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Minimum five-year outcomes and clinical survivorship for arthroscopic transosseous-equivalent double-row rotator cuff repair

Journal of the American Academy of Orthopedic Surgeons Dec 15, 2019

Pogorzelski J, Fritz EM, Horan MP, et al. - Individuals of a minimum of 5 years from an index arthroscopic double-row transosseous-equivalent (TOE) repair using either a knotless tape bridge (TB) or knotted suture bridge (SB) technique for one, two, or three tendon full-thickness rotator cuff tears involving the supraspinatus tendon (n = 192 shoulders) were included to ascertain whether there would be important improvements in patient-reported outcomes with TOE rotator cuff repair (RCR) that would be durable over time and if the knotless TB technique would give equivalent clinical outcomes to the knotted SB technique, however, that there would be variations in retear types between the two TOE techniques. At a minimum of 5 years of follow-up, using either knotted SB or knotless TB repair techniques in primary and revision cases and in small and large tears, TOE RCR led to notable clinical advancement and superior survivorship. Equivalent results were achieved with both TOE techniques. Moreover, individuals undergoing repair with a TOE revealed notable improvements in patient-reported outcomes that were long-lasting at a minimum of 5 years postoperatively.
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