The Evolution of Arthroscopic Rotator Cuff Repair

Overview

Journal Orthop J Sports Med

Specialty Orthopedics

Date 2021 Dec 13

PMID 34901288

Citations 17

Authors

Rony-Orijit Dey Hazra

Justin J Ernat

Dylan R Rakowski

Robert E Boykin

Peter J Millett

Affiliations

Soon will be listed here.

Abstract

Over the past 30 years, arthroscopic rotator cuff repair (ARCR) has evolved to become the gold standard in treating rotator cuff pathology. As procedural concepts of ARCR continue to improve, it is also continually compared with the open rotator cuff repair as the historical standard of care. This review highlights the evolution of ARCR, including a historical perspective; the anatomic, clinical, and surgical implications of the development of an arthroscopic approach; how arthroscopy improved some of the problems of the open approach; adaptations in techniques and technologies associated with ARCR; future perspectives in orthobiologics as they pertain to ARCR; and lastly, the clinical improvements, or lack of improvements, with all of these adaptations.

Citing Articles

Surgical Interventions for Rotator Cuff Tears: A Comprehensive Literature Review.

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Worse postoperative outcomes and higher reoperation in smokers compared to nonsmokers for arthroscopic rotator cuff repair.

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Low preoperative hematocrit adversely affects short-term outcomes after arthroscopic rotator cuff repair.

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A Modified Mason-Allen Suture Enhancement Technique (Sunglasses Loop) for Single-Row Repair of Medium-to-Large Rotator Cuffs.

Ouyang J, Xiao X, Li B, Zeng L, Xiang Y, Qin Y Arthrosc Tech. 2024; 13(7):103007.

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Exosomes derived from tendon stem/progenitor cells enhance tendon-bone interface healing after rotator cuff repair in a rat model.

He Y, Lu S, Chen W, Yang L, Li F, Zhou P Bioact Mater. 2024; 40:484-502.

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References

Millett P, Warth R . Posterosuperior rotator cuff tears: classification, pattern recognition, and treatment. J Am Acad Orthop Surg. 2014; 22(8):521-34. DOI: 10.5435/JAAOS-22-08-521. View

Ferguson D, Lewington M, Smith T, Wong I . Graft Utilization in the Augmentation of Large-to-Massive Rotator Cuff Repairs: A Systematic Review. Am J Sports Med. 2016; 44(11):2984-2992. DOI: 10.1177/0363546515624463. View

Millett P, Horan M, Maland K, Hawkins R . Long-term survivorship and outcomes after surgical repair of full-thickness rotator cuff tears. J Shoulder Elbow Surg. 2011; 20(4):591-7. DOI: 10.1016/j.jse.2010.11.019. View

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

DEBEYRE J, PATIE D, ELMELIK E . REPAIR OF RUPTURES OF THE ROTATOR CUFF OF THE SHOULDER. J Bone Joint Surg Br. 1965; 47:36-42. View

Kida Y, Morihara T, Matsuda K, Kajikawa Y, Tachiiri H, Iwata Y . Bone marrow-derived cells from the footprint infiltrate into the repaired rotator cuff. J Shoulder Elbow Surg. 2012; 22(2):197-205. DOI: 10.1016/j.jse.2012.02.007. View

Randelli P, Cucchi D, Ragone V, de Girolamo L, Cabitza P, Randelli M . History of rotator cuff surgery. Knee Surg Sports Traumatol Arthrosc. 2014; 23(2):344-62. DOI: 10.1007/s00167-014-3445-z. View

Warth R, Dornan G, James E, Horan M, Millett P . Clinical and structural outcomes after arthroscopic repair of full-thickness rotator cuff tears with and without platelet-rich product supplementation: a meta-analysis and meta-regression. Arthroscopy. 2014; 31(2):306-20. DOI: 10.1016/j.arthro.2014.09.007. View

Kaizawa Y, Franklin A, Leyden J, Behn A, Tulu U, Sotelo Leon D . Augmentation of chronic rotator cuff healing using adipose-derived stem cell-seeded human tendon-derived hydrogel. J Orthop Res. 2019; 37(4):877-886. DOI: 10.1002/jor.24250. View

10.

Schlegel T, Abrams J, Bushnell B, Brock J, Ho C . Radiologic and clinical evaluation of a bioabsorbable collagen implant to treat partial-thickness tears: a prospective multicenter study. J Shoulder Elbow Surg. 2017; 27(2):242-251. DOI: 10.1016/j.jse.2017.08.023. View

11.

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

12.

Nho S, Slabaugh M, Seroyer S, Grumet R, Wilson J, Verma N . Does the literature support double-row suture anchor fixation for arthroscopic rotator cuff repair? A systematic review comparing double-row and single-row suture anchor configuration. Arthroscopy. 2009; 25(11):1319-28. DOI: 10.1016/j.arthro.2009.02.005. View

13.

Wust D, Meyer D, Favre P, Gerber C . Mechanical and handling properties of braided polyblend polyethylene sutures in comparison to braided polyester and monofilament polydioxanone sutures. Arthroscopy. 2006; 22(11):1146-53. DOI: 10.1016/j.arthro.2006.06.013. View

14.

Park M, ElAttrache N, Ahmad C, Tibone J . "Transosseous-equivalent" rotator cuff repair technique. Arthroscopy. 2006; 22(12):1360.e1-5. DOI: 10.1016/j.arthro.2006.07.017. View

15.

Apreleva M, Ozbaydar M, Fitzgibbons P, Warner J . Rotator cuff tears: the effect of the reconstruction method on three-dimensional repair site area. Arthroscopy. 2002; 18(5):519-26. DOI: 10.1053/jars.2002.32930. View

16.

Barber F, Herbert M, Hapa O, Rapley J, Barber C, Bynum J . Biomechanical analysis of pullout strengths of rotator cuff and glenoid anchors: 2011 update. Arthroscopy. 2011; 27(7):895-905. DOI: 10.1016/j.arthro.2011.02.016. View

17.

Longo U, Petrillo S, Loppini M, Candela V, Rizzello G, Maffulli N . Metallic versus biodegradable suture anchors for rotator cuff repair: a case control study. BMC Musculoskelet Disord. 2019; 20(1):477. PMC: 6815043. DOI: 10.1186/s12891-019-2834-3. View

18.

Tauro J . Arthroscopic "interval slide" in the repair of large rotator cuff tears. Arthroscopy. 1999; 15(5):527-30. DOI: 10.1053/ar.1999.v15.0150521. View

19.

Zhang A, Montgomery S, Ngo S, Hame S, Wang J, Gamradt S . Analysis of rotator cuff repair trends in a large private insurance population. Arthroscopy. 2013; 29(4):623-9. DOI: 10.1016/j.arthro.2012.11.004. View

20.

Arnoczky S, Bishai S, Schofield B, Sigman S, Bushnell B, Hommen J . Histologic Evaluation of Biopsy Specimens Obtained After Rotator Cuff Repair Augmented With a Highly Porous Collagen Implant. Arthroscopy. 2016; 33(2):278-283. DOI: 10.1016/j.arthro.2016.06.047. View