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Published in: Archives of Orthopaedic and Trauma Surgery 8/2011

01-08-2011 | Arthroscopy and Sports Medicine

Arthroscopic rotator cuff repair using a single-row of triple-loaded suture anchors with a modified suture configuration

Authors: O. Lorbach, D. Pape, F. Raber, D. Kohn, M. Kieb

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 8/2011

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Abstract

Achieving an adequate restoration of the muscle–tendon–bone unit and the anatomical footprint is essential for a successful outcome in open and arthroscopic rotator cuff repair. The described suture grasping technique using triple-loaded suture anchors might combine high initial fixation strength with good footprint coverage. It describes two mattress’ stitches medial at the articular margin of the tendon. Additionally, a third mattress stitch is performed laterally to increase footprint contact and avoid dog-ear deformity. The triple-mattress repair is easy to perform and might be a good alternative in either arthroscopic or open rotator cuff repair.
Literature
1.
go back to reference Gazielly DF, Gleyze P, Montagnon C (1994) Functional and anatomical results after rotator cuff repair. Clin Orthop Relat Res (304):43–53 Gazielly DF, Gleyze P, Montagnon C (1994) Functional and anatomical results after rotator cuff repair. Clin Orthop Relat Res (304):43–53
2.
go back to reference Harryman DT, Mack LA, Wang KY, Jackins SE, Richardson ML, Matsen FA III (1991) Repairs of the rotator cuff. Correlation of functional results with integrity of the cuff. J Bone Joint Surg Am 73(7):982–989PubMed Harryman DT, Mack LA, Wang KY, Jackins SE, Richardson ML, Matsen FA III (1991) Repairs of the rotator cuff. Correlation of functional results with integrity of the cuff. J Bone Joint Surg Am 73(7):982–989PubMed
3.
go back to reference Postel JM, Goutallier D, Lavau L, Bernageau J (1994) Anatomical results of rotator cuff repairs. Study of 57 cases controlled by arthrography. J Shoulder Elbow Surg 3:20 Postel JM, Goutallier D, Lavau L, Bernageau J (1994) Anatomical results of rotator cuff repairs. Study of 57 cases controlled by arthrography. J Shoulder Elbow Surg 3:20
4.
go back to reference Ma CB, Comerford L, Wilson J, Puttlitz CM (2006) Biomechanical evaluation of arthroscopic rotator cuff repairs: double-row compared with single-row fixation. J Bone Joint Surg Am 88(2):403–410PubMedCrossRef Ma CB, Comerford L, Wilson J, Puttlitz CM (2006) Biomechanical evaluation of arthroscopic rotator cuff repairs: double-row compared with single-row fixation. J Bone Joint Surg Am 88(2):403–410PubMedCrossRef
5.
go back to reference Meier SW, Meier JD (2006) The effect of double-row fixation on initial repair strength in rotator cuff repair: a biomechanical study. Arthroscopy 22(11):1168–1173PubMedCrossRef Meier SW, Meier JD (2006) The effect of double-row fixation on initial repair strength in rotator cuff repair: a biomechanical study. Arthroscopy 22(11):1168–1173PubMedCrossRef
6.
go back to reference Waltrip RL, Zheng N, Dugas JR, Andrews JR (2003) Rotator cuff repair. A biomechanical comparison of three techniques. Am J Sports Med 31(4):493–497PubMed Waltrip RL, Zheng N, Dugas JR, Andrews JR (2003) Rotator cuff repair. A biomechanical comparison of three techniques. Am J Sports Med 31(4):493–497PubMed
7.
go back to reference Burks RT, Crim J, Brown N, Fink B, Greis PE (2009) 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 37(4):674–682PubMedCrossRef Burks RT, Crim J, Brown N, Fink B, Greis PE (2009) 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 37(4):674–682PubMedCrossRef
8.
go back to reference Charousset C, Grimberg J, Duranthon LD, Bellaiche L, Petrover D (2007) 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 35(8):1247–1253PubMedCrossRef Charousset C, Grimberg J, Duranthon LD, Bellaiche L, Petrover D (2007) 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 35(8):1247–1253PubMedCrossRef
9.
go back to reference Franceschi F, Ruzzini L, Longo UG, Martina FM, Zobel BB, Maffulli N et al (2007) 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 35(8):1254–1260PubMedCrossRef Franceschi F, Ruzzini L, Longo UG, Martina FM, Zobel BB, Maffulli N et al (2007) 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 35(8):1254–1260PubMedCrossRef
10.
go back to reference Nho SJ, Yadav H, Pensak M, Dodson CC, Good CR, MacGillivray JD (2007) Biomechanical fixation in arthroscopic rotator cuff repair. Arthroscopy 23(1):94–102, 102 e1 Nho SJ, Yadav H, Pensak M, Dodson CC, Good CR, MacGillivray JD (2007) Biomechanical fixation in arthroscopic rotator cuff repair. Arthroscopy 23(1):94–102, 102 e1
11.
go back to reference Reardon DJ, Maffulli N (2007) Clinical evidence shows no difference between single- and double-row repairs for rotator cuff tears. Arthroscopy 23(6):670–673PubMedCrossRef Reardon DJ, Maffulli N (2007) Clinical evidence shows no difference between single- and double-row repairs for rotator cuff tears. Arthroscopy 23(6):670–673PubMedCrossRef
12.
go back to reference Lorbach O, Bachelier F, Vees J, Kohn D, Pape D (2008) Cyclic loading of rotator cuff reconstructions: single-row repair with modified suture configurations versus double-row repair. Am J Sports Med 36(8):1504–1510PubMedCrossRef Lorbach O, Bachelier F, Vees J, Kohn D, Pape D (2008) Cyclic loading of rotator cuff reconstructions: single-row repair with modified suture configurations versus double-row repair. Am J Sports Med 36(8):1504–1510PubMedCrossRef
13.
go back to reference Nelson CO, Sileo MJ, Grossman MG, Serra-Hsu F (2008) Single-row modified mason-allen versus double-row arthroscopic rotator cuff repair: a biomechanical and surface area comparison. Arthroscopy 24(8):941–948PubMedCrossRef Nelson CO, Sileo MJ, Grossman MG, Serra-Hsu F (2008) Single-row modified mason-allen versus double-row arthroscopic rotator cuff repair: a biomechanical and surface area comparison. Arthroscopy 24(8):941–948PubMedCrossRef
14.
go back to reference Cummins CA, Strickland S, Appleyard RC, Szomor ZL, Marshall J, Murrell GA (2003) Rotator cuff repair with bio-absorbable screws: an in vivo and ex vivo investigation. Arthroscopy 19(3):239–248PubMedCrossRef Cummins CA, Strickland S, Appleyard RC, Szomor ZL, Marshall J, Murrell GA (2003) Rotator cuff repair with bio-absorbable screws: an in vivo and ex vivo investigation. Arthroscopy 19(3):239–248PubMedCrossRef
15.
go back to reference Gerber C, Schneeberger AG, Beck M, Schlegel U (1994) Mechanical strength of repairs of the rotator cuff. J Bone Joint Surg Br 76(3):371–380PubMed Gerber C, Schneeberger AG, Beck M, Schlegel U (1994) Mechanical strength of repairs of the rotator cuff. J Bone Joint Surg Br 76(3):371–380PubMed
16.
go back to reference Cummins CA, Appleyard RC, Strickland S, Haen PS, Chen S, Murrell GA (2005) Rotator cuff repair: an ex vivo analysis of suture anchor repair techniques on initial load to failure. Arthroscopy 21(10):1236–1241PubMedCrossRef Cummins CA, Appleyard RC, Strickland S, Haen PS, Chen S, Murrell GA (2005) Rotator cuff repair: an ex vivo analysis of suture anchor repair techniques on initial load to failure. Arthroscopy 21(10):1236–1241PubMedCrossRef
17.
go back to reference Sano H, Yamashita T, Wakabayashi I, Itoi E (2007) Stress distribution in the supraspinatus tendon after tendon repair: suture anchors versus transosseous suture fixation. Am J Sports Med 35(4):542–546PubMedCrossRef Sano H, Yamashita T, Wakabayashi I, Itoi E (2007) Stress distribution in the supraspinatus tendon after tendon repair: suture anchors versus transosseous suture fixation. Am J Sports Med 35(4):542–546PubMedCrossRef
18.
go back to reference Lo IK, Burkhart SS (2003) Double-row arthroscopic rotator cuff repair: re-establishing the footprint of the rotator cuff. Arthroscopy 19(9):1035–1042PubMedCrossRef Lo IK, Burkhart SS (2003) Double-row arthroscopic rotator cuff repair: re-establishing the footprint of the rotator cuff. Arthroscopy 19(9):1035–1042PubMedCrossRef
19.
go back to reference Mazzocca AD, Millett PJ, Guanche CA, Santangelo SA, Arciero RA (2005) Arthroscopic single-row versus double-row suture anchor rotator cuff repair. Am J Sports Med 33(12):1861–1868PubMedCrossRef Mazzocca AD, Millett PJ, Guanche CA, Santangelo SA, Arciero RA (2005) Arthroscopic single-row versus double-row suture anchor rotator cuff repair. Am J Sports Med 33(12):1861–1868PubMedCrossRef
20.
go back to reference Gerber C, Schneeberger AG, Perren SM, Nyffeler RW (1999) Experimental rotator cuff repair. A preliminary study. J Bone Joint Surg Am 81(9):1281–1290PubMed Gerber C, Schneeberger AG, Perren SM, Nyffeler RW (1999) Experimental rotator cuff repair. A preliminary study. J Bone Joint Surg Am 81(9):1281–1290PubMed
21.
go back to reference Schneeberger AG, von RA, Kalberer F, Jacob HA, Gerber C (2002) Mechanical strength of arthroscopic rotator cuff repair techniques: an in vitro study. J Bone Joint Surg Am A84(12):2152–2160 Schneeberger AG, von RA, Kalberer F, Jacob HA, Gerber C (2002) Mechanical strength of arthroscopic rotator cuff repair techniques: an in vitro study. J Bone Joint Surg Am A84(12):2152–2160
22.
go back to reference Smith CD, Alexander S, Hill AM, Huijsmans PE, Bull AM, Amis AA et al (2006) A biomechanical comparison of single and double-row fixation in arthroscopic rotator cuff repair. J Bone Joint Surg Am 88(11):2425–2431PubMedCrossRef Smith CD, Alexander S, Hill AM, Huijsmans PE, Bull AM, Amis AA et al (2006) A biomechanical comparison of single and double-row fixation in arthroscopic rotator cuff repair. J Bone Joint Surg Am 88(11):2425–2431PubMedCrossRef
23.
go back to reference Castagna A, Garofalo R, Conti M, Borroni M, Snyder SJ (2007) Arthroscopic rotator cuff repair using a triple-loaded suture anchor and a modified Mason-Allen technique (Alex stitch). Arthroscopy 23(4):440–444PubMedCrossRef Castagna A, Garofalo R, Conti M, Borroni M, Snyder SJ (2007) Arthroscopic rotator cuff repair using a triple-loaded suture anchor and a modified Mason-Allen technique (Alex stitch). Arthroscopy 23(4):440–444PubMedCrossRef
24.
go back to reference Barber FA, Herbert MA, Schroeder FA, ziz-Jacobo J, Mays MM, Rapley JH (2010) Biomechanical advantages of triple-loaded suture anchors compared with double-row rotator cuff repairs. Arthroscopy 26(3):316–323PubMedCrossRef Barber FA, Herbert MA, Schroeder FA, ziz-Jacobo J, Mays MM, Rapley JH (2010) Biomechanical advantages of triple-loaded suture anchors compared with double-row rotator cuff repairs. Arthroscopy 26(3):316–323PubMedCrossRef
Metadata
Title
Arthroscopic rotator cuff repair using a single-row of triple-loaded suture anchors with a modified suture configuration
Authors
O. Lorbach
D. Pape
F. Raber
D. Kohn
M. Kieb
Publication date
01-08-2011
Publisher
Springer-Verlag
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 8/2011
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-011-1283-8

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