Monday, January 13, 2014

Single row, double row, outcomes, and high retear rates.

Meta-analysis comparing single-row and double-row repair techniques in the arthroscopic treatment of rotator cuff tears

These authors conducted a meta-analysis of recently published studies to compare the clinical results of a double-row technique with the results of a single-row technique.

Neither the Constant score nor the UCLA score showed a significant difference in the outcome. The ASES score did show significantly better outcomes with the double row repair. 

The retear rates were high, 83 out of 258 of the repairs were retorn: 23.8% in the double-row repair group and 40.2% in the single-row repair group, indicating that almost 1/3 of the surgeries failed to achieve the objective of a cuff repair: cuff integrity.

The authors did not examine the effect of repair integrity on the clinical outcome.