Knotted Versus Knotless Medial-Row Transosseous-Equivalent Double-Row Rotator Cuff Repairs Have Similar Clinical and Functional Outcomes

Nemirov, Daniel; Herman, Zachary; Paul, Ryan W.; Clements, Ari J; Beucherie, Matthew; Brutico, Joseph; Hadley, Christopher J.; Ciccotti, Michael G.; Freedman, Kevin B.; Erickson, Brandon J.; Hammoud, Sommer; Bishop, Meghan E.

doi:10.1016/j.asmr.2021.10.015

Cited by 7 publications

(18 citation statements)

References 41 publications

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“… 28 Similarly, Nemirov et al showed no difference in outcome scores, repair failure rates or complications at 2 years postoperatively. 27 Preferences between use of high-strength tape (51.1%) and high-strength suture (45.4%) were similar for respondents. Previous biomechanical studies have shown higher footprint contact pressure, load to failure, and stiffness with high-strength tape.…”

Section: Discussionmentioning

confidence: 94%

Shoulder surgeon techniques and preferences in treatment of massive rotator cuff tears: current practices for rotator cuff repair and superior capsule reconstruction

Vaudreuil¹,

Dooney²,

Lee³

et al. 2022

JSES International

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Section: Discussionmentioning

confidence: 94%

Shoulder surgeon techniques and preferences in treatment of massive rotator cuff tears: current practices for rotator cuff repair and superior capsule reconstruction

Vaudreuil¹,

Dooney²,

Lee³

et al. 2022

JSES International

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“…There were ten studies [ 3 , 15 – 17 , 20 , 28 , 33 , 34 , 37 , 40 ] that compared arthroscopic double-row suture bridge repair of the rotator cuff with and without knotting of the medial row, published between 2011 and 2022. One of the included studies was a prospective randomized controlled trial, four of the studies were prospective cohort trials, and the other five studies were retrospective cohort trials.…”

Section: Resultsmentioning

confidence: 99%

“…Nine studies [ 3 , 15 – 17 , 20 , 28 , 33 , 34 , 37 ] reported on postoperative retear rate. The heterogeneity test was performed, and the result indicated slight statistical heterogeneity ( I 2 = 0 < 50%, P = 0.50 > 0.1).…”

Section: Resultsmentioning

confidence: 99%

A comparison between knotted and knotless medial row of suture bridge technique in arthroscopic rotator cuff repair surgery: a meta-analysis

Xiao

Quan

et al. 2023

J Orthop Surg Res

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Background The shoulder arthroscopic suture bridge technique is currently very popular, but scientific evidence relating to the clinical outcomes of the medial row with or without knots has not been systematic reviewed. Purpose The purpose of this study was to compare the clinical outcomes of knotted versus knotless double-row suture bridges for rotator cuff repairs. Study design Meta-analysis. Method Five databases that contain literature in English were searched (Medline, PubMed, Embase, Web of Science, and the Cochrane Library), with a focus on works published between 2011 and 2022. Clinical data relating to arthroscopic rotator cuff repair with the suture bridge approach was examined and the outcomes of medial row knotting contrasted with that of the knotless technique. The search phrase used was: (double row) AND (rotator cuff) AND (repair), and the search method is subject term plus free word search. Literature quality evaluation was performed using the Cochrane “risk of bias” tool 1.0 and the Newcastle–Ottawa scale quality assessment instrument. Results One randomized controlled trial, four prospective cohort studies, and five retrospective cohort studies were included in this meta-analysis. Data pertaining to 1146 patients was drawn from these ten original papers and analyzed. Meta-analyses that were performed on 11 postoperative outcomes revealed that none of the differences were statistically significant (P > 0.05) and that the publications were unbiased (P > 0.05). Postoperative retear rate and postoperative retear categorization were the outcomes assessed. Scores on postoperative pain, forward flexion, abduction, and external rotation mobility were collated and evaluated. The University of California, Los Angeles scoring systems in the first year following surgery, the American Shoulder and Elbow Surgeons score and Constant scales in the first and second years after surgery were the secondary outcomes spotlighted in this study. Conclusion The clinical outcomes of shoulder arthroscopic rotator cuff repair with the suture bridge technique with or without a knotted medial row was proven to be equivalent. These outcomes are about postoperative retear, postoperative retear classification, postoperative shoulder function score, postoperative shoulder mobility, and postoperative pain, respectively. It should be noted that the conclusions are based on short-term clinical follow-up data.

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“…Numerous repair techniques have been described for rotator cuff tears. 1 , 2 , 3 The main clinical criteria for optimal healing include a low muscular fatty infiltration index (≤2) 7 , 8 and moderate-to-intermediate tendon retraction. 8 Other recent studies mention the harmful effects of tobacco, 9 alcohol, and dyslipidemia.…”

Section: Discussionmentioning

confidence: 99%

“…Numerous techniques have been described for rotator cuff repair. Various biomechanical studies have confirmed the reliability of both double-row suture-bridge fixation 1 and single-row tension band (TB). 2 Although the latter requires fewer anchors, it may result in decreased contact at the footprint during tendon repair.…”

mentioning

confidence: 98%

The Hybridge Technique: A Combined Technique of Suture Bridge and Tension Band for an Arthroscopic Eco-Responsible Rotator Cuff Repair

Martinel¹,

Nourissat²,

Barth³

et al. 2022

Arthroscopy Techniques

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Knotted Versus Knotless Medial-Row Transosseous-Equivalent Double-Row Rotator Cuff Repairs Have Similar Clinical and Functional Outcomes

Cited by 7 publications

References 41 publications

Shoulder surgeon techniques and preferences in treatment of massive rotator cuff tears: current practices for rotator cuff repair and superior capsule reconstruction

Shoulder surgeon techniques and preferences in treatment of massive rotator cuff tears: current practices for rotator cuff repair and superior capsule reconstruction

A comparison between knotted and knotless medial row of suture bridge technique in arthroscopic rotator cuff repair surgery: a meta-analysis

The Hybridge Technique: A Combined Technique of Suture Bridge and Tension Band for an Arthroscopic Eco-Responsible Rotator Cuff Repair

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