Functional and Structural Outcomes of Single-Row Versus Double-Row Versus Combined Double-Row and Suture-Bridge Repair for Rotator Cuff Tears

Mihata, Teruhisa; Watanabe, Chiho; Fukunishi, Kunimoto; Ohue, Mutsumi; Tsujimura, Tomoyuki; Fujiwara, Keiichi; Koshi, Mitsuo

doi:10.1177/0363546511415660

Cited by 178 publications

(136 citation statements)

References 46 publications

Supporting

Mentioning

126

Contrasting

Unclassified

Order By: Relevance

“…A modification of the double-row technique is the double-row suture bridge technique [36,[53][54][55][56] . Gartsman et al [54] , evaluated the repair integrity of single-row vs double-row suture bridge arthroscopic rotator cuff repairs in a prospective, randomized study.…”

Section: Muscle-tendon Unit Retractionmentioning

confidence: 99%

“…They demonstrated that double-row suture bridge repair resulted in a significantly higher tendon healing rate compared to arthroscopic single-row repair. Mihata et al [53] demonstrated that in the subcategory of large and massive rotator cuff tears, the re-tear rate in the double-row suture bridge group was significantly less than those in the single-row group and the nonsuture bridge double-row group. Several techniques have been described for double row suture bridge repair.…”

Section: Muscle-tendon Unit Retractionmentioning

confidence: 99%

“…Smoking was detrimental to healing Ⅳ Chung et al [14] Retrospective cohort 408 pts/37.2 mo CT arthrogram, US Bone mineral density, as well as FI of the infraspinatus and amount of retraction, was an independent determining factor affecting postoperative rotator cuff healing Ⅲ Abboud et al [38] Case [53] RCT 201 pts/38.5 mo…”

Section: Mrimentioning

confidence: 99%

See 2 more Smart Citations

Factors affecting healing after arthroscopic rotator cuff repair

Abtahi

Granger

Tashjian

2015

WJO

162

View full text Add to dashboard Cite

Rotator cuff repair has been shown to have good longterm results. Unfortunately, a significant proportion of repairs still fail to heal. Many factors, both patient and surgeon related, can influence healing after repair. Older age, larger tear size, worse muscle quality, greater muscle-tendon unit retraction, smoking, osteoporosis, diabetes and hypercholesterolemia have all shown to negatively influence tendon healing. Surgeon related factors that can influence healing include repair construct-single vs double row, rehabilitation, and biologics including platelet rich plasma and mesenchymal stem cells. Double-row repairs are biomechanically stronger and have better healing rates compared with single-row repairs although clinical outcomes are equivalent between both constructs. Slower, less aggressive rehabilitation programs have demonstrated improved healing with no negative effect on final range of motion and are therefore recommended after repair of most full thickness tears. Additionally no definitive evidence supports the use of platelet rich plasma or mesenchymal stem cells regarding improvement of healing rates and clinical outcomes. Further research is needed to identify effective biologically directed augmentations that will improve healing rates and clinical outcomes after rotator cuff repair. Core tip: Many factors, both patient and surgeon related, can influence healing after repair. Older age, larger tear size, worse muscle quality, greater muscletendon unit retraction, smoking, osteoporosis, diabetes and hypercholesterolemia have all shown to negatively influence tendon healing after rotator cuff repair. Smoking cessation and blood glucose and cholesterol control are methods to potentially improve healing rates. Slower, less aggressive rehabilitation programs may improve healing rates with no negative effect on final range of motion and are therefore recommended after arthroscopic repair of most full thickness tears. Finally, no definitive evidence supports the use of platelet rich plasma or mesenchymal stem cells regarding improvement of healing rates after rotator cuff repair. Routine use of these adjuvants is therefore not currently recommended.

show abstract

Section: Muscle-tendon Unit Retractionmentioning

confidence: 99%

Section: Muscle-tendon Unit Retractionmentioning

confidence: 99%

See 1 more Smart Citation

Factors affecting healing after arthroscopic rotator cuff repair

Abtahi

Granger

Tashjian

2015

WJO

162

View full text Add to dashboard Cite

show abstract

“…Although considerable symptomatic improvement is possible in the absence of complete anatomic healing, 2,6,8,24 these 2 new studies and others 14,16,22,24,30 suggest a link between the 2 metrics of success, a link that may be more manifest as time goes on. While they both support the conclusion that relatively short follow-up is sufficient when the measured end point is primary structural integrity, they also attest to the benefit of a longer perspective for evaluation of symptomatic improvement.…”

mentioning

confidence: 91%

Of Cuffs and Cones

Reider¹

2011

Am J Sports Med

View full text Add to dashboard Cite

“…Nevertheless, none of these advances has brought significant improvement to the quality of healing and postoperative results, especially in patients with large rotator cuff injuries [9,10]. In large lesions there are often unsatisfactory long term results and many studies show a high percentage of re-ruptures (11-94 %) [11][12][13]. High rates of the tendon injury and re-rupture accelerate investigations of methods modulating tendons healing.…”

Section: Introductionmentioning

confidence: 99%

Mesenchymal stem cells in the reconstruction surgery of the supraspinatus muscle lesions

Šmíd¹,

Komzák²,

Hart³

et al. 2017

Clinical-Investigation

View full text Add to dashboard Cite

Background: The objective of the study was to demonstrate the effect of concentrated bone marrow stem cells (MSCs) to the healing of sutured tendon of the supraspinatus muscle in comparison to the same procedure performed without MSCs. We have postulated the hypothesis that MSCs enhance the healing of the sutured supraspinatus tendon to its humeral footprint. Methods and findings:None of the patients had to be excluded from our prospective randomized study. 50 patients met the indication criteria for isolated supraspinatus surgery. 25 patients (Group I) received MSCs into the supraspinatus footprint. 25 patients (Group II) was treated without the use of MSCs. Patients were examined pre-operatively, 6, 12 and 24 months after the surgery and assessment included physical examination, visual analogue scale (VAS), ASES (American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form) and Constant score. Patients underwent MRI 2 years postoperatively. Findings were compared with the preoperative results.We have found no statistically significant differences between both groups pre-operatively. After a 24-month follow-up period there were significant differences observed in all clinical outcomes. When compared results between both groups two years postoperatively, p-value (p=0.05) for the VAS score was 0.0176 and for the Constant score 0.0355. The only statistically non-significant was p-value for the ASES score comparing results from both groups at two years follow-up (p=0.085). The MRI findings at 2 years showed fully healed tissue of the rotator cuff tendon in 17 patients in the Group I, but only in 9 patients in the Group II. Conclusions:We have accepted the hypothesis that MSCs enhance the healing of the sutured supraspinatus tendon to its humeral footprint.

show abstract

Functional and Structural Outcomes of Single-Row Versus Double-Row Versus Combined Double-Row and Suture-Bridge Repair for Rotator Cuff Tears

Cited by 178 publications

References 46 publications

Factors affecting healing after arthroscopic rotator cuff repair

Factors affecting healing after arthroscopic rotator cuff repair

Of Cuffs and Cones

Mesenchymal stem cells in the reconstruction surgery of the supraspinatus muscle lesions

Contact Info

Product

Resources

About