What is the Optimal Construct to Reduce Failure in Arthroscopic Four Anchor Rotator Cuff Repair?

Johnson, Andrea H; West, Michaline; Fowler, M. Brook; Petre, Benjamin M.; Turcotte, Justin; Redziniak, Daniel E.

doi:10.1177/17585732221076066

Cited by 3 publications

(2 citation statements)

References 32 publications

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“…A study found a lower rate of re-rupture in individuals who had double row repair, albeit it did not make a functional distinction between the two procedures. The efficiency of corrected rotator cuff tears is highly correlated with the degree of activity after surgery (10)(11)(12) .…”

Section: Introductionmentioning

confidence: 99%

Assessment of the Arthroscopic Double-Row Restoration Technique's Reliability and Operational Results for Shoulder Cuff Reconstruction

Alam,

Mahmood,

Khan

et al. 2023

PJMHS

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Objective: This study aims at evaluating the effectiveness of shoulder cuff restoration by arthroscopic surgery in dual row repair mode and shows 30 months of practical results, an ASES-based scoring system was developed. Methods: This study was conduced at mayo hospital Lahore in orthopedics department and the duration of this study was from October 2021 to march 2023. 23 patients who had significant rotator cuff tears repaired arthroscopically in a double-row fashion are included in this cross-sectional research. The operating surgeon performed a clinical assessment on patients who had been admitted for surgery in the outpatient setting both before and after surgery, as well as during follow-up visits at six weeks, three months, six months, and one year. The last examination took place on average 30 months after surgery. Using a scoring system based on a modified ASES score, the function of the patient was evaluated both preoperatively and postoperatively, and the results were compared. Based on the Modified American Shoulder and Elbow Society (ASES) score, a patient-rated questionnaire was utilized to assess shoulder and elbow function. Three parts make up the questionnaire, the first of which included questions regarding pain and had six components with a total weight of 30 points. The existence of pain, its location, and if the patients had discomfort at night were all questions that were posed to the patients. A visual analog pain scale from 0 to 10 was used to assess the degree of the patient’s pain as well as their usage of drugs. The second phase, which included 10 components and a weighted average of 50 points, examined candidates' capacity to carry out everyday tasks. On a scale of 0 to 5, patients were asked to assess their level of competence to accomplish tasks while accounting for any challenges they may have encountered. The shoulder instability was evaluated in the last portion using a visual analog scale with a range of 0 to 10. Patients were divided into four groups based on the grading system: Excellent result (score >75), Good outcome (score 50-75), Fair outcome (score 25-50), and Poor outcome (score < 25) Results: At the time of the last follow-up, there was a substantial improvement in the mean operational result scores depending on the Patient Self-Assessed Questionnaire (p-value < 0.01). By using magnetic resonance imaging to evaluate repair integrity 12 months after surgery, it was discovered that 16 patients had type-I repairs, 2 patients had type-II repairs, and only 1 patient had type-III repairs. For enormous tears, the study's retear rate was 5%. Comparing the type-III repaired shoulders to the other kinds of repaired shoulders, the type-III repaired shoulders showed substantially worse functional outcomes in terms of total scores and strength (p-value < 0.01). Practical Implication: In the practical implication of this study we discovered that the arthroscopic double-row restoration approach is a successful treatment for repairing large rotator cuff injuries with a low chance of re-tear and a big increase in activity levels. Conclusions: In this research, we discovered that the arthroscopic double-row restoration approach is a successful treatment for repairing large rotator cuff injuries with a low chance of re-tear and a big increase in activity levels. Keywords: double-row technique, restoration, shoulder cuff, arthroscopically, resonance imaging

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Section: Introductionmentioning

confidence: 99%

Assessment of the Arthroscopic Double-Row Restoration Technique's Reliability and Operational Results for Shoulder Cuff Reconstruction

Alam,

Mahmood,

Khan

et al. 2023

PJMHS

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“…Various surgical techniques, from the single-row to the transosseous equivalent technique, 16,20 have been employed to decrease the retear rate, but achieving enthetic regeneration can be challenging, and disorganized scar tissue often forms at the bone-tendon interface. To enhance healing and induce regeneration of functional tissues, biologic strategies such as platelet-rich plasma (PRP), 2,4,19 mesenchymal stem cells, growth factors, and cytokines have been investigated.…”

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confidence: 99%

Effect of Porcine-Derived Absorbable Patch-Type Atelocollagen for Arthroscopic Rotator Cuff Repair: A Prospective Randomized Controlled Trial

Kim,

Cho,

Jung

et al. 2024

Am J Sports Med

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Background: Even though arthroscopic rotator cuff repair is recognized as a standard treatment option, the risk of postoperative retear is a major concern. Purpose: To evaluate the effect of porcine-derived absorbable patch-type atelocollagen during arthroscopic rotator cuff repair. Study Design: Randomized controlled trial; Level of evidence, 1. Methods: A total of 64 patients with rotator cuff tears diagnosed on magnetic resonance imaging (MRI) were enrolled prospectively from November 2020 to December 2021. Both groups had repairs using the suture bridge technique. For the atelocollagen group, before securing the lateral anchors, we inserted porcine-derived absorbable patch-type atelocollagen between the footprint and the tendon. On postoperative day 2, the patients underwent MRI to confirm containment of the patch-type atelocollagen. At 6 months and 1 year postoperatively, the signal intensity of the repaired tendon was assessed using MRI. Patients were evaluated using the Constant score as the primary outcome, along with the visual analog scale for pain; range of motion; American Shoulder and Elbow Surgeons score; University of California, Los Angeles, score; and Korean Shoulder Score preoperatively and at 2, 3, 6, and 12 months postoperatively. Results: No significant changes in the Constant score as primary outcome, pain or other functional scores, and range of motion were observed between the groups at 1 year postoperatively. The patch-type atelocollagen was confirmed to be contained by the time-zero MRI scan taken 2 days postoperatively. Among the 55 patients included in final analysis, 12 retear cases were recorded (21.8% retear rate). A significantly lower retear rate was found in the atelocollagen group, as 3 cases were observed in this group (10.3%) and 9 cases were observed in the conventional repair group (34.6%) ( P = .048). Conclusion: The Constant score was not different between the groups. The retear rate after rotator cuff repair was significantly lower in the group that received porcine-derived absorbable patch-type atelocollagen compared with in the conventional group. Registration: KCT0005184 (Clinical Research Information Service [CRIS]; https://cris.nih.go.kr ).

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Rates of medial and lateral row failure and risk factors for Re-tear in arthroscopic double row rotator cuff repair

Turcotte

Kelly

West

et al. 2023

Journal of Clinical Orthopaedics and Trauma

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What is the Optimal Construct to Reduce Failure in Arthroscopic Four Anchor Rotator Cuff Repair?

Cited by 3 publications

References 32 publications

Assessment of the Arthroscopic Double-Row Restoration Technique's Reliability and Operational Results for Shoulder Cuff Reconstruction

Assessment of the Arthroscopic Double-Row Restoration Technique's Reliability and Operational Results for Shoulder Cuff Reconstruction

Effect of Porcine-Derived Absorbable Patch-Type Atelocollagen for Arthroscopic Rotator Cuff Repair: A Prospective Randomized Controlled Trial

Rates of medial and lateral row failure and risk factors for Re-tear in arthroscopic double row rotator cuff repair

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