Clinical outcomes and repair integrity of arthroscopic rotator cuff repair using suture-bridge technique with or without medial tying: prospective comparative study

There have been few studies comparing clinical and radiological outcomes between the conventional and knotless suture-bridge techniques. The purpose of this study was to evaluate and compare the functional outcomes and repair integrity of arthroscopic conventional and knotless suture-bridge techniqu...

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Published in:Journal of orthopaedic surgery and research 2018-08, Vol.13 (1), p.212-212, Article 212
Main Authors: Kim, Kyung Cheon, Shin, Hyun Dae, Lee, Woo-Yong, Yeon, Kyu-Woong, Han, Sun-Cheol
Format: Article
Language:English
Subjects:
Adult
Aged
Analysis
Arthroscopy
Care and treatment
Clinical outcomes
Elbow
Endoscopic surgery
Female
Humans
Injuries
Joints
Knotless
Magnetic Resonance Imaging
Male
Medial knot tying
Middle Aged
NMR
Nuclear magnetic resonance
Orthopedics
Outcome and process assessment (Health Care)
Pain
Patients
Prospective Studies
Range of Motion, Articular
Rotator cuff
Rotator Cuff Injuries - diagnostic imaging
Rotator Cuff Injuries - surgery
Shoulder
Studies
Surgery
Suture Techniques
Suture-bridge
Sutures
Tendon injuries
Treatment Outcome
Ultrasonic imaging
Ultrasound
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description There have been few studies comparing clinical and radiological outcomes between the conventional and knotless suture-bridge techniques. The purpose of this study was to evaluate and compare the functional outcomes and repair integrity of arthroscopic conventional and knotless suture-bridge technique for full-thickness rotator cuff tears. We prospectively followed 100 consecutive patients (100 shoulders) with full-thickness rotator cuff tears treated with the arthroscopic conventional or knotless suture-bridge technique from October 2012 to July 2014. Enrolled patients returned for follow-up functional evaluations at 1 and 2 years after the operation. There were four outcome measures in this study: American Shoulder and Elbow Surgeons (ASES) scores, Shoulder Rating Scale of the University of California at Los Angeles (UCLA) scores, Constant scores, and visual analog scale (VAS) pain scores. Enrolled patients returned for follow-up magnetic resonance imaging or ultrasonography evaluation to confirm the integrity of the repaired cuff at 6 months post-operation (97% follow-up rate). Also, we investigated the preoperative cuff retraction of enrolled patients using preoperative MRI to find out correlation between the stage of cuff retraction and re-tear rate. At final follow-up, the average UCLA, ASES, Constant, and VAS scores had improved significantly to 32.5, 88.0, 80.4, and 1.3, respectively, in the conventional suture-bridge technique group and to 33.0, 89.7, 81.2, and 1.2, respectively, in the knotless suture-bridge technique group. The UCLA, ASES, Constant, and VAS scores improved in both groups after surgery (all p 
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The purpose of this study was to evaluate and compare the functional outcomes and repair integrity of arthroscopic conventional and knotless suture-bridge technique for full-thickness rotator cuff tears. We prospectively followed 100 consecutive patients (100 shoulders) with full-thickness rotator cuff tears treated with the arthroscopic conventional or knotless suture-bridge technique from October 2012 to July 2014. Enrolled patients returned for follow-up functional evaluations at 1 and 2 years after the operation. There were four outcome measures in this study: American Shoulder and Elbow Surgeons (ASES) scores, Shoulder Rating Scale of the University of California at Los Angeles (UCLA) scores, Constant scores, and visual analog scale (VAS) pain scores. Enrolled patients returned for follow-up magnetic resonance imaging or ultrasonography evaluation to confirm the integrity of the repaired cuff at 6 months post-operation (97% follow-up rate). Also, we investigated the preoperative cuff retraction of enrolled patients using preoperative MRI to find out correlation between the stage of cuff retraction and re-tear rate. At final follow-up, the average UCLA, ASES, Constant, and VAS scores had improved significantly to 32.5, 88.0, 80.4, and 1.3, respectively, in the conventional suture-bridge technique group and to 33.0, 89.7, 81.2, and 1.2, respectively, in the knotless suture-bridge technique group. The UCLA, ASES, Constant, and VAS scores improved in both groups after surgery (all p &lt; 0.001), and there were no significant differences between the two groups at 2-year follow-up (p = 0.292, 0.359, 0.709, and 0.636, respectively). The re-tear rate of repaired rotator cuffs was 16.3% (8/49 shoulders) in the conventional suture-bridge technique group and 29.2% (14/48 shoulders) in the knotless suture-bridge technique group; this difference was not significant (p = 0.131). There were no significant differences between the re-tear rate of the two groups in the Patte stage I and II (p = 0.358 and 0.616). The knotless suture-bridge technique showed comparable functional outcomes to those of conventional suture-bridge techniques in medium-to-large, full-thickness rotator cuff tears at short-term follow-up. The knotless suture-bridge technique had a higher re-tear rate compared with conventional suture-bridge technique, although the difference was not significant.</description><identifier>ISSN: 1749-799X</identifier><identifier>EISSN: 1749-799X</identifier><identifier>DOI: 10.1186/s13018-018-0921-z</identifier><identifier>PMID: 30153852</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adult ; Aged ; Analysis ; Arthroscopy ; Care and treatment ; Clinical outcomes ; Elbow ; Endoscopic surgery ; Female ; Humans ; Injuries ; Joints ; Knotless ; Magnetic Resonance Imaging ; Male ; Medial knot tying ; Middle Aged ; NMR ; Nuclear magnetic resonance ; Orthopedics ; Outcome and process assessment (Health Care) ; Pain ; Patients ; Prospective Studies ; Range of Motion, Articular ; Rotator cuff ; Rotator Cuff Injuries - diagnostic imaging ; Rotator Cuff Injuries - surgery ; Shoulder ; Studies ; Surgery ; Suture Techniques ; Suture-bridge ; Sutures ; Tendon injuries ; Treatment Outcome ; Ultrasonic imaging ; Ultrasound</subject><ispartof>Journal of orthopaedic surgery and research, 2018-08, Vol.13 (1), p.212-212, Article 212</ispartof><rights>COPYRIGHT 2018 BioMed Central Ltd.</rights><rights>Copyright © 2018. 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There were no significant differences between the re-tear rate of the two groups in the Patte stage I and II (p = 0.358 and 0.616). The knotless suture-bridge technique showed comparable functional outcomes to those of conventional suture-bridge techniques in medium-to-large, full-thickness rotator cuff tears at short-term follow-up. 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The purpose of this study was to evaluate and compare the functional outcomes and repair integrity of arthroscopic conventional and knotless suture-bridge technique for full-thickness rotator cuff tears. We prospectively followed 100 consecutive patients (100 shoulders) with full-thickness rotator cuff tears treated with the arthroscopic conventional or knotless suture-bridge technique from October 2012 to July 2014. Enrolled patients returned for follow-up functional evaluations at 1 and 2 years after the operation. There were four outcome measures in this study: American Shoulder and Elbow Surgeons (ASES) scores, Shoulder Rating Scale of the University of California at Los Angeles (UCLA) scores, Constant scores, and visual analog scale (VAS) pain scores. Enrolled patients returned for follow-up magnetic resonance imaging or ultrasonography evaluation to confirm the integrity of the repaired cuff at 6 months post-operation (97% follow-up rate). Also, we investigated the preoperative cuff retraction of enrolled patients using preoperative MRI to find out correlation between the stage of cuff retraction and re-tear rate. At final follow-up, the average UCLA, ASES, Constant, and VAS scores had improved significantly to 32.5, 88.0, 80.4, and 1.3, respectively, in the conventional suture-bridge technique group and to 33.0, 89.7, 81.2, and 1.2, respectively, in the knotless suture-bridge technique group. The UCLA, ASES, Constant, and VAS scores improved in both groups after surgery (all p &lt; 0.001), and there were no significant differences between the two groups at 2-year follow-up (p = 0.292, 0.359, 0.709, and 0.636, respectively). The re-tear rate of repaired rotator cuffs was 16.3% (8/49 shoulders) in the conventional suture-bridge technique group and 29.2% (14/48 shoulders) in the knotless suture-bridge technique group; this difference was not significant (p = 0.131). There were no significant differences between the re-tear rate of the two groups in the Patte stage I and II (p = 0.358 and 0.616). The knotless suture-bridge technique showed comparable functional outcomes to those of conventional suture-bridge techniques in medium-to-large, full-thickness rotator cuff tears at short-term follow-up. The knotless suture-bridge technique had a higher re-tear rate compared with conventional suture-bridge technique, although the difference was not significant.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>30153852</pmid><doi>10.1186/s13018-018-0921-z</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0001-8706-6026</orcidid><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1749-799X
ispartof Journal of orthopaedic surgery and research, 2018-08, Vol.13 (1), p.212-212, Article 212
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1749-799X
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source Publicly Available Content Database; PubMed Central
subjects Adult
Aged
Analysis
Arthroscopy
Care and treatment
Clinical outcomes
Elbow
Endoscopic surgery
Female
Humans
Injuries
Joints
Knotless
Magnetic Resonance Imaging
Male
Medial knot tying
Middle Aged
NMR
Nuclear magnetic resonance
Orthopedics
Outcome and process assessment (Health Care)
Pain
Patients
Prospective Studies
Range of Motion, Articular
Rotator cuff
Rotator Cuff Injuries - diagnostic imaging
Rotator Cuff Injuries - surgery
Shoulder
Studies
Surgery
Suture Techniques
Suture-bridge
Sutures
Tendon injuries
Treatment Outcome
Ultrasonic imaging
Ultrasound
title Clinical outcomes and repair integrity of arthroscopic rotator cuff repair using suture-bridge technique with or without medial tying: prospective comparative study
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