Three-year functional outcome of transosseous-equivalent double-row vs. single-row repair of small and large rotator cuff tears: a double-blinded randomized controlled trial

Imam, Mohamed A.; Sallam, Asser; Ernstbrunner, Lukas; Boyce, Glenn; Bardakos, Nikolaos V.; Abdelkafy, Ashraf; Moussa, Moussa A.; Ghazal, Mohamed-Adel R.

doi:10.1016/j.jse.2020.05.005

Cited by 27 publications

(33 citation statements)

References 46 publications

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“…When comparing time to surgery from initial presentation, only a few studies have mentioned a time period of unsuccessful conservative management leading to surgery, that is 3 studies have suggested 3 months of nonoperative management 10 , 39 , 41 and 1 study suggests 6 months of nonoperative management. 15 …”

Section: Resultsmentioning

confidence: 99%

“…A small number of the included studies have stated that the patient cohort had failed nonoperative treatment for at least 3 10 , 39 , 41 or 6 months. 15 Importantly, no standard postoperative rehabilitation or follow-up protocol exists in the included studies. Furthermore, the latest cSR methods lack extensive outcome data given their innovative nature.…”

Section: Discussionmentioning

confidence: 99%

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A comparison of simple and complex single-row versus transosseous-equivalent double-row repair techniques for full-thickness rotator cuff tears: a systematic review and meta-analysis

Ponugoti¹,

Raghu²,

Colaco³

et al. 2022

JSES International

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Background Rotator cuff injuries have traditionally been managed by either single-row or double-row arthroscopic repair techniques. Complex single-row techniques have recently been proposed as a biomechanically stronger alternative treatment option. However, no rigorous meta-analysis has evaluated the effectiveness of complex single-row against double-row repair. This meta-analysis aims to evaluate clinical outcomes in patients with full-thickness rotator cuff injuries treated with both simple and complex single-row, as well as transosseous-equivalent (TOE) double-row procedures. Methods An up-to-date literature search was performed using the predefined search strategy. All studies that met the inclusion criteria were assessed for methodological quality and included in the meta-analysis. Pain, functional scores, range of motion, and retear rate were all considered in the study. Conclusion The results of our meta-analysis suggest that there is no significant difference between complex single-row and TOE double-row procedures in any of the observed outcomes. At this point in time, the available comparative data between simple single-row and TOE double-row repair techniques are limited. Further high-quality studies are required to assess the clinical outcomes and cost-effectiveness of these different techniques.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A comparison of simple and complex single-row versus transosseous-equivalent double-row repair techniques for full-thickness rotator cuff tears: a systematic review and meta-analysis

Ponugoti¹,

Raghu²,

Colaco³

et al. 2022

JSES International

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“…The ability of securing the tendon to bone has been the focus of many studies trying to identify the best construct. The double-row, transosseous-equivalent construct has shown improved biomechanical strength over that of the single-row repair, 4 but the double-row repair has added cost of more anchors, increases operating room time, and is more technically demanding. 5 Recent systematic reviews and metanalysis of biomechanical literature have shown that factors positively influencing the strength of a repair are the number of sutures used in a repair, use of larger diameter sutures, and use of mattress stitches.…”

Section: Discussionmentioning

confidence: 99%

“…The ability of securing the tendon to bone has been the focus of many studies trying to identify the best construct. The double-row, transosseous equivalent construct has shown improved biomechanical strength over that of the single-row repair, 4 but also has its downsides as well. The procedure can be technically demanding and require increased time in the operative suite to address the tear.…”

mentioning

confidence: 99%

Single Medial-Row Anchor With Biceps Tenodesis in a Transosseous Double-Row Construct for Massive Rotator Cuff Tear

Loftis¹,

Kruse²

2022

Arthroscopy Techniques

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“…[5][6][7][8] The success of arthroscopic rotator cuff repair is complex and multi-factoral. Great importance is often placed on technical aspects of the operation 9 and rehabilitation 10 which are believed to directly impact patient outcome. The presence of specific patient characteristics has also been associated with inferior functional outcome scores and can be thought of as modifiable (e.g.…”

Section: Introductionmentioning

confidence: 99%

Tear size, general health status and smoking influence functional outcome at 5 years following arthroscopic rotator cuff repair

et al. 2021

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Introduction There is limited medium-term outcome data regarding the predictors of functional outcome and patient satisfaction after arthroscopic rotator cuff repair. Methods 287 patients that underwent arthroscopic rotator cuff repair under a high-volume single surgeon were contacted at a minimum of 4 years following surgery. Patient demographics, tear size and co-morbidities were pre-operatively recorded. The Oxford shoulder score, EuroQol 5-dimensional score and patient satisfaction were recorded at final follow-up. Results 234 (81.5%) patients completed follow-up at a mean of 5.5 (4–9) years. There were 126 males and 108 females with a mean age of 60 (range 25–83) years. The majority of patients ( n = 211, 90%) were satisfied with their final outcome. Multivariate linear regression analysis ( R2 = 0.64) identified that increasing tear size ( p = 0.04), worsening general health assessed by the EuroQol 5-Dimensional ( p < 0.001), and smoking ( p = 0.049) were associated with a worse Oxford shoulder score. Logistic regression analysis ( R2 = 0.13) identified that worsening general health assessed by the EuroQol 5-Dimensional ( p < 0.001), and smoking ( p = 0.01) were associated with an increased risk of patient dissatisfaction. Conclusion General health status and smoking are independent predictors of functional outcome and patient satisfaction at medium-term follow-up following arthroscopic rotator cuff repair.

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Three-year functional outcome of transosseous-equivalent double-row vs. single-row repair of small and large rotator cuff tears: a double-blinded randomized controlled trial

Cited by 27 publications

References 46 publications

A comparison of simple and complex single-row versus transosseous-equivalent double-row repair techniques for full-thickness rotator cuff tears: a systematic review and meta-analysis

A comparison of simple and complex single-row versus transosseous-equivalent double-row repair techniques for full-thickness rotator cuff tears: a systematic review and meta-analysis

Single Medial-Row Anchor With Biceps Tenodesis in a Transosseous Double-Row Construct for Massive Rotator Cuff Tear

Tear size, general health status and smoking influence functional outcome at 5 years following arthroscopic rotator cuff repair

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