The cost-effectiveness of single-row compared with double-row arthroscopic rotator cuff repair.

Background: Interest in double-row techniques for arthroscopic rotator cuff repair has increased over the last several years, presumably because of a combination of literature demonstrating superior biomechanical characteristics and recent improvements in instrumentation and technique. As a result of the increasing focus on value-based health-care delivery, orthopaedic surgeons must understand the cost implications of this practice. The purpose of this study was to examine the cost-effectiveness of double-row arthroscopic rotator cuff repair compared with traditional single-row repair.

Biomechanical analysis of bicortical versus unicortical locked plating of mid-clavicular fractures.

Objectives: Operative fixation of displaced mid-shaft clavicle fractures has been shown to improve the functional outcomes and decrease the likelihood of non-union; however, little is known about the need for locking screws versus traditional screws. We, therefore, evaluated the strength of unicortical locked plating versus traditional bicortical non-locking fixation methods.

Methods: Ten matched pairs of fresh, frozen cadaver clavicle specimens were obliquely osteotomized through the mid-shaft to represent the most common fracture pattern.