title: Arthroscopic double-row cuff repair with suture-bridging: a structural and functional comparison of two techniques.
abstract: OBJECTIVE
  The aim of this study was to compare the functional and structural outcomes of 2 techniques for double-row, suture-bridging cuff repair.
  
  
  METHODS
  A consecutive series of 73 patients who underwent arthroscopic, double-row, suture-bridge primary rotator cuff repair of full-thickness supraspinatus tear were evaluated. Thirty-eight shoulders were repaired by the arthroscopic, tied, suture-bridging technique (group A), and 35 shoulders by knot-less bridging with suture tape material (group B). Constant scores, pain, range of motion, strength, and complications were measured after a minimum follow-up period of 12 months post-operatively. Structural integrity of the repairs was evaluated systematically by either magnetic resonance imaging or computed tomography arthrography.
  
  
  RESULTS
  Median follow-up after surgery was 29 (23-32) months in group A, and 21 (12-23) months in group B. Mean pain relief, range of motion, strength, and constant score improved significantly in both groups. No statistical differences were found between groups in the post-operative period. According to control imaging, the re-tear rate trended to be higher in group A (23.4 %) than in group B (17.1 %), although not significantly.
  
  
  CONCLUSIONS
  Both bridging repair techniques achieved successful functional outcomes. In terms of structural outcome, the knot-less tape-bridging construct showed a lower but not significant re-tear rate. Longer follow-up is needed to confirm these results and to evaluate potential differences between the two techniques.
  
  
  METHODS
  A prospective, non-randomized, comparative study, Level III.
authors: Orthopaedic Department, Bichat Hospital, Assistance Publique/Hôpitaux de Paris, University Paris VII, 46 rue Henri Huchard, 75018, Paris, France, patrickboyer@free.fr.
authors: P
authors: P
authors: Boyer
authors: C
authors: C
authors: Bouthors
authors: T
authors: T
authors: Delcourt
authors: O
authors: O
authors: Stewart
authors: F
authors: F
authors: Hamida
authors: G
authors: G
authors: Mylle
authors: P
authors: P
authors: Massin
mesh_terms: D000328:Adult; D000368:Aged; D001182:Arthroscopy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012008:Recurrence; D017006:Rotator Cuff / Q000473:pathology / Q000601:surgery*; D000070636:Rotator Cuff Injuries; D053441:Suture Anchors; D013536:Suture Techniques; D014057:Tomography, X-Ray Computed
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