Repair integrity and clinical outcome after arthroscopic rotator cuff repair using single-row anchor fixation: A prospective study of single-tendon and two-tendon tears

This prospective study determined whether single-row anchor fixation would reliably improve clinical outcome and maintain structural integrity after arthroscopic repair of single-tendon and 2-tendon rotator cuff tears. In 39 patients, 21 shoulders had single-tendon tears and 18 had 2-tendon tears. M...

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Bibliographic Details
Published in:Journal of shoulder and elbow surgery 2008-11, Vol.17 (6), p.845-852
Main Authors: Deutsch, Allen, MD, Kroll, Derek G., BS, Hasapes, Joseph, MD, Staewen, R. Scott, MD, Pham, Cynthia, MD, Tait, Cindy, BA
Format: Article
Language:English
Subjects:
Adult
Aged
Arthroscopy
Arthroscopy - methods
Biological and medical sciences
Diseases of the osteoarticular system
Endoscopy
Female
Humans
Injuries of the limb. Injuries of the spine
Investigative techniques, diagnostic techniques (general aspects)
Magnetic Resonance Imaging
Male
Medical sciences
Middle Aged
Orthopedics
Prospective Studies
Rotator Cuff - surgery
Rotator Cuff Injuries
Rupture
Suture Techniques
Traumas. Diseases due to physical agents
Treatment Outcome
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Summary:This prospective study determined whether single-row anchor fixation would reliably improve clinical outcome and maintain structural integrity after arthroscopic repair of single-tendon and 2-tendon rotator cuff tears. In 39 patients, 21 shoulders had single-tendon tears and 18 had 2-tendon tears. Mean follow-up was 38 months (minimum, 24 months). A standardized assessment was done preoperatively and postoperatively at yearly intervals. Postoperative magnetic resonance imaging (MRI) was performed at a minimum 1-year follow-up. Mean forward elevation, pain, satisfaction, and American Shoulder and Elbow Surgeons scores significantly improved for both groups ( P < .01). Postoperative MRI examinations showed 19 cuffs (90%) were intact for single-tendon tears and 15 (83%) were intact for 2-tendon tears. A recurrent tear on postoperative MRI was significantly correlated with the intraoperative finding of asymmetric retraction. Arthroscopic rotator cuff repair using single-row anchor fixation resulted in significant improvements in clinical outcome and reliable repair integrity for both single-tendon and 2-tendon tears.
ISSN:1058-2746
1532-6500
DOI:10.1016/j.jse.2008.04.004