ARTHOSCOPIC REPAIR OF FULL THICKNESS TEAR OF SUPRASPINATUS AND INFRASPINATUS TENDONS USING DOUBLE ROW SUTURE ANCHORS

Document Type : Original Article

Authors

Department of Orthopedic Surgery, Ain Shams University, Cairo, Egypt.

Abstract

Background: Lesions of the rotator cuff (RC) are a common occurrence affecting millions of people across all parts of the globe. RC tears are also rampantly prevalent with an age-dependent increase in numbers. Other associated factors include a history of trauma, limb dominance, contralateral shoulder, smoking-status, hypercholesterolemia, posture and occupational dispositions. The challenge lies in early diagnosis since a high proportion of patients are asymptomatic. Pain and decreasing shoulder power and function should alert the heedful practitioner in recognizing promptly the onset or aggravation of existing RC tears.
Aim of the work: The present study aims to conduct a systematic review and meta-analysis about arthroscopic repair outcomes in patients with full thickness rotator cuff tear, using double row suture anchor techniques.
Patients and Methods: Systematic review and Meta-analysis study. The literature search identified 50 studies for consideration; however, 7 studies were excluded following abstract screening. For the remaining studies, examination of the full-text manuscripts was conducted, and only 9 of the 33 articles met all eligibility criteria and were included in the analysis.
Results: The study yielded the following results: the average pain score improved from 7.4 points preoperatively to 0.7 point postoperatively. The subjective outcome was excellent or good in 220 (90.9%) of the 242 shoulders. the average increase in the Constant score after the operation was 25.4.
Conclusion: Nine studies were selected which met all eligibility criteria because of lack of studies containing these criteria. Also meta-analysis was used to get this conclusion. Nevertheless, this study does not include uniform studies as currently there is no consensus on same data of selected studies; however it includes repair by double row technique only.

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