Arthroscopic V-Shaped Double-Pulley Suture-Bridge Repair of Massive Rotator Cuff Tear

Overview

Journal Arthrosc Tech

Publisher Elsevier

Date 2024 Dec 23

PMID 39711909

Authors

Peiguan Huang

Xiaoxu Wang

Yong Fu

Xiaojun Tang

Zhihong Xiao

Zhengmao Li

Bin Peng

Min He

Chunrong He

Affiliations

Soon will be listed here.

Abstract

At present, suture bridge is a feasible choice in the treatment of massive rotator cuff tears (MRCTs). However, high tension on the repair site and medial tension during suture tightening and after medial knotting are unavoidable problems in MRCT repair with a suture bridge. Arthroscopic V-shaped double-pulley suture-bridge repair is a pragmatic surgical technique for the repair of MRCTs. The unique parallel design of medial- and lateral-row anchors can minimize tendon tension on the apex portion; 6 sets of double-pulley suture bridges can not only provide sufficient tendon-bone contact area but also reduce the tendon retear rate. Moreover, medial knotless techniques can reduce tendon tension.

References

Yang Jr J, Robbins M, Reilly J, Maerz T, Anderson K . The Clinical Effect of a Rotator Cuff Retear: A Meta-analysis of Arthroscopic Single-Row and Double-Row Repairs. Am J Sports Med. 2016; 45(3):733-741. DOI: 10.1177/0363546516652900. View

Trantalis J, Boorman R, Pletsch K, Lo I . Medial rotator cuff failure after arthroscopic double-row rotator cuff repair. Arthroscopy. 2008; 24(6):727-31. DOI: 10.1016/j.arthro.2008.03.009. View

Colak C, Bullen J, Entezari V, Forney M, Ilaslan H . Magnetic resonance imaging of deltoid muscle/tendon tears: a descriptive study. Skeletal Radiol. 2021; 50(10):1995-2003. DOI: 10.1007/s00256-021-03727-6. View

Takeuchi Y, Sugaya H, Takahashi N, Matsuki K, Tokai M, Morioka T . Repair Integrity and Retear Pattern After Arthroscopic Medial Knot-Tying After Suture-Bridge Lateral Row Rotator Cuff Repair. Am J Sports Med. 2020; 48(10):2510-2517. DOI: 10.1177/0363546520934786. View

Huang P, Tang X . Arthroscopic Double-Pulley Suture-Bridge Repair of Supraspinatus Tendon Tear. Arthrosc Tech. 2024; 13(1):102810. PMC: 10837790. DOI: 10.1016/j.eats.2023.08.015. View

El-Azab H, Rott O, Irlenbusch U . Long-term follow-up after latissimus dorsi transfer for irreparable posterosuperior rotator cuff tears. J Bone Joint Surg Am. 2015; 97(6):462-9. DOI: 10.2106/JBJS.M.00235. View

Guo S, Zhu Y, Song G, Jiang C . Assessment of Tendon Retraction in Large to Massive Rotator Cuff Tears: A Modified Patte Classification Based on 2 Coronal Sections on Preoperative Magnetic Resonance Imaging With Higher Specificity on Predicting Reparability. Arthroscopy. 2020; 36(11):2822-2830. DOI: 10.1016/j.arthro.2020.06.023. View

Buyukdogan K, Aslan L, Koyuncu O, Eren I, Birsel O, Fox M . Long-term outcomes after arthroscopic transosseous-equivalent repair: clinical and magnetic resonance imaging results of rotator cuff tears at a minimum follow-up of 10 years. J Shoulder Elbow Surg. 2021; 30(12):2767-2777. DOI: 10.1016/j.jse.2021.04.034. View

Collin P, Betz M, Herve A, Walch G, Mansat P, Favard L . Clinical and structural outcome 20 years after repair of massive rotator cuff tears. J Shoulder Elbow Surg. 2019; 29(3):521-526. DOI: 10.1016/j.jse.2019.07.031. View

10.

Esquivel A, Duncan D, Dobrasevic N, Marsh S, Lemos S . Load to Failure and Stiffness: Anchor Placement and Suture Pattern Effects on Load to Failure in Rotator Cuff Repairs. Orthop J Sports Med. 2015; 3(4):2325967115579052. PMC: 4622340. DOI: 10.1177/2325967115579052. View

11.

Lippe J, Spang J, Leger R, Arciero R, Mazzocca A, Shea K . Inter-rater agreement of the Goutallier, Patte, and Warner classification scores using preoperative magnetic resonance imaging in patients with rotator cuff tears. Arthroscopy. 2011; 28(2):154-9. DOI: 10.1016/j.arthro.2011.07.016. View

12.

Yoo J, Ahn J, Koh K, Lim K . Rotator cuff integrity after arthroscopic repair for large tears with less-than-optimal footprint coverage. Arthroscopy. 2009; 25(10):1093-100. DOI: 10.1016/j.arthro.2009.07.010. View

13.

Choi S, Kim M, Kim G, Roh Y, Hwang I, Kang H . Factors associated with clinical and structural outcomes after arthroscopic rotator cuff repair with a suture bridge technique in medium, large, and massive tears. J Shoulder Elbow Surg. 2014; 23(11):1675-81. DOI: 10.1016/j.jse.2014.02.021. View

14.

Kim S, Cho W, Joung H, Choi Y, Jung M . Perfusion of the Rotator Cuff Tendon According to the Repair Configuration Using an Indocyanine Green Fluorescence Arthroscope: A Preliminary Report. Am J Sports Med. 2017; 45(3):659-665. DOI: 10.1177/0363546516669778. View

15.

Li C, Zhang H, Bo X, Zha G, Pang Y, Zheng X . Arthroscopic release combined with single-row fixation or double-row suture bridge fixation in patients with traumatic supraspinatus tear and adhesive capsulitis non-responsive to conservative management: A prospective randomized trial. Orthop Traumatol Surg Res. 2021; 107(4):102828. DOI: 10.1016/j.otsr.2021.102828. View

16.

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

17.

Domb B, Glousman R, Brooks A, Hansen M, Lee T, ElAttrache N . High-tension double-row footprint repair compared with reduced-tension single-row repair for massive rotator cuff tears. J Bone Joint Surg Am. 2008; 90 Suppl 4:35-9. DOI: 10.2106/JBJS.H.00650. View

18.

Galatz L, Ball C, Teefey S, Middleton W, Yamaguchi K . The outcome and repair integrity of completely arthroscopically repaired large and massive rotator cuff tears. J Bone Joint Surg Am. 2004; 86(2):219-24. DOI: 10.2106/00004623-200402000-00002. View

19.

Kim D, Jeon J, Choi B, Cho C . Knot impingement after arthroscopic rotator cuff repair mimicking infection: A case report. World J Clin Cases. 2022; 10(15):5097-5102. PMC: 9198891. DOI: 10.12998/wjcc.v10.i15.5097. View

20.

Uchida A, Mihata T, Neo M . Subacromial bone erosion due to suture-knots in arthroscopic rotator cuff repair: A report of two cases. Asia Pac J Sports Med Arthrosc Rehabil Technol. 2019; 16:30-35. PMC: 6445400. DOI: 10.1016/j.asmart.2018.11.006. View