Outcomes of Single-Row Versus Double-Row Arthroscopic Rotator Cuff Repair: A Systematic Review and Meta-Analysis of Current Evidence

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

“…Controversy remains as to which repair technique provides the best clinical outcome as determined by measures of patient pain and shoulder function. Multiple reviews of SR: DR repairs have concluded that there is no significant difference between SR and DR repairs based on patient outcomes [2][3][4][5][6][7][8]. 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.…”

Does microvascularization of the footprint play a role in rotator cuff healing of the shoulder?

“…2,3 From a biomechanical point of view, quality of sutures, type of anchorage, and surgical repair technique are more and more reliable. 4,9 From an anatomic point of view, fatty infiltration index, muscle atrophy, and tendon retraction are reported to be major prognostic factors. 6,20 In the field of biologic strategy, the use of growth factors is widely investigated but remains controversial to date.…”

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.…”