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European Journal of Orthopaedic Surgery & Traumatology

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01-02-2019 | General Review • SHOULDER - ARTHROSCOPY

Type 2 retear after arthroscopic single-row, double-row and suture bridge rotator cuff repair: a systematic review

Authors: Yehia H. Bedeir, Adam P. Schumaier, Ghada Abu-Sheasha, Brian M. Grawe

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 2/2019

Abstract

Aim/Purpose

To provide a systematic review of the literature on patterns of retear after single-row (SR), double-row (DR) and suture bridge (SB) techniques.

Methods

The PubMed and MEDLINE databases were searched for published articles reporting both repair technique and retear pattern. Studies in languages other than English, those reporting open rotator cuff repair as the index procedure, as well as animal and cadaveric studies and those which did not describe patterns of retear, were excluded. MINORS scoring system was used to quantify potential bias in each study. Retears were classified into type 1 (failure at the tendon–bone interface) and type 2 (medial cuff failure). For all studies included, number and type of retears after different repair techniques were reported and analyzed.

Results

Fourteen studies were included yielding a total of 260 rotator cuff retears. Repair technique had a significant impact on the estimated incidence rate of type 2 retear (p = .001). The estimated incidence rate of type 2 retear was 24% with SR (95% CI 14–38%), 43% with DR (95% CI 22–66%), 62% with SB (95% CI 54–70%) and 38% with SB (95% CI 23–57%).

Conclusion

Despite the lack of high-quality evidence, this study suggests that DR and SB techniques increase the risk of medial cuff failure. Modifications in surgical techniques in both DR and SB repairs can help decrease that risk.

Level of evidence

Level IV, systematic review of investigations including level IV.

Available only for authorised users

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Title: Type 2 retear after arthroscopic single-row, double-row and suture bridge rotator cuff repair: a systematic review
Authors: Yehia H. Bedeir
Adam P. Schumaier
Ghada Abu-Sheasha
Brian M. Grawe
Publication date: 01-02-2019
Publisher: Springer Paris
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 2/2019
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-018-2306-8

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Type 2 retear after arthroscopic single-row, double-row and suture bridge rotator cuff repair: a systematic review

Abstract

Aim/Purpose

Methods

Results

Conclusion

Level of evidence

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Aim/Purpose

Methods

Results

Conclusion

Level of evidence

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