Document Detail

A comparative clinical evaluation of arthroscopic single-row versus double-row supraspinatus tendon repair.
MedLine Citation:
PMID:  19999868     Owner:  NLM     Status:  MEDLINE    
Cadaveric studies and commercial pressure have initiated a strong trend towards double-row repair in arthroscopic cuff surgery. The objective of this study was to evaluate if the biomechanical advantages of a double-row supraspinatus tendon repair would result in superior clinical outcome and higher abduction strength. A retrospective study of two groups of 32 single-row and 33 double-row repairs of small to medium cuff tears was performed. The Simple Shoulder Test (SST) and a visual analog scale for pain were used to evaluate the outcome. The participation rate was 100%. A subset of patients was further investigated with the Constant Score (CS) including electronic strength measurement. The double-row repair patients had significantly more (p = 0.01) yes answers in the SST than the single-row group, and pain reduction was slightly better (p = 0.03). No difference was found for the relative CS (p = 0.86) and abduction strength (p = 0.74). Patient satisfaction was 100% for double-row and 97% for single-row repair. Single- and double-row repairs both achieved excellent clinical results. Evidence of superiority of double-row repair is still scarce and has to be balanced against the added complexity of the procedure and higher costs.
Eduard Buess; Bernhard Waibl; Roger Vogel; Robert Seidner
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Acta orthopaedica Belgica     Volume:  75     ISSN:  0001-6462     ISO Abbreviation:  Acta Orthop Belg     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-12-16     Completed Date:  2010-01-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985165R     Medline TA:  Acta Orthop Belg     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  588-94     Citation Subset:  IM    
"Shouldercare Institute", Engeried-Sonnenhof Hospital, Berne, Switzerland.
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MeSH Terms
Arthroscopy / methods*
Middle Aged
Pain Measurement
Recovery of Function
Rotator Cuff / injuries*
Suture Anchors
Young Adult

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

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