ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2019
Double-row rotator cuff repairs lead to more intensive pain during the early postoperative period but have a lower risk of residual pain than single-row repairs.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Early versus delayed mobilization for arthroscopic rotator cuff repair (small to large sized tear): a meta-analysis of randomized controlled trials.BMC musculoskeletal disorders · 2023Pooled it
- [Single-row versus double-row arthroscopic repair in the treatment of rotator cuff tears. A systematic review.]Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2023Pooled it
- [Early effectiveness of arthroscopic modified tri-anchor double-pulley suture-bridge technique in repairing medium-sized supraspinatus tendon tears].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Article
- Arthroscopic Trianchor With 6 Sets of Double-Pulley Suture Bridge Repair of Medium-Sized Supraspinatus Tendon Tears.Arthroscopy techniques · 2025Article
- Factors contributing to persistent shoulder pain after arthroscopic rotator cuff repair: Protocol for a scoping review.F1000Research · 2024Article
- Gender and degree of tendon healing are independent predictive factors for clinical outcome in successfully healed rotator cuff tears.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Comparison of Arthroscopic Single-row and Double-row Repair for Rotator Cuff Injuries With Different Tear Sizes: A Systematic Review and Meta-analysis.Orthopaedic journal of sports medicine · 2023Review
- A network meta-analysis of arthroscopic rotator cuff repair.BMC surgery · 2023Article
- Prognostic factors for improvement of shoulder function after arthroscopic rotator cuff repair: a systematic review.JSES international · 2023Review
- Quantitative Magnetic Resonance Imaging-Based Tendon Healing of Different Regions of the Shoulder: Comparison Between the Suture-Bridge and Single-Row Techniques.Orthopaedic journal of sports medicine · 2023Article
- Mobility Assessment of the Supraspinatus in a Porcine Cadaver Model Using a Sensor-Enhanced, Arthroscopic Grasper.Annals of biomedical engineering · 2021Article
- Comparison of three suture-bridge techniques for large or massive rotator cuff tear with delamination.SICOT-J · 2021Article
- Quantitative T2 mapping-based tendon healing is related to the clinical outcomes during the first year after arthroscopic rotator cuff repair.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Postoperative residual pain is associated with a high magnetic resonance imaging (MRI)-based signal intensity of the repaired supraspinatus tendon.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
- The Arthroscopic "Montgolfier Double-Row Knotless" Rotator Cuff Repair Technique.Arthroscopy techniques · 2019Article
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Authors and funding
8 authors.
Funding
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Abstract
purposeThe purpose of this study is to compare pain patterns and identify factors associated with residual shoulder pain after rotator cuff repairs using double-row and single-row techniques.
methodsA cohort study was performed using patients who underwent arthroscopic rotator cuff repairs at our center in 2015. Patients were allocated according to the repair technique into an single-row (SR) group or a double-row (DR) group. Visual Analog Scale (VAS) scores for pain were assessed at 1 week, 3 months, 6 months, 12 months and 24 months after surgery. Functional and radiographic assessments were performed at least 24 months postoperatively. The proportion of patients with residual pain and factors associated with residual shoulder pain (VAS > 0 at the final follow-up) were analyzed in both groups.
resultsFifty-two patients were enrolled in the SR group, and 53 were enrolled in the DR group. The DR group appeared to have higher levels of pain 1 week (P < 0.001) and 3 months (P = 0.041) postoperatively, while at other time points, the pain intensity of the two groups was comparable. Fourteen (26.4%) and 25 (48.1%) patients in the DR and the SR groups, respectively, developed residual shoulder pain, (P = 0.022; RR 1.82). The univariate analysis and multiple regression revealed that a poorer quality of tendon tissue is related to residual pain in the SR group, whereas tendon retraction is associated with residual pain in the DR group. The rate of re-tear was similar between the two groups and between patients with and without residual pain.
conclusionsThe DR repair technique results in a greater intensity of pain than that of SR repair during the first 3 months after surgery; however, patients who underwent DR repair presented a significantly lower proportion of residual shoulder pain and better tendon quality after 2 years. Poorer tendon quality and larger tendon retraction as determined intraoperatively were risk factors for residual pain. These results highlight the necessity of promoting healing on the grounds of residual pain prevention. LEVEL OF EVIDENCE: II.
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