The Relationship Between All-Suture and Solid Medial-Row Anchors and Patient-Reported Outcomes for Double-Row Suture...

Area of Science:

• Orthopedic Surgery
• Biomaterials Science

Background:

• The use of all-suture anchors in rotator cuff repair is rising due to potential benefits like reduced bone loss.
• Limited evidence compares medial-row anchor fixation outcomes in double-row suture bridge repairs.

Purpose of the Study:

• To compare clinical outcomes of all-suture versus solid medial-row anchors in double-row suture bridge rotator cuff repair.

Main Methods:

• A case series of 352 patients undergoing double-row suture bridge rotator cuff repair.
• Patients were divided into all-suture (n=280) and solid (n=72) medial-row anchor groups.
• Outcomes assessed using ASES scores and VAS, with a minimum 2-year follow-up.

Main Results:

• No significant differences in ASES or VAS scores between all-suture and solid anchor groups after controlling for follow-up time.
• Proportions of patients achieving Patient Acceptable Symptom State (PASS) thresholds were similar for both groups.
• Solid anchor group had longer follow-up (3.6 years) than all-suture group (2.8 years).

Conclusions:

• All-suture anchors demonstrate comparable clinical efficacy to solid anchors for medial-row fixation in double-row rotator cuff repair.
• This suggests all-suture anchors are a viable option for rotator cuff repair.
• The study supports the use of all-suture anchors without compromising patient outcomes.