Can Successful Outcomes be Achieved using the Single-Row Rather Than the Double-Row Technique for Repair of a Rotator Cuff Tear?

Abstract

Aim:To compare the outcomes of patients grouped according to the intraoperative size of the anteroposterior tear treated using double- or single-row repair techniques. Material and methods:We examined the outcomes of 112 patients who met our inclusion/exclusion criteria by using the preoperative and postoperative Constant scores. We divided the patients treated using single- or double-row techniques into 4 groups based on the intraoperative size of the anteroposterior tear, including both the supraspinatus and infraspinatus tears. Further, we divided the patients in these 4 groups into two additional subgroups treated using single- and double-row techniques. Results:The single-row group included 64 patients and the double-row group included 48 patients. The mean follow-up time for the single- and double-row groups was 35.6 and 33.5 months, respectively. We observed a significant improvement in the outcomes of patients in the single- and double-row groups; the preoperative and postoperative Constant scores of patients in the single-row groups were 36 and 81.2, respectively (p = 0.00001). The preoperative and postoperative Constant scores of patients in the double-row groups were 31.6 and 74.3, respectively (p = 0.00001). Patients with an intraoperative tear size of 1-3 cm treated using the single-row technique showed better outcomes than those treated using the double-row technique (postoperative Constant scores 81.2 and 71.86, respectively, p = 0.00585). Conclusion:Thus, the single-row repair technique was used successfully in patients with supraspinatus and infraspinatus tears ranging from 1-3 cm.

Keywords

• constant score
• double row
• single row
• size of the anteroposterior tear
• rotator cuff tear
• rotator cuff repair
• constant skoru
• tek sıra
• çift sıra
• anteroposterior yırtık ölçüsü
• rotator manşet yırtığı
• rotator manşet tamiri