2017 ISAKOS Biennial Congress ePoster #2218
Comparison of Suture Bridge Versus Layered Suture Bridge Technique for Delamineted Tear of Supraspinatus Tendon
Kyoung-Jin Park, MD, PhD, Cheongju, Chungbuk KOREA, REPUBLIC OF
Yong-Min Kim, MD, Cheongju, Chungbuk KOREA, REPUBLIC OF
Byung-Ki Cho, MD, Cheongju, Chungbuk KOREA, REPUBLIC OF
Donghwan Kim, MD, Cheongju, Chungbuk KOREA, REPUBLIC OF
Jae Young Yang, Cheongju, Province: Chungbuk KOREA, REPUBLIC OF
Department of Orthopaedic Surgery, College of Medicine, Chungbuk National University, Cheongju , Chungbuk , KOREA, REPUBLIC OF
FDA Status Cleared
Summary
Layered suture bridge technique was better outcomes than suture bridge technique in radiologic results.
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Abstract
Introduction
The delaminated tear of supraspinatus tendon(SST) was a negative prognostic factor for arthroscopic rotator cuff repair. For good results, we have to choose the appropriate surgical technique. The purpose of this study was to compare outcomes between suture bridge technique and layered suture bridge technique for delaminated tear of SST.
Methods
In a pro-spective, randomized controlled study, 61 patients with delaminated tear of SST were selected and 31 patients were allocated to suture bridge technique group(Group I) and 30 patients were allocated to layered suture bridge technique group(Group II). The functional results were evaluated with ASES, KSS scoring scale at the 2 years follow-up, and the repair integrity was evaluated with magnetic resonance imaging at an average of 6 months postoperatively.
Results
The average clinical outcome scores all improved significantly at the time of the final follow-up(P<0.05). There was no statistical difference between the groups regarding functional results(P>0.05). At a mean of six months postoperatively, magnetic resonance imaging revealed that there was a recurrent tear in 9 patients repaired by suture bridge technique(Group I), and 4 patients repaired by layered suture bridge technique (Group II).
Conclusion
Layered suture bridge technique was better outcomes than suture bridge technique in radiologic results.