Rotator cuff clinical parameters improve with double-row suture anchor repair technique
Surgeons prospectively studied one surgeon's use of the technique and reported a short-term 11.4% failure rate.
SAN FRANCISCO An arthroscopic double-row suture anchor technique effectively treated rotator cuff tears and yielded a durable repair that was less likely to fail, according to a prospective study presented here.
Reuben Gobezie, MD, and colleagues used computed tomography or MRI arthrograms to evaluate the magnitude of tears preoperatively and repair integrity postoperatively. The study included 105 patients with tears less than stage 2 of the Goutallier classification system and at least 2 years follow-up. Laurent Lafosse, MD, of Annecy, France, performed all surgeries from December 1999 to March 2003.
Gobezie reported the results at the Arthroscopy Association of North America 26th annual meeting.
Investigators classified tears according to the Patte classification system. Repairs involved the supraspinatus muscle or supraspinatus and infraspinatus muscles combined, Gobezie said.
Most patients 47 had class 2 or intermediate tears, 36 patients had class 1 or distal tears and 22 patients had class 3 tears that were retracted back to the glenoid, he said.
The researchers found an 11.4% failure rate in their series, with 12 of 105 repairs failing. All patients' clinical parameters improved, Gobezie said.
Preoperatively, Constant scores averaged 43.2 points and ranged from 8 to 83 points. After surgery, scores improved to an average of 80.1 points, ranging from 46 to 100 points.
Investigators reported no complications with the technique. Also, patient age, tear size, injury mechanism and other factors did not correlate with the outcomes, according to the study abstract.
For more information:
- Gobezie R, Toussaint B, Brozska R, Lafosse L. The outcome and structural integrity of arthroscopic rotator cuff repair using the double-row suture anchor technique. #SS-39. Presented at the Arthroscopy Association of North America 26th Annual Meeting. April 26-29, 2007. San Francisco.