[Rotator Cuff Repair: Single- Vs Double-row. Clinical and Biomechanical Results]

Overview

Journal Orthopade

Specialty Orthopedics

Date 2015 Dec 24

PMID 26694067

Citations 5

Authors

M H Baums

T Kostuj

H-M Klinger

R Papalia

Affiliations

Soon will be listed here.

Abstract

Background: The goal of rotator cuff repair is a high initial mechanical stability as a requirement for adequate biological recovery of the tendon-to-bone complex. Notwithstanding the significant increase in publications concerning the topic of rotator cuff repair, there are still controversies regarding surgical technique.

Objectives: The aim of this work is to present an overview of the recently published results of biomechanical and clinical studies on rotator cuff repair using single- and double-row techniques.

Materials And Methods: The review is based on a selective literature research of PubMed, Embase, and the Cochrane Database on the subject of the clinical and biomechanical results of single- and double-row repair.

Results: In general, neither the biomechanical nor the clinical evidence can recommend the use of a double-row concept for the treatment for every rotator cuff tear. Only tears of more than 3 cm seem to benefit from better results on both imaging and in clinical outcome studies compared with the use of single-row techniques.

Conclusions: Despite a significant increase in publications on the surgical treatment of rotator cuff tears in recent years, the clinical results were not significantly improved in the literature so far. Unique information and algorithms, from which the optimal treatment of this entity can be derived, are still inadequate. Because of the cost-effectiveness and the currently vague evidence, the double-row techniques cannot be generally recommended for the repair of all rotator cuff tears.

Citing Articles

A match-pair analysis of single row vs transosseous equivalent double row in massive posterosuperior rotator cuff tears in patients > 70 years old.

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Rotator cuff retear after repair surgery: comparison between experienced and inexperienced surgeons.

Park J, Lee J, Oh K, Chung S, Choi Y, Yoon W Clin Shoulder Elb. 2021; 24(3):135-140.

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Increased acromiohumeral distance in a double-row arthroscopic rotator cuff surgery compared to a single-row surgery after 12 months.

Turan K, Cabuk H, Koroglu C, Ozturk C J Orthop Surg Res. 2021; 16(1):385.

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Proximal Hamstring Repair: A Biomechanical Analysis of Variable Suture Anchor Constructs.

Gerhardt M, Assenmacher B, Chahla J Orthop J Sports Med. 2019; 7(2):2325967118824149.

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The Double-Row Suture Technique: A Better Option for the Treatment of Haglund Syndrome.

Jiang Y, Li Y, Tao T, Li W, Zhang K, Gui J Biomed Res Int. 2017; 2016:1895948.

PMID: 28078282 PMC: 5203889. DOI: 10.1155/2016/1895948.

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