Arthroscopic Rotator Cuff Repair by Single Row Technique

Yum,  Jae Kwang

doi:2008.11.2.77

Clin Shoulder Elb > Volume 11(2); 2008 > Article

Review

Journal of the Korean Shoulder and Elbow Society 2008;11(2):77-81.
DOI: https://doi.org/10.5397/CiSE.2008.11.2.077 Published online December 31, 2008.

Arthroscopic Rotator Cuff Repair by Single Row Technique

Jae Kwang Yum

Department of Orthopaedic Surgery, Sanggye Paik Hospital, Inje University, Seoul, Korea. yumccf@hanmail.net

회전근 개 파열에 대한 관절경적 봉합술 중 일열 봉합술의 유용성

염 재 광*

인제대학교 의과대학 상계백병원 정형외과학교실

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.

Key Words: Shoulder; Rotator cuff tear; Arthroscopic single row repair