A novel arthroscopic suturing technique for rotator cuff tears: A retrospective clinical study

To overcome the drawbacks of these conventional suturing methods, we have developed a novel suture technique. This new technique combines the advantages of the traditional Mason-Allen technique and the suture bridge technique, which enhances the tendon-to-bone contact area and prevents suture cutout, among other benefits.This study is to investigate the method, technique, and clinical efficacy of this novel suture technique in the treatment of rotator cuff injuries. Between January and December 2023, 21 patients (9 male, 12 female; age range: 46-71 years, mean: 51) underwent rotator cuff repair using the novel arthroscopic suturing technique. Fifteen repairs were performed on the right shoulder, and 6 on the left. Symptom duration prior to surgery ranged from 3 to 12 months (mean: 6 months). Clinical outcomes were assessed pre- and postoperatively using range of motion, Visual Analog Scale, University of California, Los Angeles (UCLA) Shoulder Rating Scale, and Constant-Murley scores. All patients underwent successful surgery, with operative times ranging from 60 to 110 minutes (mean: 90 minutes). Primary healing was achieved for all incisions. Postoperative follow-up ranged from 12 to 24 months (mean: 20 months). At final follow-up, significant improvements were observed in shoulder joint range of motion (forward flexion, abduction, and external rotation), Visual Analog Scale, UCLA, and Constant-Murley scores (P < .05). According to the UCLA Shoulder Rating Scale, 15 cases were rated excellent, 5 good, and 1 poor, yielding an excellent-to-good rate of 95.2%. Final magnetic resonance imaging confirmed intact rotator cuff repairs with no retear, no damage to the long head of the biceps tendon, and no anchor fractures or dislodgements. No instances of Popeye deformity were noted. The novel suturing technique integrates the benefits of the Mason-Allen and suture bridge methods, overcoming the limitations of traditional approaches. It improves tendon-to-bone contact, reduces suture cutout, and delivers excellent clinical outcomes with high repair integrity. In conclusion, this technique offers a safe, reliable, and effective solution for rotator cuff repair, ensuring high patient satisfaction. Preliminary results suggest safety and efficacy, but larger comparative studies are needed.