Outcomes of Double-Row Rotator Cuff Repair Using a Novel All-Suture Soft Anchor Medial Row

Overview

Journal Orthop J Sports Med

Specialty Orthopedics

Date 2023 Aug 14

PMID 37576454

Authors

Alexander E Loeb

Brook Ostrander

Matthew P Ithurburn

Glenn S Fleisig

Cristian Arceo

David Brockington

Robert Tatum

John J Feldman

Michael K Ryan

Marcus A Rothermich

Benton A Emblom

Jeffrey R Dugas

E Lyle Cain

Affiliations

Soon will be listed here.

Abstract

Background: Few studies have examined the short-term clinical outcomes of rotator cuff repair (RCR) with all-suture anchors for medial row anchor fixation.

Purpose: To evaluate clinical outcomes of double-row suture bridge RCR using a novel all-suture medial row anchor.

Study Design: Case series; Level of evidence, 4.

Methods: We enrolled 179 patients before double-row suture bridge RCR (mean age at surgery, 60.0 years; 63% male patients) at a single institution. All patients underwent RCR with all-suture anchor fixation for the medial row and solid anchor fixation for the lateral row. Preoperative (baseline) and follow-up (minimum follow-up time of 2 years; mean, 2.5 years) clinical outcomes were compared using the American Shoulder and Elbow Surgeons (ASES) score and a 10-point numeric pain rating scale (NPRS). We calculated the proportions of patients meeting previously published Patient Acceptable Symptom State (PASS) thresholds for the ASES (≥78.0) and NPRS (≤1.7). We further compared baseline and follow-up outcome scores and the proportions of patients meeting PASS thresholds using paired tests and McNemar tests, respectively, and calculated effect size to quantify the magnitude of change from baseline to follow-up.

Results: Values significantly improved from baseline to follow-up for ASES (from 45.3 ± 19.8 to 87.3 ± 17.1) and NPRS (from 5.2 ± 2.5 to 1.4 ± 2.1). The proportion of patients meeting PASS thresholds also significantly improved for the ASES (from 6% to 77%) and the NPRS (from 7% to 72%). The magnitude of baseline to follow-up change for all measures was large (all effect sizes ≥1.5).

Conclusion: Our study demonstrated excellent short-term clinical outcomes and substantial improvements for patients undergoing double-row suture bridge RCR with all-suture anchors for medial row fixation.

Citing Articles

The Relationship Between All-Suture and Solid Medial-Row Anchors and Patient-Reported Outcomes for Double-Row Suture Bridge Rotator Cuff Repair.

Feldman J, Ostrander B, Ithurburn M, Fleisig G, Tatum R, Ochsner M Orthop J Sports Med. 2024; 12(8):23259671241262264.

PMID: 39131094 PMC: 11307331. DOI: 10.1177/23259671241262264.

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