Arthroscopic Rotator Cuff Repair by Single Row Technique.
- Author:
Jae Kwang YUM
1
Author Information
1. Department of Orthopaedic Surgery, Sanggye Paik Hospital, Inje University, Seoul, Korea. yumccf@hanmail.net
- Publication Type:Review
- Keywords:
Shoulder;
Rotator cuff tear;
Arthroscopic single row repair
- MeSH:
Biology;
Operative Time;
Rotator Cuff;
Shoulder
- From:Journal of the Korean Shoulder and Elbow Society
2008;11(2):77-81
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The goal of rotator cuff repairs is to achieve high initial fixation strength, minimize gap formation, maintain mechanical stability under cyclic loading and optimize the biology of the tendon-bone interface until the cuff heals biologically to the bone. Single row repairs are least successful in restoring the footprint of the rotator cuff and are most susceptible to gap formation. Double row repairs have an improved load to failure and minimal gap formation. Transosseous equivalent repairs (suture bridge technique) have the highest ultimate load and resistance to shear and rotational forces and the lowest gap formation. Even though the superior advantages of double row and transosseous equivalent repairs, those techniques take longer surgical time and are more expensive than single row repairs. Therefore single row repairs can be useful in bursal side partial thickness or small size full thickess rotator cuff tear.
