Functional outcomes and structural integrity after double-pulley suture bridge rotator cuff repair using serial ultrasonographic examination

Choi, Chang-Hyuk; Kim, Shin-Kun; Cho, Myung-Rae; Baek, Seung‐Hoon; Lee, Jaekun; Kim, Se-Sik; Park, Chang-Min

doi:10.1016/j.jse.2011.12.012

Cited by 31 publications

(19 citation statements)

References 32 publications

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“…This concept was adopted from the double pulley suture bridge repair of rotator cuff tear first introduced by Burkhart [ 7 _ T D $ D I F F ] et [ 8 _ T D $ D I F F ] al. [12], and several clinical and biomechanical studies have since validated its reliability and efficacy [41][42][43][44]. Evidently, the outcomes of our surgical techniques are quite encouraging, and are comparable with those of other previously reported double-bundle MPFL reconstructions with aperture fixation techniques.…”

Section: Discussionsupporting

confidence: 76%

The double-pulley technique for anatomical double-bundled medial patellofemoral ligament reconstruction

Lin

Renn

2015

Injury

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Section: Discussionsupporting

confidence: 76%

The double-pulley technique for anatomical double-bundled medial patellofemoral ligament reconstruction

Lin

Renn

2015

Injury

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“…6) The ASES score is a well-tested and helpful combination of self-and clinical assess-207 ment for rotator cuff disease; however, caution is required for patients with shoulder instability since pain is worth 50% of the overall score. 6,7) In using outcome measures for postoperative evaluation, a clinician should be perceptible to these scoring systems which are valid, reliable, and responsive to the patients. Overall, to avoid biased interpretation of clinical results, a scoring system may have better to consist of both patient-oriented questionnaires and observer based clinical findings.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Rotator Cuff Repair Using Korean Shoulder Scoring System

Shin¹,

Lee²,

Ko³

et al. 2015

Clinics in Shoulder and Elbow

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Background: Assessment of the clinical outcomes after rotator cuff repair is essential for their effectiveness on treatment. The Korean Shoulder and Elbow Society devised the Korean Shoulder Scoring System (KSS) for patients with rotator cuff disorder. The purpose of this study was to evaluate the availability of the KSS for assessment of clinical outcomes in patients after arthroscopic rotator cuff repair, and for comparison with other appraisal scoring systems. Methods: A total of 130 patients with partial-thickness or full-thickness rotator cuff tear who underwent arthroscopic repair using a single row or double row suture bridge technique were enrolled. The average follow-up period was 25.9 months. All patients were classified according to various factors. Comparison within corresponding categories was performed, and the correlation between the KSS and other shoulder assessment methods including University of California Los Angeles (UCLA), Constant and American Shoulder and Elbow Surgeons (ASES) score was analyzed. Results: Total score of the KSS response had increased from 59.6 preoperatively to 88.96 at last follow-up. All KSS domains, including function, pain, satisfaction, range of motion, and muscle power had improved up to 24 months postoperatively. Statistical significance was observed mainly in preoperative measurements with number and size of torn tendons, and greater than or equal to grade 3 of fatty infiltration. The KSS was best correlated with the UCLA scoring system in both preoperative (r=0.785) and postoperative (r=0.951) measurements. Conclusions: The KSS was highly reliable and valid as a discriminative instrument, and it showed strong correlation with ASES and UCLA scoring systems. (Clin Shoulder Elbow 2015;18(4):206-210)

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“…18) Recent suture bridge technique had generally reduced the retear rate compared with more conventional technique. 4,6,8,9,19,20) Many authors reported the retear rate from 8%…”

Section: Discussionmentioning

confidence: 99%

“…4,6,8,9,[19][20][21][22] Most techniques utilized 2 to 4 medial knot-tying in the medial row and obtained an approximately 20% retear rate, which is still high. [23][24][25] In the current series of 79 patients, only 6.3% of patients experienced retear on 6.2-month follow-up MRI.…”

Section: Discussionmentioning

confidence: 99%

Minimal Medial-row Tie with Suture-bridge Technique for Medium to Large Rotator Cuff Tears

Lee

Ryu²,

Shim

et al. 2015

Clinics in Shoulder and Elbow

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Background: The purpose of this study was to evaluate the postoperative magnetic resonance imaging (MRI) results of minimal-tying (one medial-row tie among 4 medial-row sutures) on the medial-row in double-row suture-bridge configuration (2×2 anchor with 4×4 suture stands). Methods: From 2011 March to 2012 July, 79 patients underwent arthroscopic rotator cuff repair using 2×2 anchor double-row configuration. The mean age was 61.3 years (range, 31-81 years). Two double-loaded suture anchors were used for medial-row. Four medialrow stitches were made with only one medial-row knot-tying (the most anterior suture). Lateral-row was secured using the conventional suture-bridge anchor technique; all 4 strands were used for each anchor. Repair integrity was evaluated with MRI at mean 6.2 months postoperatively. Retear and the pattern of retear, change of fatty infiltration, and muscle atrophy of supraspinatus were evaluated using pre-and postoperative MRI. Results: Repaired tendon integrity was 38 for type I, 30 for type II, 6 for type III, 4 for type IV, and 1 for type V, according to Sugaya classification. Considering type IV/V as retear, the rate was 6.3% (5 out of 79 patients). Medial cuff failure was observed in 4 patients. Fatty atrophy of supraspinatus was significantly improved postoperatively according to Goutallier grading (p=0.01). The level of muscle atrophy of supraspinatus was not changed significantly after surgery. Conclusions: Minimal tying technique with suture configuration of four-by-four strand double-row suture-bridge yielded a lower retear rate (6.3%) in medium to large rotator cuff tears. (Clin Shoulder Elbow 2015;18(4):197-205)

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Functional outcomes and structural integrity after double-pulley suture bridge rotator cuff repair using serial ultrasonographic examination

Cited by 31 publications

References 32 publications

The double-pulley technique for anatomical double-bundled medial patellofemoral ligament reconstruction

The double-pulley technique for anatomical double-bundled medial patellofemoral ligament reconstruction

Evaluation of Rotator Cuff Repair Using Korean Shoulder Scoring System

Minimal Medial-row Tie with Suture-bridge Technique for Medium to Large Rotator Cuff Tears

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