Arthroscopic double-row cuff repair with suture-bridging: a structural and functional comparison of two techniques

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• 作者：P. Boyer ; C. Bouthors ; T. Delcourt…
• 关键词：Rotator cuff ; Shoulder ; Arthroscopy ; Repair ; Tendon
• 刊名：Knee Surgery, Sports Traumatology, Arthroscopy
• 出版年：2015
• 出版时间：February 2015
• 年：2015
• 卷：23
• 期：2
• 页码：478-486
• 全文大小：503 KB
• 参考文献：1. Bateman JE (1963) The diagnosis and treatment of ruptures of the rotator cuff. Surg Clin North Am 43:1523-530
  2. Behrens SB, Bruce B, Zonno AJ, Paller D, Green A (2012) Initial fixation strength of transosseous-equivalent suture bridge rotator cuff repair is comparable with transosseous repair. Am J Sports Med 40(1):133-40 CrossRef
  3. Cho NS, Lee BG, Rhee YG (2011) Arthroscopic rotator cuff repair using a suture bridge technique: is the repair integrity actually maintained? Am J Sports Med 39(10):2108-116 CrossRef
  4. Christoforetti JJ, Krupp RJ, Singleton SB, Kissenberth MJ, Cook C, Hawkins RJ (2012) Arthroscopic suture—bridge transosseus equivalent fixation of rotator cuff tendon pre-serves intratendinous blood flow at the time of initial fixation. J Should Elbow Surg 21(4):523-30 CrossRef
  5. Dehaan AM, Axelrad TW, Kaye E, Silvestri L, Puskas B, Foster TE (2012) Does double-row rotator cuff repair improve functional outcome of patients compared with single- row technique? A systematic review. Am J Sports Med 40(5):1176-185 CrossRef
  6. El-Azab H, Buchmann S, Beitzel K, Waldt S, Imhoff AB (2010) Clinical and structural evaluation of arthroscopic double-row suture-bridge rotator cuff repair: early results of a novel technique. Knee Surg Sports Traumatol Arthrosc 18(12):1730-737 CrossRef
  7. Frank JB, ElAttrache NS, Dines JS, Blackburn A, Crues J, Tibone JE (2008) Repair site integrity after arthroscopic transosseous-equivalent suture-bridge rotator cuff repair. Am J Sports Med 36(8):1496-503 CrossRef
  8. Gerber C, Schneeberger AG, Beck M, Schlegel U (1994) Mechanical strength of repairs of the rotator cuff. J Bone Joint Surg Br 76(3):371-80
  9. Goutallier D, Postel JM, Bernageau J, Lavau L, Voisin MC (1994) Fatty muscle degeneration in cuff ruptures. Pre- and postoperative evaluation by CT scan. Clin Orthop Relat Res 304:78-3
  10. Goutallier D, Postel JM, Van Driessche S, Voisin MC (2005) Histological lesions of supraspinatus tendons in full thickness tears of the rotator cuff. Rev Chir Orthop Repara Trice Appar Mot 91(2):109-13 CrossRef
  11. Kim DH, Elattrache NS, Tibone JE, Jun BJ, DeLaMora SN, Kvitne RS, Lee TQ (2006) Biomechanical comparison of a single-row versus double-row suture anchor technique for rotator cuff repair. Am J Sports Med 34(3):407-14 CrossRef
  12. Kim JR, Cho YS, Ryu KJ, Kim JH (2012) Clinical and radiographic outcomes after arthroscopic repair of massive rotator cuff tears using a suture bridge technique: assessment of repair integrity on magnetic resonance imaging. Am J Sports Med 40(4):786-93 CrossRef
  13. Kim KC, Rhee KJ, Shin HD, Kim YM (2007) A modified suture-bridge technique for a marginal dog-ear deformity caused during rotator cuff repair. Arthroscopy 23(5):561 e562-61 e564
  14. Kim KC, Shin HD, Lee WY, Han SC (2012) Repair integrity and functional outcome after arthroscopic rotator cuff repair: double-row versus suture-bridge technique. Am J Sports Med 40(2):294-99 CrossRef
  15. Lafosse L, Brozska R, Toussaint B, Gobezie R (2007) The outcome and structural integrity of arthroscopic rotator cuff repair with use of the double-row suture anchor technique. J Bone Joint Surg Am 89(7):1533-541 CrossRef
  16. Maguire M, Goldberg J, Bokor D, Bertollo N, Pelletier MH, Harper W, Walsh WR (2011) Biomechanical evaluation of four different transosseous-equivalent/suture bridge rota-tor cuff repairs. Knee Surg Sports Traumatol Arthrosc 19(9):1582-587 CrossRef
  17. Meier SW, Mei
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Orthopedics
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1433-7347

文摘

Purpose The aim of this study was to compare the functional and structural outcomes of 2 techniques for double-row, suture-bridging cuff repair. Methods A consecutive series of 73 patients who underwent arthroscopic, double-row, suture-bridge primary rotator cuff repair of full-thickness supraspinatus tear were evaluated. Thirty-eight shoulders were repaired by the arthroscopic, tied, suture-bridging technique (group A), and 35 shoulders by knot-less bridging with suture tape material (group B). Constant scores, pain, range of motion, strength, and complications were measured after a minimum follow-up period of 12?months post-operatively. Structural integrity of the repairs was evaluated systematically by either magnetic resonance imaging or computed tomography arthrography. Results Median follow-up after surgery was 29 (23-2) months in group A, and 21 (12-3) months in group B. Mean pain relief, range of motion, strength, and constant score improved significantly in both groups. No statistical differences were found between groups in the post-operative period. According to control imaging, the re-tear rate trended to be higher in group A (23.4?%) than in group B (17.1?%), although not significantly. Conclusion Both bridging repair techniques achieved successful functional outcomes. In terms of structural outcome, the knot-less tape-bridging construct showed a lower but not significant re-tear rate. Longer follow-up is needed to confirm these results and to evaluate potential differences between the two techniques. Level of evidence A prospective, non-randomized, comparative study, Level III.