Published in:
01-10-2019 | Painful Arc | Letter to the Editor • SHOULDER - ARTHROSCOPY
What is wrong in comparison of single- and double-row repairs in rotator cuff tears?
Author:
Alper Deveci
Published in:
European Journal of Orthopaedic Surgery & Traumatology
|
Issue 7/2019
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Abstract
When the meta-analysis studies comparing single-row (SR) and double-row (DR) repair methods in the literature are examined, the SR method is unsuccessful in re-tears especially in large and massive tears. In this study, I was able to determine that, except for Barber’s work, double-loaded anchors were used for the SR repair. Particularly, low tension of the repaired muscle–tendon unit is important in terms of repairable massive retracted cuff tears. For this reason, medially placed triple-loaded anchors were developed. Again, the SR ripstop method using suture tape, in terms of re-tears and success rates, is similar to the double-row suture bridge method. Based on current systemic review and meta-analysis studies, it is not appropriate to adapt SR and DR rotator cuff repair results to today’s conditions.