Is the arthroscopic modified tension band suture technique suitable for all full-thickness rotator cuff tears?

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• 作者：Kyu Hwan Bae ; MD^a ; Jeong Woo Kim ; MD^a ; ^{serina@wonkwang.ac.kr" class="auth_mail" title="E-mail the corresponding author} ; Tae Kyun Kim ; MD^a ; Seok Hyun Kweon ; MD^a ; Hong Je Kang ; MD^a ; Jong Yun Kim ; MD^b ; Min Su Joo ; MD^a ; Dong Moon Kim ; PhD^c
• 关键词：Level IV ; Case Series ; Treatment Study
• 刊名：Journal of Shoulder and Elbow Surgery
• 出版年：2016
• 出版时间：September 2016
• 年：2016
• 卷：25
• 期：9
• 页码：1457-1463
• 全文大小：1141 K

文摘

We aimed to identify the clinical and structural outcomes after arthroscopic repair of full-thickness rotator cuff tears of all sizes with a modified tension band suture technique.

Methods

Among 63 patients who underwent arthroscopic rotator cuff repair for a full-thickness rotator cuff tear with the modified tension band suture technique at a single hospital between July 2011 and March 2013, 47 were enrolled in this study. The mean follow-up period was 29 months. Visual analog scale scores, range of motion, American Shoulder and Elbow Surgeons scores, Constant scores, and Shoulder Strength Index were measured preoperatively and at the final follow-up. For radiologic evaluation, we conducted magnetic resonance imaging 6 months postoperatively and ultrasonography at the final follow-up. We allocated the small and medium tears to group A and the large and massive tears to group B and then compared clinical outcomes and repair integrity.

Results

Postoperative clinical outcomes at the final follow-up showed significant improvements compared with those seen during preoperative evaluations (P < .001). However, group B showed worse clinical results than group A. Evaluation with magnetic resonance imaging performed 6 months postoperatively and ultrasonography taken at the final follow-up revealed that group B showed a significantly higher retear rate than did group A (69% vs. 6%, respectively; P < .001).

Conclusion

Arthroscopic repair with the modified tension band suture technique for rotator cuff tears was a more suitable method for small to medium tears than for large to massive tears.