| Single-row versus double-row arthroscopic repair in the treatment of rotator cuff tears: a prospective randomized clinical study. | |
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MedLine Citation:
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PMID: 22584619 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: The purpose of this study was to compare arthroscopic rotator cuff repair with single-row and double-row techniques because research has demonstrated the superiority of double-row repair from a biological and mechanical point of view but there is no evidence of clinical superiority. METHODS: A total of 160 patients with a full-thickness rotator cuff tear underwent arthroscopic repair with suture anchors. They were randomised into two groups of 80 patients according to the repair technique: single-row (group 1) and double-row (group 2). Results were evaluated by use of the University of California, Los Angeles (UCLA), American Shoulder and Elbow Surgeons (ASES) and Constant questionnaires, the Shoulder Strength Index (SSI) and range of motion. Follow-up time was two years. Magnetic resonance imaging (MRI) studies were performed on each shoulder preoperatively and two years after repair. RESULTS: One hundred per cent of the patients were followed up. All measurements showed significant improvement compared with the preoperative status. The UCLA score showed significant improvement in group 2. In over 30-mm tears UCLA and ASES showed significant differences. SSI showed significant improvement in group 2. Range of motion showed significant improvements in flexion and abduction in group 2. In under 30-mm tears group 2 showed also significant improvement in internal and external rotation. In MRI studies there were no significant differences. CONCLUSIONS: At two years follow-up the double-row repair technique showed a significant difference in clinical outcome compared with single-row repair and this was even more significative in over 30-mm tears. No MRI differences were observed. |
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Authors:
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Ignacio Carbonel; Angel Antonio Martinez; Angel Calvo; Jorge Ripalda; Antonio Herrera |
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Publication Detail:
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Type: Comparative Study; Journal Article; Randomized Controlled Trial Date: 2012-05-16 |
Journal Detail:
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Title: International orthopaedics Volume: 36 ISSN: 1432-5195 ISO Abbreviation: Int Orthop Publication Date: 2012 Sep |
Date Detail:
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Created Date: 2012-08-27 Completed Date: 2013-04-05 Revised Date: 2013-04-16 |
Medline Journal Info:
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Nlm Unique ID: 7705431 Medline TA: Int Orthop Country: Germany |
Other Details:
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Languages: eng Pagination: 1877-83 Citation Subset: IM |
Affiliation:
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HU Miguel Servet, Zaragoza, Spain. nachocarbonel@hotmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Arthroscopy
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methods* Female Humans Magnetic Resonance Imaging Male Middle Aged Prospective Studies Questionnaires Range of Motion, Articular Recovery of Function Rotator Cuff / injuries, physiopathology, surgery* Rupture / surgery* Shoulder Joint / injuries, physiopathology, surgery* Suture Anchors Tendon Injuries / physiopathology, surgery Tenodesis / methods* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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