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Outcomes of the Star Repair for Large and Massive Rotator Cuff Tears: A Modified Triple-Row Technique
BACKGROUND: Large and massive rotator cuff repairs constitute a true challenge for arthroscopic shoulder surgeons. Retear rates as high as 20% have been reported after arthroscopic double-row and suture-bridge techniques used for these tears. HYPOTHESIS: A modified triple-row repair will provide sat...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7495945/ https://www.ncbi.nlm.nih.gov/pubmed/32974412 http://dx.doi.org/10.1177/2325967120952998 |
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author | Morsy, Mohamed G. Gawish, Hesham M. Galal, Mostafa A. Waly, Ahmed H. |
author_facet | Morsy, Mohamed G. Gawish, Hesham M. Galal, Mostafa A. Waly, Ahmed H. |
author_sort | Morsy, Mohamed G. |
collection | PubMed |
description | BACKGROUND: Large and massive rotator cuff repairs constitute a true challenge for arthroscopic shoulder surgeons. Retear rates as high as 20% have been reported after arthroscopic double-row and suture-bridge techniques used for these tears. HYPOTHESIS: A modified triple-row repair will provide satisfactory clinical results with lower risk for retear. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Between March 2016 and August 2017, a total of 52 patients with large and massive rotator cuff tears received a modified triple-row cuff repair. A middle repositioning anchor was inserted between the medial and the lateral rows. The middle anchor sutures were loaded to lateral knotless anchors in a star-shaped configuration. Functional evaluation was performed using the American Shoulder and Elbow Surgeons score, University of California, Los Angeles score, Constant-Murley score, and Simple Shoulder Test. Subjective evaluation was carried out using a visual analog scale for pain and a subjective shoulder value score. Health-related as well as disease-specific quality-of-life scores were also used. Retear rates were assessed by means of musculoskeletal ultrasonography. Patients were evaluated for a minimum of 24 months. RESULTS: This study included 34 female and 18 male patients with a mean age of 57.17 ± 6.7 years. There were 35 patients (67.3%) with large tears and 17 patients (32.7%) with massive tears. Significant improvement from preoperative values was seen in all functional and subjective scores (P < .001). The mean forward flexion was 163° ± 9.7°, and the mean lateral abduction was 159.4° ± 9.4°. All patients had excellent scores on the general health-related and disease-specific quality-of-life scales. No retears were reported at the end of the follow-up period. CONCLUSION: The star-shaped, modified triple-row cuff repair is a valid and effective solution for surgical management of large and massive rotator cuff tears, providing excellent results and low risk for retears. |
format | Online Article Text |
id | pubmed-7495945 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-74959452020-09-23 Outcomes of the Star Repair for Large and Massive Rotator Cuff Tears: A Modified Triple-Row Technique Morsy, Mohamed G. Gawish, Hesham M. Galal, Mostafa A. Waly, Ahmed H. Orthop J Sports Med Article BACKGROUND: Large and massive rotator cuff repairs constitute a true challenge for arthroscopic shoulder surgeons. Retear rates as high as 20% have been reported after arthroscopic double-row and suture-bridge techniques used for these tears. HYPOTHESIS: A modified triple-row repair will provide satisfactory clinical results with lower risk for retear. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Between March 2016 and August 2017, a total of 52 patients with large and massive rotator cuff tears received a modified triple-row cuff repair. A middle repositioning anchor was inserted between the medial and the lateral rows. The middle anchor sutures were loaded to lateral knotless anchors in a star-shaped configuration. Functional evaluation was performed using the American Shoulder and Elbow Surgeons score, University of California, Los Angeles score, Constant-Murley score, and Simple Shoulder Test. Subjective evaluation was carried out using a visual analog scale for pain and a subjective shoulder value score. Health-related as well as disease-specific quality-of-life scores were also used. Retear rates were assessed by means of musculoskeletal ultrasonography. Patients were evaluated for a minimum of 24 months. RESULTS: This study included 34 female and 18 male patients with a mean age of 57.17 ± 6.7 years. There were 35 patients (67.3%) with large tears and 17 patients (32.7%) with massive tears. Significant improvement from preoperative values was seen in all functional and subjective scores (P < .001). The mean forward flexion was 163° ± 9.7°, and the mean lateral abduction was 159.4° ± 9.4°. All patients had excellent scores on the general health-related and disease-specific quality-of-life scales. No retears were reported at the end of the follow-up period. CONCLUSION: The star-shaped, modified triple-row cuff repair is a valid and effective solution for surgical management of large and massive rotator cuff tears, providing excellent results and low risk for retears. SAGE Publications 2020-09-15 /pmc/articles/PMC7495945/ /pubmed/32974412 http://dx.doi.org/10.1177/2325967120952998 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc-nd/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Article Morsy, Mohamed G. Gawish, Hesham M. Galal, Mostafa A. Waly, Ahmed H. Outcomes of the Star Repair for Large and Massive Rotator Cuff Tears: A Modified Triple-Row Technique |
title | Outcomes of the Star Repair for Large and Massive Rotator Cuff Tears: A Modified Triple-Row Technique |
title_full | Outcomes of the Star Repair for Large and Massive Rotator Cuff Tears: A Modified Triple-Row Technique |
title_fullStr | Outcomes of the Star Repair for Large and Massive Rotator Cuff Tears: A Modified Triple-Row Technique |
title_full_unstemmed | Outcomes of the Star Repair for Large and Massive Rotator Cuff Tears: A Modified Triple-Row Technique |
title_short | Outcomes of the Star Repair for Large and Massive Rotator Cuff Tears: A Modified Triple-Row Technique |
title_sort | outcomes of the star repair for large and massive rotator cuff tears: a modified triple-row technique |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7495945/ https://www.ncbi.nlm.nih.gov/pubmed/32974412 http://dx.doi.org/10.1177/2325967120952998 |
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