Arthroscopic Rotator Cuff Repair With Metal and Biodegradable Suture Anchors: A Prospective Randomized Study.
Summary of "Arthroscopic Rotator Cuff Repair With Metal and Biodegradable Suture Anchors: A Prospective Randomized Study."
The purpose of this study was to compare the clinical outcome of arthroscopic rotator cuff repair with metal and biodegradable suture anchors.
Arthroscopic rotator cuff repair was performed in 110 patients with a full-thickness rotator cuff tear. They were divided into 2 groups of 55 patients each, according to suture anchors used: metal anchors in group 1 and biodegradable anchors in group 2. Results were evaluated by use of the Disabilities of the Arm, Shoulder and Hand (DASH) and Work-DASH self-administered questionnaires, as well as the Constant score normalized for age and sex. On analyzing the results at 2 years' follow-up, we considered the following independent variables: baseline scores; age; sex; arm dominance; location, shape, and retraction of cuff tear; fatty degeneration; treatment of biceps tendon; rotator cuff repair technique (anchors or anchors and side to side); and number of anchors. Univariate and multivariate statistical analyses were performed to determine which variables were independently associated with the outcome. Significance was set at P < .05.
Of the patients, 9 (8.2%) were lost to follow-up. Comparison between groups did not show significant differences for each variable considered. Overall, according to the results, the mean DASH scores were 17.6 +/- 17.2 points in group 1 and 22.8 +/- 19.9 points in group 2; the mean Work-DASH scores were 24.9 +/- 28.1 points and 22.5 +/- 24.1 points, respectively; and the mean Constant scores were 104 +/- 20.5 points and 98.6 +/- 14.3 points, respectively. Differences between groups 1 and 2 were not significant. Univariate and multivariate analysis showed that only baseline score, age, tear location, and fatty degeneration significantly and independently influenced the outcome.
At a short-term follow-up, differences between arthroscopic repair of full-thickness rotator cuff tears with metal and biodegradable suture anchors were not significant. LEVEL OF
Level I, high-quality randomized controlled trial with no statistically significant differences but narrow confidence intervals.
Department of Orthopaedics and Traumatology, Catholic University, Rome, Italy.
This article was published in the following journal.
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20692119
- DOI: http://dx.doi.org/10.1016/j.arthro.2010.01.030
The influence of rehabilitation on the outcomes after arthroscopic rotator cuff repair remains unknown. The purpose of this study was to compare clinical results and tendon healing rates following art...
Surgical management of massive rotator cuff tears remains challenging, with failure rates ranging from 20% to 90%. Multiple different arthroscopic and open techniques have been described, but there is...
The purpose of this study was to compare morphologic features of the acromion after 2 different repair methods (single-row [SR] repair with a minimum of 4 knots and suture-bridge [SB] repair with mini...
Arthroscopic rotator cuff repairs have become the standard of treatment for all sizes of tears over the past several years. Current healing rates reported in the literature are quite good, but improvi...
BACKGROUND:Poor-quality tendon is one of the most difficult problems the surgeon must overcome in achieving secure fixation during rotator cuff repair. A load-sharing rip-stop construct (LSRS) has rec...
Arthroscopic repair has become the preferable surgical technique to treat rotator cuff tears in the last decade. Many researches demonstrate equal and even superior outcome with this surgi...
This study compares standard open rotator cuff repair versus arthroscopic mini-open rotator cuff repair by measuring the disease-specific quality of life at 2 years in patients with full t...
There are two ways in which surgeons repair rotator cuff tears. An open method involves making an incision (cut) 5-6 inches in length in the skin and repairing the tear with the skin open,...
The purpose of this study is to investigate whether there is a difference in the quality of life, ability to return to functioning (back to everyday life), the amount of experienced pain i...
This study involves subjects with full-thickness rotator cuff tears treated by means of arthroscopy surgical repair, also known as arthroscopic surgery. The primary objective of this stud...
Medical and Biotech [MESH] Definitions
Compression of the rotator cuff tendons and subacromial bursa between the humeral head and structures that make up the coracoacromial arch and the humeral tuberosities. This condition is associated with subacromial bursitis and rotator cuff (largely supraspinatus) and bicipital tendon inflammation, with or without degenerative changes in the tendon. Pain that is most severe when the arm is abducted in an arc between 40 and 120 degrees, sometimes associated with tears in the rotator cuff, is the chief symptom. (From Jablonski's Dictionary of Syndromes and Eponymic Diseases, 2d ed)
Implants used in arthroscopic surgery and other orthopedic procedures to attach soft tissue to bone. One end of a suture is tied to soft tissue and the other end to the implant. The anchors are made of a variety of materials including titanium, stainless steel, or absorbable polymers.
The musculotendinous sheath formed by the supraspinatus, infraspinatus, subscapularis, and teres minor muscles. These help stabilize the head of the HUMERUS in the glenoid fossa and allow for rotation of the SHOULDER JOINT about its longitudinal axis.
The reconstruction of a continuous two-stranded DNA molecule without mismatch from a molecule which contained damaged regions. The major repair mechanisms are excision repair, in which defective regions in one strand are excised and resynthesized using the complementary base pairing information in the intact strand; photoreactivation repair, in which the lethal and mutagenic effects of ultraviolet light are eliminated; and post-replication repair, in which the primary lesions are not repaired, but the gaps in one daughter duplex are filled in by incorporation of portions of the other (undamaged) daughter duplex. Excision repair and post-replication repair are sometimes referred to as "dark repair" because they do not require light.
Any woven or knit material of open texture used in surgery for the repair, reconstruction, or substitution of tissue. The mesh is usually a synthetic fabric made of various polymers. It is occasionally made of metal.