Outcomes of Double-Row Rotator Cuff Repair Using a Novel All-Suture Soft Anchor Medial Row

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Biomedical Engineering

Background:

• Limited data exists on short-term outcomes of rotator cuff repair (RCR) utilizing all-suture anchors for medial row fixation.
• Evaluating novel fixation methods is crucial for improving surgical success rates.

Purpose of the Study:

• To assess the clinical outcomes of double-row suture bridge RCR employing a new all-suture anchor for the medial row.
• To determine the efficacy of this technique in improving patient-reported functional scores and pain levels.

Main Methods:

• A case series of 179 patients undergoing double-row suture bridge RCR with all-suture medial row anchors and solid lateral row anchors.
• Clinical outcomes were evaluated using the American Shoulder and Elbow Surgeons (ASES) score and Numeric Pain Rating Scale (NPRS) at a minimum 2-year follow-up.
• Patient Acceptable Symptom State (PASS) thresholds were calculated to determine functional improvement.

Main Results:

• Significant improvements were observed in ASES scores (45.3 to 87.3) and NPRS (5.2 to 1.4) from baseline to follow-up.
• The proportion of patients achieving PASS thresholds increased substantially for both ASES (6% to 77%) and NPRS (7% to 72%).
• Large effect sizes (≥1.5) indicated substantial clinical improvement.

Conclusions:

• Double-row suture bridge RCR with all-suture medial row anchors yields excellent short-term clinical outcomes.
• This technique provides significant functional improvement and pain reduction for patients undergoing rotator cuff repair.