Posterosuperior rotator cuff repair by an independent double-row technique. Technical note and radiological and clinical results

Collin, Philippe; McCoubrey, Gavin; Lädermann, Alexandre

doi:10.1016/j.otsr.2015.12.023

Cited by 24 publications

(21 citation statements)

References 19 publications

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“…We included 38 studies with 3072 patients for full-text review, as well as in the meta-analysis, as they met the final inclusion criteria. 1 , 4 , 40 , 41 , 42 , 43 , 44 , 46 , 5 , 50 , 52 , 53 , 54 , 56 , 57 , 6 , 8 , 10 , 11 , 12 , 13 , 14 , 15 , 20 , 21 , 22 , 23 , 25 , 28 , 29 , 31 , 32 , 33 , 34 , 36 , 37 , 38 , 39 , 4 , 40 , 41 , 42 , 43 , 44 , 46 , 50 , 52 , 53 , 54 , 56 , 57 The study characteristics of each included cohort are shown in Table I . A forest plot of retear rates is shown in Figure 2 .…”

Section: Resultsmentioning

confidence: 99%

The effect of age on risk of retear after rotator cuff repair: a systematic review and meta-analysis

Khazzam¹,

Sager²,

Box³

et al. 2020

JSES International

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Hypothesis The purpose of this study was to perform a systematic review and meta-analysis to determine the effect of age on rotator cuff repair failure. The hypothesis of this study was that increased patient age would lead to a higher rate of retears and/or repair failures after rotator cuff repair. Methods We conducted a systematic review and meta-analysis of level I and II studies evaluating patients undergoing rotator cuff repair that also included an imaging assessment of the structural integrity of the repair. Univariate and multivariate meta-regression was performed to assess the dependence of the retear rate on the mean age of the cohort, imaging modality, time to imaging, and publication year. Results The meta-regression included 38 studies with a total of 3072 patients. Significant heterogeneity in retear rates was found among the studies ( Q = 209.53, I 2 = 82.34, P < .001). By use of a random-effects model, the retear rate point estimate was 22.1% (95% confidence interval [CI], 18.6%-26.0%). On univariate analysis, type of imaging modality did not significantly influence the retear rate ( P = .188). On univariate analysis, mean age (odds ratio [OR], 1.05 [95% CI, 1.01-1.09]; P = .027) and mean time to imaging (OR, 1.04 [95% CI, 1.01-1.08]; P = .006) were associated with the retear rate. Publication year (OR, 0.94 [95% CI, 0.88-1.01]; P = .083) demonstrated a trend toward significance. On multivariate analysis, increased age was associated with a 5%/yr increased odds of retear (OR, 1.05 [95% CI, 1.01-1.08]; P = .025). The risk of retear doubled from 15% at age 50 years to >30% at age 70 years. Time to imaging demonstrated a trend toward increased odds of retear (OR, 1.03 [95% CI, 1.00-1.07]; P = .056). Publication year was not associated with the retear rate on multivariate analysis (OR, 0.96 [95% CI, 0.90-1.02]; P = .195). Conclusion The risk of retear after rotator cuff repair is associated with increased age and doubles between the ages of 50 and 70 years.

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Section: Resultsmentioning

confidence: 99%

The effect of age on risk of retear after rotator cuff repair: a systematic review and meta-analysis

Khazzam¹,

Sager²,

Box³

et al. 2020

JSES International

View full text Add to dashboard Cite

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“…The size and location of tears were confirmed arthroscopically, after subacromial bursectomy but before rotator cuff débridement. Single- or double-row techniques were used to repair the torn tendons, based on their length and mobility, 14 , 21 and biceps tenodesis or tenotomy was performed in all cases regardless of whether the long head of the biceps was pathologic or normal, as per the recommendations of Godeneche et al. 29 In our study, acromioplasty was limited to the impingement site, preserving the coracoacromial ligament and flattening a hooked or curved acromion.…”

Section: Methodsmentioning

confidence: 93%

Acromioplasty during repair of rotator cuff tears removes only half of the impinging acromial bone

et al. 2020

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Background To date, there is no consensus on when and how to perform acromioplasty during rotator cuff repair (RCR). We aimed to determine the volume of impinging bone removed during acromioplasty and whether it influences postoperative range of motion (ROM) and clinical scores after RCR. Methods Preoperative and postoperative computed tomography scans of 57 shoulders that underwent RCR were used to reconstruct scapula models to simulate volumes of impinging acromial bone preoperatively and then compare them to the volumes of bone resected postoperatively to calculate the proportions of desired (ideal) vs. unnecessary (excess) resections. All patients were evaluated preoperatively and at 6 months to assess ROM and functional scores. Results The volume of impinging bone identified was 3.5 ± 2.3 cm 3 , of which 1.6 ± 1.2 cm 3 (50% ± 27%) was removed during acromioplasty. The volume of impinging bone identified was not correlated with preoperative critical shoulder angle ( r = 0.025, P = .853), nor with glenoid inclination ( r = −0.024, P = .857). The volume of bone removed was 3.7 ± 2.2 cm 3 , of which 2.1 ± 1.6 cm 3 (53% ± 24%) were unnecessary resections. Multivariable analyses revealed that more extensive removal of impinging bone significantly improved internal rotation with the arm at 90° of abduction (beta, 27.5, P = .048) but did not affect other shoulder movements or clinical scores. Conclusions Acromioplasty removed only 50% of the estimated volume of impinging acromial bone. More extensive removal of impinging bone significantly improved internal rotation with the arm at 90° of abduction.

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“…In Arthroscopic technique, Failure rates with single-row arthroscopic repair were initially greater than with open surgery, as the insertion onto the greater tubercle could not be restored (4) .…”

Section: Introductionmentioning

confidence: 99%

“…To improve greater tubercle coverage, reconstruction solidity and tendon compression, double-row techniques were developed, but entail a risk of re-tear at the myotendinous junction, with increased operative time and complexity and consequent higher costs challenging the cost/benefit ratio of the technique (4) .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Arthoscopic Repair of Full Thickness Tear of Supraspinatus and Infraspinatus Tendons Using Double Row Suture Anchors

Reda

Elseddawy

Atnas

2021

Ain Shams Medical Journal

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Background: Lesions of the rotator cuff (RC) are a common occurrence affecting millions of people across all parts of the globe. RC tears are also rampantly prevalent with an age-dependent increase in numbers. Other associated factors include a history of trauma, limb dominance, contralateral shoulder, smoking-status, hypercholesterolemia, posture and occupational dispositions. The challenge lies in early diagnosis since a high proportion of patients are asymptomatic. Pain and decreasing shoulder power and function should alert the heedful practitioner in recognizing promptly the onset or aggravation of existing RC tears.

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Posterosuperior rotator cuff repair by an independent double-row technique. Technical note and radiological and clinical results

Abstract: II.

Cited by 24 publications

References 19 publications

The effect of age on risk of retear after rotator cuff repair: a systematic review and meta-analysis

The effect of age on risk of retear after rotator cuff repair: a systematic review and meta-analysis

Acromioplasty during repair of rotator cuff tears removes only half of the impinging acromial bone

Arthoscopic Repair of Full Thickness Tear of Supraspinatus and Infraspinatus Tendons Using Double Row Suture Anchors

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