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Related Experiment Video

Updated: May 9, 2026

Modified Long Head of Biceps Tendon Rerouting and Fixation as Partial Capsular Reconstruction for Massive Irreparable Rotator Cuff Tears
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Modified Long Head of Biceps Tendon Rerouting and Fixation as Partial Capsular Reconstruction for Massive Irreparable Rotator Cuff Tears

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The modified massive cuff stitch: functional and structural outcome in massive cuff tears.

Masafumi Gotoh1, Yasuhiro Mitsui, Kazuhiro Yoshimitsu

  • 1Department of Orthopaedic Surgery, Kurume University Medical Center Kurume, Kurume, Fukuoka, Japan. gomasa@med.kurume-u.ac.jp

Journal of Orthopaedic Surgery and Research
|August 9, 2013
PubMed
Summary

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The modified massive cuff stitch (MCS) technique for rotator cuff tears showed similar functional recovery to the simple transosseous suture (STS) method. However, MCS repair resulted in significantly fewer re-tears post-surgery.

Area of Science:

  • Orthopedic Surgery
  • Surgical Techniques
  • Musculoskeletal Research

Background:

  • The massive cuff stitch (MCS) is a recognized strong suture for rotator cuff repair.
  • Massive rotator cuff tears present unique surgical challenges.
  • A modified MCS technique was developed incorporating horizontal mattress and transosseous sutures.

Purpose of the Study:

  • To compare the efficacy of a modified massive cuff stitch (MCS) technique versus a simple transosseous suture (STS) for massive rotator cuff tears.
  • To evaluate functional outcomes and re-tear rates between the two surgical methods.

Main Methods:

  • A comparative study involving 42 patients with massive rotator cuff tears.
  • Patients were divided into two groups: modified MCS (n=22) and STS (n=20).

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  • Outcomes assessed included range of motion, muscle strength, pain (VAS), and Japanese Orthopaedic Association (JOA) scores at 12 and 24 months post-surgery. Re-tear rates were evaluated using Sugaya's classification.

    • Main Results:

    • Both groups demonstrated significant improvements in range of motion, muscle strength, pain reduction, and JOA scores post-operatively, with no significant intergroup differences.
    • Post-operative MRI revealed a significantly lower re-tear rate in the modified MCS group (9.1%) compared to the STS group (40%).

    Conclusions:

    • The modified MCS technique and STS technique yield comparable functional outcomes for massive rotator cuff tear repair.
    • The modified MCS repair technique offers superior structural integrity, evidenced by a significantly reduced rate of post-operative re-tears.