Abstract
Decreasing the re-tear rate associated with rotator cuff repair has been a major focus of the orthopedic literature for the last two decades. While some of the literature has focused on improving the biologic milieu, much of the literature has been on improving the mechanics of the construct attaching the tendon to the bone. Much of this literature has focused on the time-zero strength of the attached tendon. More recently, the biologic response to these constructs, clinical outcomes, and re-tear rates for rotator cuff repair using these differing techniques has become available. This chapter highlights the results of this voluminous literature.
Keywords
Rotator cuff Single-row repair Double-row repair BiologicsReferences
- 1.Harryman DT 2nd, et al. Repairs of the rotator cuff. Correlation of functional results with integrity of the cuff. J Bone Joint Surg Am. 1991;73(7):982–9.PubMedGoogle Scholar
- 2.Galatz LM, et al. The outcome and repair integrity of completely arthroscopically repaired large and massive rotator cuff tears. J Bone Joint Surg Am. 2004;86-A(2):219–24.Google Scholar
- 3.Apreleva M, et al. Rotator cuff tears: the effect of the reconstruction method on three-dimensional repair site area. Arthroscopy. 2002;18(5):519–26.PubMedGoogle Scholar
- 4.Lo IKY, Burkhart SS. Double-row arthroscopic rotator cuff repair: re-establishing the footprint of the rotator cuff. Arthroscopy. 2003;19(9):1035–42.PubMedGoogle Scholar
- 5.Fealy S, Kingham TP, Altchek DW. Mini-open rotator cuff repair using a two-row fixation technique: outcomes analysis in patients with small, moderate, and large rotator cuff tears. Arthroscopy. 2002;18(6):665–70.PubMedGoogle Scholar
- 6.Waltrip RL, et al. Rotator cuff repair:a biomechanical comparison of three techniques. Am J Sports Med. 2003;31(4):493–7.PubMedGoogle Scholar
- 7.Sugaya H, et al. Functional and structural outcome after arthroscopic full-thickness rotator cuff repair: single-row versus dual-row fixation. Arthroscopy. 2005;21(11):1307–16.PubMedGoogle Scholar
- 8.Sugaya H, et al. Repair integrity and functional outcome after arthroscopic double-row rotator cuff repair. A prospective outcome study. J Bone Joint Surg Am. 2007;89(5):953–60.PubMedGoogle Scholar
- 9.Pedowitz RA. Low tension repair is best. Presented AANA, Hollywood, FL. 2014.Google Scholar
- 10.Meier SW, Meier JD. Rotator cuff repair: the effect of double-row fixation on three-dimensional repair site. J Shoulder Elb Surg. 2006;15(6):691–6.Google Scholar
- 11.Rodosky MW, et al. Biomechanical evaluations of the arthroscopic rotator cuff repair complex after simulated acute injury (SS-26). Arthroscopy. 2006;22(6, Supplement):e14–5.Google Scholar
- 12.Mazzocca AD, et al. Arthroscopic single-row versus double-row suture anchor rotator cuff repair. Am J Sports Med. 2005;33(12):1861–8.PubMedGoogle Scholar
- 13.Tuoheti Y, et al. Contact area, contact pressure, and pressure patterns of the tendon-bone interface after rotator cuff repair. Am J Sports Med. 2005;33(12):1869–74.PubMedGoogle Scholar
- 14.Kim DH, et al. Biomechanical comparison of a single-row versus double-row suture anchor technique for rotator cuff repair. Am J Sports Med. 2006;34(3):407–14.PubMedGoogle Scholar
- 15.Ma CB, et al. Biomechanical evaluation of arthroscopic rotator cuff repairs: double-row compared with single-row fixation. J Bone Joint Surg Am. 2006;88(2):403–10.PubMedGoogle Scholar
- 16.Mahar A, et al. Single-row suture anchor repair of the rotator cuff is biomechanically equivalent to double-row repair in a bovine model. Arthroscopy. 2007;23(12):1265–70.PubMedGoogle Scholar
- 17.Smith CD, et al. A biomechanical comparison of single and double-row fixation in arthroscopic rotator cuff repair. J Bone Joint Surg Am. 2006;88(11):2425–31.PubMedGoogle Scholar
- 18.Charousset C, et al. Can a double-row anchorage technique improve tendon healing in arthroscopic rotator cuff repair?: A prospective, nonrandomized, comparative study of double-row and single-row anchorage techniques with computed tomographic arthrography tendon healing assessment. Am J Sports Med. 2007;35(8):1247–53.PubMedGoogle Scholar
- 19.Baums MH, et al. Biomechanical characteristics of single-row repair in comparison to double-row repair with consideration of the suture configuration and suture material. Knee Surg Sports Traumatol Arthrosc. 2008;16(11):1052–60.PubMedPubMedCentralGoogle Scholar
- 20.Ozbaydar M, et al. A comparison of single-versus double-row suture anchor techniques in a simulated repair of the rotator cuff: an experimental study in rabbits. J Bone Joint Surg Br. 2008;90(10):1386–91.PubMedGoogle Scholar
- 21.Hepp P, et al. Knotless anatomic double-layer double-row rotator cuff repair: a novel technique re-establishing footprint and shape of full-thickness tears. Arch Orthop Trauma Surg. 2009;129(8):1031–6.PubMedGoogle Scholar
- 22.Nelson CO, et al. Single-row modified mason-allen versus double-row arthroscopic rotator cuff repair: a biomechanical and surface area comparison. Arthroscopy. 2008;24(8):941–8.PubMedGoogle Scholar
- 23.Domb BG, et al. 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.PubMedGoogle Scholar
- 24.Senna LF, Ramos MRF, Bergamaschi RF. Arthroscopic rotator cuff repair: single-row vs. double-row–clinical results after one to four years. Rev Bras Ortop. 2018;53(4):448–53.PubMedPubMedCentralGoogle Scholar
- 25.Reardon DJ, Maffulli N. Clinical evidence shows no difference between single- and double-row repair for rotator cuff tears. Arthroscopy. 2007;23(6):670–3.PubMedGoogle Scholar
- 26.Wall LB, Keener JD, Brophy RH. Double-row vs single-row rotator cuff repair: a review of the biomechanical evidence. J Shoulder Elb Surg. 2009;18(6):933–41.Google Scholar
- 27.Nho SJ, et al. 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.PubMedGoogle Scholar
- 28.Duquin TR, Buyea C, Bisson LJ. Which method of rotator cuff repair leads to the highest rate of structural healing? A systematic review. Am J Sports Med. 2010;38(4):835–41.PubMedGoogle Scholar
- 29.Dines JS, et al. Single-row versus double-row rotator cuff repair: techniques and outcomes. J Am Acad Orthop Surg. 2010;18(2):83–93.PubMedGoogle Scholar
- 30.Saridakis P, Jones G. Outcomes of single-row and double-row arthroscopic rotator cuff repair: a systematic review. J Bone Joint Surg Am. 2010;92(3):732–42.PubMedGoogle Scholar
- 31.Papalia R, et al. Double row repair: is it worth the hassle? Sports Med Arthrosc Rev. 2011;19(4):342–7.PubMedGoogle Scholar
- 32.Prasathaporn N, Kuptniratsaikul S, Kongrukgreatiyos K. Single-row repair versus double-row repair of full-thickness rotator cuff tears. Arthroscopy. 2011;27(7):978–85.PubMedGoogle Scholar
- 33.Zhang Q, Ge H, Zhou J, Yuan C, Chen K, Cheng B. Single-row or double-row fixation technique for full-thickness rotator cuff tears: a meta-analysis. PLoS One. 2013;8(7):e68515.PubMedPubMedCentralGoogle Scholar
- 34.Sheibani-Rad S, et al. Arthroscopic single-row versus double-row rotator cuff repair: a meta-analysis of the randomized clinical trials. Arthroscopy. 2013;29(2):343–8.PubMedGoogle Scholar
- 35.Perser K, Godfrey D, Bisson L. Meta-analysis of clinical and radiographic outcomes after arthroscopic single-row versus double-row rotator cuff repair. Sports Health. 2011;3(3):268–74.PubMedPubMedCentralGoogle Scholar
- 36.Millett PJ, et al. 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 Elb Surg. 2014;23(4):586–97.Google Scholar
- 37.Chen M, et al. Outcomes of single-row versus double-row arthroscopic rotator cuff repair: a systematic review and meta-analysis of current evidence. Arthroscopy. 2013;29(8):1437–49.PubMedGoogle Scholar
- 38.Mascarenhas R, et al. Is double-row rotator cuff repair clinically superior to single-row rotator cuff repair: a systematic review of overlapping meta-analyses. Arthroscopy. 2014;30(9):1156–65.PubMedGoogle Scholar
- 39.Spiegl UJ, et al. Summary of meta-analyses dealing with single-row versus double-row repair techniques for rotator cuff tears. Open Orthop J. 2016;10:330–8.PubMedPubMedCentralGoogle Scholar
- 40.Hein J, et al. Retear rates after arthroscopic single-row, double-row, and suture bridge rotator cuff repair at a minimum of 1 year of imaging follow-up: a systematic review. Arthroscopy. 2015;31(11):2274–81.PubMedGoogle Scholar
- 41.DeHaan AM, et al. Does double-row rotator cuff repair improve functional outcome of patients compared with single-row technique? A systematic review. Am J Sports Med. 2012;40(5):1176–85.PubMedGoogle Scholar
- 42.Xu C, Zhao J, Li D. Meta-analysis comparing single-row and double-row repair techniques in the arthroscopic treatment of rotator cuff tears. J Shoulder Elb Surg. 2014;23(2):182–8.Google Scholar
- 43.Trappey GJIV, Gartsman GM. A systematic review of the clinical outcomes of single row versus double row rotator cuff repairs. J Shoulder Elb Surg. 2011;20(2):S14–9.Google Scholar
- 44.Ying ZM, Lin T, Yan SG. Arthroscopic single-row versus double-row technique for repairing rotator cuff tears: a systematic review and meta-analysis. Orthop Surg. 2014;6(4):300–12.PubMedPubMedCentralGoogle Scholar
- 45.Franceschi F, et al. Equivalent clinical results of arthroscopic single-row and double-row suture anchor repair for rotator cuff tears: a randomized controlled trial. Am J Sports Med. 2007;35(8):1254–60.PubMedGoogle Scholar
- 46.Burks RT, et al. A prospective randomized clinical trial comparing arthroscopic single- and double-row rotator cuff repair: magnetic resonance imaging and early clinical evaluation. Am J Sports Med. 2009;37(4):674–82.PubMedGoogle Scholar
- 47.Grasso A, et al. Single-row versus double-row arthroscopic rotator cuff repair: a prospective randomized clinical study. Arthroscopy. 2009;25(1):4–12.PubMedGoogle Scholar
- 48.Gartsman GM, et al. Ultrasound evaluation of arthroscopic full-thickness supraspinatus rotator cuff repair: single-row versus double-row suture bridge (transosseous equivalent) fixation. Results of a prospective, randomized study. J Shoulder Elb Surg. 2013;22(11):1480–7.Google Scholar
- 49.Koh KH, et al. Prospective randomized clinical trial of single- versus double-row suture anchor repair in 2- to 4-cm rotator cuff tears: clinical and magnetic resonance imaging results. Arthroscopy. 2011;27(4):453–62.PubMedGoogle Scholar
- 50.Carbonel I, et al. Single-row versus double-row arthroscopic repair in the treatment of rotator cuff tears: a prospective randomized clinical study. Int Orthop. 2012;36(9):1877–83.PubMedPubMedCentralGoogle Scholar
- 51.Nicholas SJ, et al. Functional outcomes after double-row versus single-row rotator cuff repair:a prospective randomized trial. Orthop J Sports Med. 2016;4(10):2325967116667398.PubMedPubMedCentralGoogle Scholar
- 52.Lapner PL, et al. A multicenter randomized controlled trial comparing single-row with double-row fixation in arthroscopic rotator cuff repair. J Bone Joint Surg Am. 2012;94(14):1249–57.PubMedGoogle Scholar
- 53.Aydin N, Kocaoglu B, Guven O. Single-row versus double-row arthroscopic rotator cuff repair in small- to medium-sized tears. J Shoulder Elb Surg. 2010;19(5):722–5.Google Scholar
- 54.Ma H-L, et al. Clinical outcome and imaging of arthroscopic single-row and double-row rotator cuff repair: a prospective randomized trial. Arthroscopy. 2012;28(1):16–24.PubMedGoogle Scholar
- 55.Faulkner ND, et al. Regarding “Meta-analysis comparing single-row and double-row repair techniques in the arthroscopic treatment of rotator cuff tears”. J Shoulder Elb Surg. 2014;23(9):e223–5.Google Scholar
- 56.Snyder SJ, Burns JP. Rotator cuff healing and the bone marrow “Crimson Duvet” from clinical observations to science. Tech Shoulder Elbow Surg. 2009;10(4):130–7.Google Scholar
- 57.Charles MD, Christian DR, Cole BJ. The role of biologic therapy in rotator cuff tears and repairs. Curr Rev Musculoskelet Med. 2018;11(1):150–61.PubMedPubMedCentralGoogle Scholar
- 58.Accousti KJ, et al. In-vivo measurement of rotator cuff perfusion using laser doppler flowmetry (SS-38). Arthroscopy. 2007;23(6):e19–20.Google Scholar
- 59.Trantalis JN, et al. Medial rotator cuff failure after arthroscopic double-row rotator cuff repair. Arthroscopy. 2008;24(6):727–31.PubMedGoogle Scholar
- 60.Yamakado K, et al. Medial-row failure after arthroscopic double-row rotator cuff repair. Arthroscopy. 2010;26(3):430–5.PubMedGoogle Scholar
- 61.Cho NS, et al. Retear patterns after arthroscopic rotator cuff repair:single-row versus suture bridge technique. Am J Sports Med. 2010;38(4):664–71.PubMedGoogle Scholar
- 62.Barber FA, et al. Biomechanical advantages of triple-loaded suture anchors compared with double-row rotator cuff repairs. Arthroscopy. 2010;26(3):316–23.PubMedGoogle Scholar
- 63.Jost PW, et al. Suture number determines strength of rotator cuff repair. J Bone Joint Surg Am. 2012;94(14):e100.PubMedGoogle Scholar
- 64.Lorbach O, et al. Comparable biomechanical results for a modified single-row rotator cuff reconstruction using triple-loaded suture anchors versus a suture-bridging double-row repair. Arthroscopy. 2012;28(2):178–87.PubMedGoogle Scholar
- 65.Yamakado K. Healing rate comparison between suture-bridging and medially based single row repair in medium-sized supraspinatus tear: a randomized prospective trial. Presented 2018 AANA, Chicago, IL. 2018.Google Scholar
- 66.Genuario JW, et al. The cost-effectiveness of single-row compared with double-row arthroscopic rotator cuff repair. J Bone Joint Surg Am. 2012;94(15):1369–77.PubMedPubMedCentralGoogle Scholar
- 67.Lapner P, Thavorn K, Van Katwyk S, MacDonald PB, Huand A. Double row arthroscopic rotator cuff repair is more cost effective. Presented 2018 AAOS, New Orleans, LA. 2018.Google Scholar
- 68.Huang AL, et al. Double-row arthroscopic rotator cuff repair is more cost-effective than single-row repair. J Bone Joint Surg Am. 2017;99(20):1730–6.PubMedGoogle Scholar
Copyright information
© ISAKOS 2019