Journal of Shoulder and Elbow Surgery
Volume 17, Issue 6 , Pages 845-852 , November 2008

Repair integrity and clinical outcome after arthroscopic rotator cuff repair using single-row anchor fixation: A prospective study of single-tendon and two-tendon tears

  • Allen Deutsch, MD

      Affiliations

    • Department of Orthopedic Surgery, Baylor College of Medicine, and the Kelsey-Seybold Clinic, St. Luke's Episcopal Hospital, Houston, TX
    • Corresponding Author InformationReprint requests: Allen Deutsch, MD, 2727 W Holcombe, Houston, TX 77025.
    • ,
  • Derek G. Kroll, BS

      Affiliations

    • The Kelsey Research Foundation, Kelsey-Seybold Clinic, Houston, TX
    • ,
  • Joseph Hasapes, MD

      Affiliations

    • Department of Radiology, Kelsey-Seybold Clinic, Houston, TX
    • ,
  • R. Scott Staewen, MD

      Affiliations

    • Department of Radiology, Kelsey-Seybold Clinic, Houston, TX
    • ,
  • Cynthia Pham, MD

      Affiliations

    • Department of Radiology, Kelsey-Seybold Clinic, Houston, TX
    • ,
  • Cindy Tait, BA

      Affiliations

    • The Kelsey Research Foundation, Kelsey-Seybold Clinic, Houston, TX

References 

  1. Anderson K, Boothby M, Aschenbrener D, van Holsbeeck M. Outcome and structural integrity after arthroscopic rotator cuff repair using 2 rows of fixation: minimum 2-year follow-up. Am J Sports Med. 2006;34:1899–1905
  2. Bishop J, Klepps S, Lo IK, Bird J, Gladstone J, Flatow EL. Cuff integrity after arthroscopic versus open rotator cuff repair: a prospective study. J Shoulder Elbow Surg. 2006;15:290–299
  3. Boileau P, Brassart N, Watkinson DJ, Carles M, Hatzidakis AM, Krishnan SG. Arthroscopic repair of full-thickness tears of the supraspinatus: does the tendon really heal?. J Bone Joint Surg Am. 2005;87:1229–1240
  4. Burkhart SS. Arthroscopic treatment of massive rotator cuff tears. Clinical results and biomechanical rationale. Clin Orthop. 1991;267:45–56
  5. Charousset C, Grimberg J, Duranthon L, Bellaiche L, Petrover D. 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;35:1247–1253
  6. Cole B, McCarty LP, Kang R, Alford W, Lewis PB, Hayden J. Arthroscopic rotator cuff repair: prospective functional outcome and repair integrity at minimum 2-year follow up. J Shoulder Elbow Surg. 2007;16:579–585
  7. Deutsch A. Arthroscopic rotator cuff repair: The effect of depth of suture passage on three-dimensional repair site surface area and load to failure using single-row anchor fixation. Presented at: The Seventy-Third Annual Meeting of the American Academy of Orthopaedic Surgeons, Chicago, IL; March 2006.
  8. Dugas JR, Campbell DA, Warren RF, Robie BH, Millet PJ. Anatomy and dimensions of rotator cuff insertions. J Shoulder Elbow Surg. 2002;11:498–503
  9. Franceschi F, Ruzzini L, Giuseppe L, 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;35:1254–1260
  10. Galatz LM, Ball CM, Teefey SA, Middleton WD, Yamaguchi K. The outcome and repair integrity of completely arthroscopically repaired large and massive rotator cuff tears. J Bone Joint Surg Am. 2004;86:219–224
  11. Gartsman GM, Khan M, Hammerman SM. Arthroscopic repair of full-thickness tears of the rotator cuff. J Bone Joint Surg Am. 1998;80:832–840
  12. Gusmer PB, Potter HG, Donovan WD, O'Brien SJ. MR imaging of the shoulder after rotator cuff repair. AJR Am J Roentgenol. 1997;168:559–563
  13. Harryman DT, Mack LA, Wang KY, Jackins SE, Richardson ML, Matsen FA. Repairs of the rotator cuff. Correlation of functional results with integrity of the cuff. J Bone Joint Surg Am. 1991;73:982–989
  14. Hersche O, Gerber C. Passive tension in the supraspinatus musculotendinous unit after long-standing rupture of its tendon: a preliminary report. J Shoulder Elbow Surg. 1998;7:393–396
  15. Huijsmans PE, Pritchard MP, Berghs BM, van Rooyen KS, Wallace AL, de Beer JF. Arthroscopic rotator cuff repair with double-row fixation. J Bone Joint Surg Am. 2007;89:1248–1257
  16. Jost B, Pfirrmann CW, Gerber C. Clinical outcome after structural failure of rotator cuff repairs. J Bone Joint Surg Am. 2000;82:304–314
  17. Kim DH, Elattrache NS, Tibone JE, et al. Biomechanical comparison of a single-row versus double-row suture anchor technique for rotator cuff repair. Am J Sports Med. 2006;34:401–414
  18. Klepps S, Bishop J, Lin J, et al. Prospective evaluation of the effect of rotator cuff integrity on the outcome of open rotator cuff repairs. Am J Sports Med. 2004;32:1716–1722
  19. Lafosse L, Brozska R, Toussaint B, Gobezie R. The outcome and structural integrity of arthroscopic rotator cuff repair with use of the double-row suture anchor technique. J Bone Joint Surg Am. 2007;89:1533–1541
  20. Liem D, Lichtenberg S, Magosch P, Habermeyer P. Magnetic resonance imaging of arthroscopic supraspinatus tendon repair. J Bone Joint Surg Am. 2007;89:1770–1776
  21. Ma CB, Comerford L, Wilson J, Puttlitz CM. Biomechanical evaluation of arthroscopic rotator cuff repairs: double-row compared with single-row fixation. J Bone Joint Surg Am. 2006;88:403–410
  22. Minagawa H, Itoi E, Norikazu K, et al. Humeral attachments of the supraspinatus and infraspinatus tendons: an anatomic study. Arthroscopy. 1998;14:302–306
  23. Mura N, O'Driscoll SW, Zobitz ME, et al. The effect of infraspinatus disruption on glenohumeral torque and superior migration of the humeral head: a biomechanical study. J Shoulder Elbow Surg. 2003;12:179–184
  24. Murray TF, Lajtai G, Mileski RM, Synder SJ. Arthroscopic repair of medium to large full-thickness rotator cuff tears: outcome at 2- to 6-year follow-up. J Shoulder Elbow Surg. 2002;11:19–24
  25. Patte D. Classification of rotator cuff lesions. Clin Orthop. 1990;254:81–86
  26. Schneeberger AG, von Roll A, Kalberer F, Jacob HA, Gerber C. Mechanical strength of arthroscopic rotator cuff repair techniques. J Bone Joint Surg Am. 2002;84:2152–2160
  27. Sugaya H, Maeda K, Matsuki K, Moriishi J. Functional and structural outcome after arthroscopic full-thickness rotator cuff repair: single-row versus dual-row fixation. Arthroscopy. 2005;21:1307–1316
  28. Sugaya H, Maeda K, Matsuki K, Moriishi J. Repair integrity and functional outcome after arthroscopic double-row rotator cuff repair: a prospective outcome study. Presented at: The Twenty-Second Open Meeting of the American Shoulder and Elbow Surgeons, Chicago, IL, March 25, 2006.
  29. Thomazeau H, Boukobza E, Morcet N, Chaperon J, Langlais F. Prediction of rotator cuff repair results by magnetic resonance imaging. Clin Orthop. 1997;344:275–283
  30. Tingart MJ, Apreleva M, Zurakowski D, Warner JJP. Pullout strength of suture anchors used in rotator cuff repair. J Bone Joint Surg Am. 2003;85:2190–2196
  31. Tuoheti Y, Itoi E, Yamamoto N, et al. Contact area, contact pressure, and pressure patterns of the tendon-bone interface after rotator cuff repair. Am J Sports Med. 2005;33:1869–1874

 Arthrex provided an unrestricted grant for this study.

PII: S1058-2746(08)00428-X

doi: 10.1016/j.jse.2008.04.004

Journal of Shoulder and Elbow Surgery
Volume 17, Issue 6 , Pages 845-852 , November 2008

Article Tools

* Image Usage & Resolution