Clinical evidence shows no difference between single- and double-row repair for rotator cuff tears.
Tears of the rotator cuff may be repaired by single- or double-row techniques. Single-row methods do not restore the rotator cuff footprint but do provide a good functional outcome. We surveyed the literature to ascertain the origin of the current trend of using double-row methods of repair. The footprint repair is a benefit of double-row fixation with strong evidence of its biomechanical success. However, the functional outcome of double-row fixation is equivalent to single-row fixation. Given the lack of scientific evidence and despite the enthusiasm of surgeons for this new technique, single-row fixation remains an acceptable method for managing these injuries, and it is our opinion that it is the preferable method.
Reardon
Daniel J
DJ
Department of Trauma and Orthopaedic Surgery, Keele University School of Medicine, North Staffordshire Hospital, Stoke-on-Trent, England.
Maffulli
Nicola
N
D001182:Arthroscopy / Q000379:methods*; D002102:Cadaver; D006801:Humans; D017006:Rotator Cuff / Q000033:anatomy & histology / Q000601:surgery*; D000070636:Rotator Cuff Injuries; D013536:Suture Techniques