Effects of a lateral row anchor position on the suture holding strength of a double-row knotless fixation in rotator cuff repair

Acan, Ahmet Emrah; Hapa, Onur; Horoz, Levent; Kara, A.N.; Havıtçıoğlu, Hasan

doi:10.5606/ehc.2018.57519

Cited by 7 publications

(5 citation statements)

References 13 publications

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“…Anchor pull-out was observed in six patients (6.7%), and the average length of anchor pull-out was very small (1.56 mm). Some of the factors affecting anchor stability are cuff repair technique, cuff tear size, BMD, sex, age, anchor number, and anchor location [4,6,13,15]. Osteoporotic changes in the proximal humerus can decrease the stability of anchor fixation and cause problems in rotator cuff repair [20,23].…”

Section: Resultsmentioning

confidence: 99%

“…Suture bridge repair and use of lateral anchors is the most common technique in arthroscopic rotator cuff repair in the past decade. Although lateral anchors have been reported to have good biomechanical pull-out strength [ 13 , 14 ], there are clinical concerns of screw loosening or pull-out of the lateral anchor in elderly patients, since the lateral portion of the greater tuberosity (GT) is composed of sparse cancellous bone [ 15 , 16 ]. Furthermore, bone mineral density (BMD) does not reflect accurately bone quality of the lateral GT because it is calculated most often in the hip and spine areas.…”

Section: Introductionmentioning

confidence: 99%

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Magnetic resonance imaging analysis of screw in-type lateral anchor pull-out in large to massive rotator cuff repair in patients older than 60 years

Lee

Noh

2022

Clin Shoulder Elbow

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Background: This study was performed to identify the incidence of screw in-type lateral anchor pull-out in patients older than 60 years who underwent rotator cuff repair for large to massive rotator cuff tears.Methods: This study reviewed 25 patients older than 60 years who were diagnosed with large to massive rotator cuff tear and underwent arthroscopic rotator cuff repair in our hospital from March 2017 to February 2021. Preoperative tear size (anterior to posterior, medial to lateral) was measured via preoperative magnetic resonance imaging (MRI), and the re-tear rate was evaluated at 3 months via MRI. All 25 patients underwent MRI scanning on postoperative day 1 and at 3 months after surgery. The change of lateral row anchor position was measured in axial views on MRI images. The change of anchor position was measured postoperative day 1 and 3 months after surgery by MRI and statistically compared according to bone mineral density (BMD), sex, and number of lateral anchors. Results: Two consecutive MRIs (postoperative day 1 and 3 months) in 25 patients were compared. Anchor pull-out occurred in six patients during 3 months (6.7%), and the mean pull-out length difference was 1.56 mm (range, 0.16–2.58). There was no significant difference in the number of pull-out anchors, degree of pull-out difference, or the re-tear rate by comparing BMD (A, BMD≤-2.5; B, BMD>-2.5), sex, or number of anchors used in each surgery (C, two anchors; D, three anchors) (p>0.05). Conclusions: Pull-out of screw in-type lateral anchors was observed in very few patients (6.7%), and the mean pull-out length difference was negligibly small (1.56 mm) in our study. The screw in-type lateral anchor seems to be a decent option without concern of anchor pull-out even in elderly patients (>60 yr).

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Magnetic resonance imaging analysis of screw in-type lateral anchor pull-out in large to massive rotator cuff repair in patients older than 60 years

Lee

Noh

2022

Clin Shoulder Elbow

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“…Burkhart et al showed a double-row technique to maximize the restoration of the anatomy [ 6 ]. Acan et al evaluated the effect of lateral row anchor position on the strength of a double-row knotless repairs, demonstrating that the horizontal placement of the lateral anchor shows less cyclic elongation compared to more vertical placements [ 27 ]. We aim to place the lateral anchor horizontally when performing double-row repair.…”

Section: Discussionmentioning

confidence: 99%

Increased acromiohumeral distance in a double-row arthroscopic rotator cuff surgery compared to a single-row surgery after 12 months

Turan

Çabuk

Köroğlu³

et al. 2021

J Orthop Surg Res

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Background Arthroscopic rotator cuff surgery is an effective treatment for rotator cuff tears with the considered use of double-row repair techniques becoming popular in the last decade. We aim to compare the effects of double- and single-row arthroscopic rotator cuff repairs (ARCR) on repair integrity (RI) and acromiohumeral distance (AHD). Methods In this observational study, we retrospectively identified 98 patients with degenerative rotator cuff tear treated with arthroscopic rotator cuff repair between 2016 and 2019. We excluded 22 patients with partial-thickness tears, 15 with associated subscapularis or SLAP tears, 13 with massive tears, and 5 patients lost to follow-up; we included 43 patients who had ARCR for full-thickness cuff tear and clinical, radiologic follow-up. Of these 43 patients, 23 are grouped as double-row repair group (DRG) and 20 as single-row repair group (SRG). A minimum of 12 months after the surgery, bilateral shoulder MRIs were obtained. Contralateral shoulders without asymptomatic rotator cuff tears served as a control group (CG). The operating surgeon and two other surgeons experienced in arthroscopy blindly measured the AHD and determined the RI at the control MRIs in all groups. Functional assessments relied on UCLA and qDASH Scores. Results The mean age was 57.89 (45–78) years, and the mean follow-up time was 28,65 (21–43) months. The mean AHD of the CG was 9.7 ± 0.96 mm, the preoperative AHD of DRG was 8.62 ± 1.45 mm, and SRG was 9.71 ± 0.95 mm. The postoperative mean AHD of DRG 9.61 ± 1.83 mm and SRG was 10.21 ± 1.97 mm. AHD differences between the preoperative and postoperative groups were significant (P=0.009). The increase of the AHD in the double-row group was significantly higher than the single-row group (P=0.004). There was a high correlation between the RI and DASH scores (P=0.005). RI did not correlate with the repair method (P=0.580). Conclusion Although double-row repairs can maintain greater AHD than single-row repairs in the clinical setting, this difference did not affect functional results. Regardless of the surgical intervention, functional results are favourable if RI is achieved. Level of evidence Level III, Retrospective Cohort Study

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“…One of the most prevalent shoulder pathologies in both young and older age groups is rotator cuff tears [1]. About 22% of people have this illness, and the prevalence rises with age.…”

Section: Introductionmentioning

confidence: 99%

Comparative study between Mini open and all arthroscopic rotator cuff full thickness tear repair in Iraqi patients

Lecturer Dr. Hasan AbdulHadi Mohammed

2023

Texa. Jour. of Medi. Scie.

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One of the most prevalent shoulder pathologies in both young and older age groups is rotator cuff tears. This paper aims to conduct a comparative study between mini-open and all arthroscopic rotator cuff full-thickness tear repair in Iraqi patients. Patient and methods: This study was a comparative study between mini-open and all arthroscopic rotator cuff full-thickness tear repair in Iraqi patients, with 42 cases were collected from Anbar - Iraq hospitals between 18th March 2021 to 16th April 2022. This study was conducted to divide patients into comparison mini-open surgery with (22) and arthroscopic surgery with (20) for patients above 35 and under 60 years. The comparative study data of rotator cuff patients were analysed by the SPSS program. Results and discussion: In the present study, which is comparing the results for mini-open as well as all-arthroscopic surgeries for RCTR, it was found that patients who underwent arthroscopic surgery experienced less pain in the immediate postoperative period, improved shoulder flexion, and a lower incidence of complications. Numerous studies comparing the results of all-arthroscopic and mini-open procedures have been done in the past literature, and they all found comparable results. Our study examined the complication rates following arthroscopic compared to open rotator cuff surgery. According to the authors, individuals receiving open surgery were more likely to experience any unfavorable side effects and be readmitted following surgery during 30 days of their first procedure. The patients having open surgery remained older and were more probable to have concomitant illnesses, though. Conclusion: According to the study's findings, individuals with rotator cuff tears who underwent arthroscopic surgery experienced less pain than those who underwent small open surgery, had greater shoulder flexibility and function after surgery, and experienced no post-operative complications. Our findings could help to explain why arthroscopic surgery is so common among surgeons

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Effects of a lateral row anchor position on the suture holding strength of a double-row knotless fixation in rotator cuff repair

Cited by 7 publications

References 13 publications

Magnetic resonance imaging analysis of screw in-type lateral anchor pull-out in large to massive rotator cuff repair in patients older than 60 years

Magnetic resonance imaging analysis of screw in-type lateral anchor pull-out in large to massive rotator cuff repair in patients older than 60 years

Increased acromiohumeral distance in a double-row arthroscopic rotator cuff surgery compared to a single-row surgery after 12 months

Comparative study between Mini open and all arthroscopic rotator cuff full thickness tear repair in Iraqi patients

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