April 16, 2013
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Comparable results seen with transtendon, full-thickness techniques after rotator cuff repair

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In this prospective study, researchers found no significant differences in safety or effectiveness between transtendon and full-thickness rotator cuff repair techniques used to repair articular-sided partial-thickness rotator cuff tears at 3-year follow-up.

“At the last appointment, patients of both the groups were significantly improved for clinical findings, [range of motion] ROM measures, imaging features, Constant–Murley and [American Shoulder Elbow Surgeons] ASES scores than at baseline, without any significant inter-group difference,” the researchers wrote in their study abstract.

In one group, 32 patients underwent arthroscopic repair using a transtendon technique while in the second group, 28 patients underwent a full-thickness conversion with a repair of the tear, according to the abstract. At 3-year follow-up, 15 (75%) of patients who underwent repair with the transtendon technique had returned to sport at preoperative levels. In the full-thickness conversion, 12 (67%) of patients had returned to preoperative levels.

Rotator cuff healing was present as identified by MRI in 31 patients in the transtendon group and in 27 patients in the full-thickness group, according to the abstract.