Summary

Rotator cuff tears is a common disease in the shoulder .With the improvement of arthroscopic technique level,more and more patients who under rotator cuff tears suffering received treatment :arthroscopic rotator cuff repair .Only a few studies have examined functional outcome between Single-Row, Double-Row And Suture Bridge Technique.

Abstract

Objective

To compare the three techniques for repairing complete rotator cuff tears

Methods

A total of 67 shoulders with full-thickness rotator cuff tears received arthroscopic rotator cuff repair from April 2015 to October 2015. Six patients were lost to follow-up. 36 shoulders were repaired using the single-row(SR), 12 shoulders using the double-row(DR), and 13 shoulders using the suture bridge(SB) techniques. Clinical outcomes were evaluated at an average
of 8.5 months (range, 6-11 months) after rotator cuff repair. Functional scores, number of suture anchors and surgical time were analyzed.

Results

The postoperative ASES(American Shoulder And Elbow Surgeons) scores were 82.04±3.93, 91.76±4.85, and 92.04±3.93 for the SR, DR, and SB groups, respectively, which were all significantly improved compared with preoperative scores but of no significant difference between the three groups. The number of anchors used were 2.1±1.0 for the SR group, which were significant fewer than that used in the DR and SB groups ( 3.5±0.5 and 3.2±0.9 respectively). Surgical time was 85±23min, 104±26 min and 88±17 for the SR, DR, and SB groups, respectively. DR was significantly more time-consuming compared with SR and SB groups.

Conclusion

All the three technique showed good clinical results.The SR technique was the most economical because fewer anchors were used compared with DR and SB technique and also took less surgical time compared with DR technique. Thus we might draw

Conclusion

that SR was the best choice on short follow-up.