. There is concern that this results in limited rotator cuff footprint contact area.…”