What is wrong in comparison of single- and double-row repairs in rotator cuff tears?

When the meta-analysis studies comparing single-row (SR) and double-row (DR) repair methods in the literature are examined, the SR method is unsuccessful in re-tears especially in large and massive tears. In this study, I was able to determine that, except for Barber’s work, double-loaded anchors we...

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Bibliographic Details
Published in:European journal of orthopaedic surgery & traumatology 2019-10, Vol.29 (7), p.1589-1590
Main Author: Deveci, Alper
Format: Article
Language:English
Subjects:
Arthroplasty
Humans
Letter to the Editor • SHOULDER - ARTHROSCOPY
Medicine
Medicine & Public Health
Rotator cuff
Rotator Cuff - surgery
Rotator Cuff Injuries
Surgical Orthopedics
Suture Anchors
Suture Techniques
Traumatic Surgery
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Summary:When the meta-analysis studies comparing single-row (SR) and double-row (DR) repair methods in the literature are examined, the SR method is unsuccessful in re-tears especially in large and massive tears. In this study, I was able to determine that, except for Barber’s work, double-loaded anchors were used for the SR repair. Particularly, low tension of the repaired muscle–tendon unit is important in terms of repairable massive retracted cuff tears. For this reason, medially placed triple-loaded anchors were developed. Again, the SR ripstop method using suture tape, in terms of re-tears and success rates, is similar to the double-row suture bridge method. Based on current systemic review and meta-analysis studies, it is not appropriate to adapt SR and DR rotator cuff repair results to today’s conditions.
ISSN:1633-8065
1432-1068
DOI:10.1007/s00590-019-02462-y