Arthroscopic Rotator Cuff Repair: Double-Row Transosseous Equivalent Suture Bridge Technique

Overview

Journal Arthrosc Tech

Publisher Elsevier

Date 2017 Feb 3

PMID 28149729

Citations 5

Authors

Mina Abdelshahed

Siddharth A Mahure

Daniel J Kaplan

Brent Mollon

Joseph D Zuckerman

Young W Kwon

Andrew S Rokito

Affiliations

Soon will be listed here.

Abstract

Following a failed course of conservative management, arthroscopic rotator cuff repair (ARCR) has become the gold standard treatment for patients presenting with symptomatic rotator cuff (RC) tears. Traditionally, the single-row repair technique was used. Although most patients enjoy good to excellent clinical outcomes, structural healing to bone remains problematic. As a result, orthopaedic surgeons have sought to improve outcomes with various technological and technical advancements. One such possible advancement is the double-row technique. We present a method for repairing an RC tear using double-row suture anchors in a transosseous equivalent suture bridge technique. The double-row technique is believed to more effectively re-create the anatomic footprint of the tendon, as well as increase tendon to bone surface area, and apposition for healing. However, it requires longer operating times and is costlier. This report highlights this technique for ARCR in an adult by using a double-row transosseous equivalent suture bridge.

Citing Articles

Arthroscopic Double-Pulley Suture-Bridge Repair of Supraspinatus Tendon Tear.

Huang P, Tang X Arthrosc Tech. 2024; 13(1):102810.

PMID: 38312863 PMC: 10837790. DOI: 10.1016/j.eats.2023.08.015.

Merged Lateral Row Modification of the Suture Bridge Technique for Simultaneous Supraspinatus and Subscapularis Repair.

Su Y, Lin Y, Chang W, Wang J, Hsu K, Kuan F Arthrosc Tech. 2023; 12(1):e33-e37.

PMID: 36814989 PMC: 9939548. DOI: 10.1016/j.eats.2022.08.054.

Comparison of Locking-Loop Suture Bridge Repair and Single-Row Suture Anchor Repair in Small to Medium Rotator Cuff Tears: A Prospective Cohort Study With Clinical and Ultrasound Evaluations.

Wang Y, Chen H, Wong C, Chang W, Lin C, Liaw C Orthop J Sports Med. 2023; 11(1):23259671221142242.

PMID: 36636031 PMC: 9830097. DOI: 10.1177/23259671221142242.

Early postoperative pain as a risk factor of shoulder stiffness after arthroscopic rotator cuff repair.

Guity M, Sobhani Eraghi A, Hosseini-Baharanchi F J Orthop Traumatol. 2021; 22(1):25.

PMID: 34173872 PMC: 8236012. DOI: 10.1186/s10195-021-00585-9.

Histological evaluation of cellular response to a multifilament electrospun suture for tendon repair.

Rashid M, Dudhia J, Dakin S, Snelling S, Lach A, De Godoy R PLoS One. 2020; 15(6):e0234982.

PMID: 32589672 PMC: 7319602. DOI: 10.1371/journal.pone.0234982.

References

Wolf B, Dunn W, Wright R . Indications for repair of full-thickness rotator cuff tears. Am J Sports Med. 2007; 35(6):1007-16. DOI: 10.1177/0363546506295079. View

Grasso A, Milano G, Salvatore M, Falcone G, Deriu L, Fabbriciani C . Single-row versus double-row arthroscopic rotator cuff repair: a prospective randomized clinical study. Arthroscopy. 2008; 25(1):4-12. DOI: 10.1016/j.arthro.2008.09.018. View

Burks R, Crim J, Brown N, Fink B, Greis P . A prospective randomized clinical trial comparing arthroscopic single- and double-row rotator cuff repair: magnetic resonance imaging and early clinical evaluation. Am J Sports Med. 2009; 37(4):674-82. DOI: 10.1177/0363546508328115. View

Bishop J, Santiago-Torres J, Rimmke N, Flanigan D . Smoking Predisposes to Rotator Cuff Pathology and Shoulder Dysfunction: A Systematic Review. Arthroscopy. 2015; 31(8):1598-605. DOI: 10.1016/j.arthro.2015.01.026. View

Rodeo S, Arnoczky S, Torzilli P, Hidaka C, Warren R . Tendon-healing in a bone tunnel. A biomechanical and histological study in the dog. J Bone Joint Surg Am. 1993; 75(12):1795-803. DOI: 10.2106/00004623-199312000-00009. View

Mazzocca A, Millett P, Guanche C, Santangelo S, Arciero R . Arthroscopic single-row versus double-row suture anchor rotator cuff repair. Am J Sports Med. 2005; 33(12):1861-8. DOI: 10.1177/0363546505279575. View

Dugas J, Campbell D, Warren R, Robie B, Millett P . Anatomy and dimensions of rotator cuff insertions. J Shoulder Elbow Surg. 2002; 11(5):498-503. DOI: 10.1067/mse.2002.126208. View

Smith C, Alexander S, Hill A, Huijsmans P, Bull A, Amis A . A biomechanical comparison of single and double-row fixation in arthroscopic rotator cuff repair. J Bone Joint Surg Am. 2006; 88(11):2425-31. DOI: 10.2106/JBJS.E.00697. View

Rudzki J, Adler R, Warren R, Kadrmas W, Verma N, Pearle A . Contrast-enhanced ultrasound characterization of the vascularity of the rotator cuff tendon: age- and activity-related changes in the intact asymptomatic rotator cuff. J Shoulder Elbow Surg. 2007; 17(1 Suppl):96S-100S. DOI: 10.1016/j.jse.2007.07.004. View

10.

Millett P, Warth R, Dornan G, Lee J, Spiegl U . Clinical and structural outcomes after arthroscopic single-row versus double-row rotator cuff repair: a systematic review and meta-analysis of level I randomized clinical trials. J Shoulder Elbow Surg. 2014; 23(4):586-97. DOI: 10.1016/j.jse.2013.10.006. View

11.

Dines J, Bedi A, ElAttrache N, Dines D . Single-row versus double-row rotator cuff repair: techniques and outcomes. J Am Acad Orthop Surg. 2010; 18(2):83-93. DOI: 10.5435/00124635-201002000-00003. View

12.

Burkhart S, Esch J, Jolson R . The rotator crescent and rotator cable: an anatomic description of the shoulder's "suspension bridge". Arthroscopy. 1993; 9(6):611-6. DOI: 10.1016/s0749-8063(05)80496-7. View

13.

Nelson C, Sileo M, Grossman M, Serra-Hsu F . Single-row modified mason-allen versus double-row arthroscopic rotator cuff repair: a biomechanical and surface area comparison. Arthroscopy. 2008; 24(8):941-8. DOI: 10.1016/j.arthro.2008.03.011. View

14.

Tuoheti Y, Itoi E, Yamamoto N, Seki N, Abe H, Minagawa H . Contact area, contact pressure, and pressure patterns of the tendon-bone interface after rotator cuff repair. Am J Sports Med. 2005; 33(12):1869-74. DOI: 10.1177/0363546505278256. View

15.

Audige L, Blum R, Muller A, Flury M, Durchholz H . Complications Following Arthroscopic Rotator Cuff Tear Repair: A Systematic Review of Terms and Definitions With Focus on Shoulder Stiffness. Orthop J Sports Med. 2015; 3(6):2325967115587861. PMC: 4622367. DOI: 10.1177/2325967115587861. View

16.

Oguma H, Murakami G, Takahashi-Iwanaga H, Aoki M, Ishii S . Early anchoring collagen fibers at the bone-tendon interface are conducted by woven bone formation: light microscope and scanning electron microscope observation using a canine model. J Orthop Res. 2001; 19(5):873-80. DOI: 10.1016/S0736-0266(01)00021-3. View

17.

Ensor K, Kwon Y, Dibeneditto M, Zuckerman J, Rokito A . The rising incidence of rotator cuff repairs. J Shoulder Elbow Surg. 2013; 22(12):1628-32. DOI: 10.1016/j.jse.2013.01.006. View

18.

Ying Z, Lin T, Yan S . Arthroscopic single-row versus double-row technique for repairing rotator cuff tears: a systematic review and meta-analysis. Orthop Surg. 2014; 6(4):300-12. PMC: 6583296. DOI: 10.1111/os.12139. View

19.

Itoi E . Rotator cuff tear: physical examination and conservative treatment. J Orthop Sci. 2013; 18(2):197-204. PMC: 3607722. DOI: 10.1007/s00776-012-0345-2. View

20.

Kim D, ElAttrache N, Tibone J, Jun B, DeLaMora S, Kvitne R . Biomechanical comparison of a single-row versus double-row suture anchor technique for rotator cuff repair. Am J Sports Med. 2005; 34(3):407-14. DOI: 10.1177/0363546505281238. View