Document Detail


Does an arthroscopic suture bridge technique maintain repair integrity?: a serial evaluation by ultrasonography.
MedLine Citation:
PMID:  19629607     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Biomechanical studies suggest a suture bridge technique enhances rotator cuff tendon footprint contact area, holding strength, and mean contact pressure. Based on these studies, we asked whether (1) the suture bridge technique would provide a high rate of cuff integrity after surgery, (2) the status of the repaired cuff would change with time, (3) preoperative factors could predict postoperative cuff integrity, and (4) patients with retears had less favorable pain, functional scores, range of motion (ROM), and muscle strength compared with those with intact repairs. We prospectively followed 78 patients with arthroscopic repairs in whom we used the suture bridge technique. The integrity of the rotator cuff repair was determined using ultrasonographic evaluation at 4.5 and 12 months after surgery. Ultrasonography revealed intact cuffs in 91% at 4.5 months postoperatively, all of which were maintained at the 12-month followup. Failure rates were 17.6% (three of 17) for massive tears, 11.1% (two of 18) for large tears, 6.3% (two of 32) for medium tears, and no failures for small tears. Preoperative fatty degeneration of the supraspinatus muscle was a strong predictor of cuff integrity. We found no correlation between the integrity and clinical outcomes except for a temporary decrease of abduction strength at 6 months. Arthroscopic repair using suture bridge technique can achieve a low retear rate in shoulders treated for rotator cuff tears, but the occurrence of retear did not influence the outcome. Level of Evidence: Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.
Authors:
Jin-Young Park; Hawa Tahir Siti; Jung-Sup Keum; Sung-Gyu Moon; Kyung-Soo Oh
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Publication Detail:
Type:  Journal Article     Date:  2009-07-23
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  468     ISSN:  1528-1132     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-07     Completed Date:  2010-05-20     Revised Date:  2013-06-02    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1578-87     Citation Subset:  AIM; IM    
Affiliation:
Department of Orthopedic Surgery, Konkuk University Hospital, 4-12 Hwayang-dong, Gwangjin-gu, Seoul, South Korea.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Arthroscopy* / adverse effects
Biomechanics
Female
Humans
Male
Middle Aged
Muscle Strength
Pain Measurement
Prospective Studies
Range of Motion, Articular
Recovery of Function
Recurrence
Rotator Cuff / injuries,  physiopathology,  surgery*,  ultrasonography
Rupture
Shoulder Joint / physiopathology,  surgery*,  ultrasonography
Shoulder Pain / prevention & control
Suture Techniques* / adverse effects
Tendon Injuries / physiopathology,  surgery*,  ultrasonography
Time Factors
Treatment Outcome
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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