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Related Experiment Video

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Comparing Conventional Double-Row With Transosseous Equivalent Suture Bridge Fixation in Arthroscopic Rotator Cuff

Stephanie Antoniades1, Kellen Walsh1, J W Pollock1

  • 1Division of Orthopaedic Surgery, The Ottawa Hospital, University of Ottawa, Ottawa, Ontario, Canada.

Orthopaedic Journal of Sports Medicine
|February 3, 2025
PubMed
Summary

This study found no significant difference in functional outcomes or healing rates between traditional double-row (DR) and transosseous equivalent suture bridge (TOE-SB) rotator cuff repairs. Smaller tear sizes were associated with higher healing rates.

Keywords:
arthroscopydouble-rowmetabolic syndromerotator cuffshouldersuture bridge

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering
  • Sports Medicine

Background:

  • Biomechanical studies suggest transosseous equivalent suture bridge (TOE-SB) rotator cuff repair enhances tendon-footprint contact.
  • Limited direct comparisons exist between TOE-SB and traditional double-row (DR) rotator cuff repair techniques.

Purpose of the Study:

  • To compare functional outcomes between DR and TOE-SB arthroscopic rotator cuff repairs.
  • To compare healing rates between DR and TOE-SB repairs and identify factors associated with healing.

Main Methods:

  • A cohort study, subanalysis of 2 RCTs, included 184 patients with degenerative rotator cuff tears.
  • Patients underwent either DR or TOE-SB repair, with outcomes assessed using WOSI, ASES, and Constant scores.
  • Healing rates were evaluated via ultrasound at 24 months postoperatively.

Main Results:

  • No significant differences in functional outcomes (WOSI, ASES, Constant score) were observed between DR and TOE-SB repairs, except for the Constant score at 24 months favoring DR.
  • Healing rates were 77.8% for DR and 83% for TOE-SB, with no statistically significant difference.
  • Smaller sagittal plane tear size correlated with higher healing rates (OR, 1.97; P = .042).

Conclusions:

  • DR and TOE-SB rotator cuff repairs demonstrate comparable functional outcomes and healing rates.
  • Rotator cuff repair success is associated with smaller tear sizes in the sagittal plane.
  • Both DR and TOE-SB are effective arthroscopic techniques for rotator cuff repair.