A multicenter randomized controlled trial comparing single-row with double-row fixation in arthroscopic rotator cuff repair.
BACKGROUND
Controversy exists regarding the optimal technique for arthroscopic rotator cuff repair. The purpose of this multicenter, randomized, double-blind controlled study was to compare the functional outcomes and healing rates after use of single-row and double-row suture techniques for repair of the rotator cuff.


METHODS
Ninety patients undergoing arthroscopic rotator cuff repair were randomized to receive either a single-row or a double-row repair. The primary objective was to compare the Western Ontario rotator cuff index (WORC) score at twenty-four months. Secondary objectives included comparison of the constant and american shoulder and elbow surgeons (ASES) scores and strength between groups. Anatomical outcomes were assessed with magnetic resonance imaging (MRI) or ultrasonography to determine the postoperative healing rates.


RESULTS
Baseline demographic data including age (p = 0.29), sex (p = 0.68), affected side (p = 0.39), and rotator cuff tear size (p = 0.28) did not differ between groups. The WORC score did not differ significantly between groups at any time point (p = 0.48 at baseline, p = 0.089 at three months, p = 0.52 at six months, p = 0.83 at twelve months, and p = 0.60 at twenty-four months). The WORC score at each postoperative time point was significantly better than the baseline value. The Constant score, ASES score, and strength did not differ significantly between groups at any time point. Logistic regression analysis demonstrated that a smaller initial tear size and double-row fixation were associated with higher healing rates.


CONCLUSIONS
No significant differences in functional or quality-of-life outcomes were identified between single-row and double-row fixation techniques. A smaller initial tear size and a double-row fixation technique were associated with higher healing rates as assessed with ultrasonography or MRI.


METHODS
Therapeutic level I. See Instructions for Authors for a complete description of levels of evidence.
Division of Orthopaedics, The Ottawa Hospital, General Campus, 501 Smyth Road, W1648, Box 502, Ottawa, ON K1H 8L6, Canada. Lapner: plapner@toh.on.ca
Peter L C
PL
Lapner
Elham
E
Sabri
Kawan
K
Rakhra
Sheila
S
McRae
Jeff
J
Leiter
Kimberly
K
Bell
Peter
P
Macdonald
D000328:Adult; D000368:Aged; D002170:Canada; D004311:Double-Blind Method; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011788:Quality of Life; D017006:Rotator Cuff / Q000601:surgery*; D000070636:Rotator Cuff Injuries; D013536:Suture Techniques; D013718:Tensile Strength