Authors: Ignacio Carbonel Angel Antonio Martinez Angel Calvo Jorge Ripalda Antonio Herrera
Publish Date: 2012/05/16
Volume: 36, Issue: 9, Pages: 1877-1883
Abstract
The purpose of this study was to compare arthroscopic rotator cuff repair with singlerow and doublerow techniques because research has demonstrated the superiority of doublerow repair from a biological and mechanical point of view but there is no evidence of clinical superiorityA total of 160 patients with a fullthickness rotator cuff tear underwent arthroscopic repair with suture anchors They were randomised into two groups of 80 patients according to the repair technique singlerow group 1 and doublerow group 2 Results were evaluated by use of the University of California Los Angeles UCLA American Shoulder and Elbow Surgeons ASES and Constant questionnaires the Shoulder Strength Index SSI and range of motion Followup time was two years Magnetic resonance imaging MRI studies were performed on each shoulder preoperatively and two years after repairOne hundred per cent of the patients were followed up All measurements showed significant improvement compared with the preoperative status The UCLA score showed significant improvement in group 2 In over 30mm tears UCLA and ASES showed significant differences SSI showed significant improvement in group 2 Range of motion showed significant improvements in flexion and abduction in group 2 In under 30mm tears group 2 showed also significant improvement in internal and external rotation In MRI studies there were no significant differences
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