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Rotator cuff repairs with all-suture tape anchors: no difference in outcomes between with or without all-suture tape anchors. | LitMetric

Rotator cuff repairs with all-suture tape anchors: no difference in outcomes between with or without all-suture tape anchors.

Knee Surg Sports Traumatol Arthrosc

Department of Orthopaedic Surgery, Myongji Hospital, 697-24 Hwajung-Dong, Deokyang-Gu, Goyang-Si, 10475, Gyeonggi-Do, Korea.

Published: September 2023

AI Article Synopsis

  • The study compared outcomes of medium to large rotator cuff repairs using three techniques: single-row (SR) repair, double-row suture bridge (DRSB) with conventional sutures, and DRSB with tape-like sutures.
  • In a retrospective analysis of 135 patients, the DRSB with tape had the highest re-tear rate at 16%, but differences in re-tear rates among the three groups were not statistically significant.
  • Functional improvement post-surgery was observed across all groups, but no significant differences in outcomes were found, indicating that the tape-like sutures did not provide a clinical advantage over conventional sutures.

Article Abstract

Purpose: This study aimed at comparing the outcomes of medium- to large-sized rotator cuff repairs performed using the suture bridge technique either with or without tape-like sutures, and single row techniques with conventional sutures.

Methods: A total of 135 eligible patients with medium to large rotator cuff tears were identified and analyzed retrospectively, from 2017 to 2019. Only repairs using all-suture anchors were included in the study. Patients were divided into the following three groups: single-row (SR) repair (N = 50), standard double-row suture bridge (DRSB) repair with conventional sutures (N = 35), and DRSB with tape-like sutures (N = 50). The average postoperative follow-up period was 26.3 ± 9.8 months (range, 18-37).

Results: DRSB with tapes had the highest re-tear rate of 16% (8/50), but there was no significant difference with the re-tear rates observed in SR (8%, 4/50) and DRSB with conventional sutures (11.4%, 4/35) (n.s.). DRSB with tapes demonstrated higher rate of type 2 re-tears (10%) compared to type 1 re-tears (6%), but the other two groups showed either similar or higher rates of type 1 re-tears compared to that of type 2. Post-operative functional scores of the three groups improved significantly (all p < 0.05), but the differences between the groups were not statistically significant.

Conclusions: No clinical difference in functional outcomes and re-tear rates were observed in DRSB with tapes when compared with SR and DRSB using the conventional sutures. Tape-like DRSB suture which was expected to be superior by its biomechanical advantage was clinically non-superior to conventional DRSB suture. There were no significant differences in VAS scores and UCLA scores.

Level Of Evidence: Level III.

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Source
http://dx.doi.org/10.1007/s00167-023-07454-4DOI Listing

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