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Does the use of knotted vs knotless transosseous equivalent rotator cuff repair technique influence the incidence of re-tears? a systematic review

Arthroscopy Evidence based | Feb 18, 2020

Kunze KN, Rossi LA, Beletsky A, et al. - A systematic review was conducted to compare knotted and knotless transosseous equivalent (TOE) rotator cuff repair (RCR) techniques in order to evaluate their imaging-diagnosed re-tear rates. Researchers searched the Cochrane Database of Systematic Reviews, the Cochrane Central Register of Controlled Trials, PubMed (2008-2019), EMBASE (2008-2019), and MEDLINE (2008-2019) to conduct a systematic review and meta-analysis using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) criteria with the following search terms: rotator cuff repair AND (knotless OR knotted) AND transosseous; rotator cuff repair AND (knotless OR knotted or transosseous); rotator cuff repair AND ("suture bridge" OR "suture bridging"). Researchers recruited a sum of 7 studies including a total of 552 shoulders. This study found similar incidence and location of re-tears following knotless and knotted TOE RCR.
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