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This Article Full Text Full Text (PDF) All Versions of this Article: 35/8/1247    most recent 0363546507301661v1 Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Request Reprints Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (4) Citing Articles via Google Scholar Google Scholar Articles by Charousset, C. Articles by Petrover, D. Search for Related Content PubMed PubMed Citation Articles by Charousset, C. Articles by Petrover, D. Related Collections Imaging Studies Shoulder Arthroscopy

Can a Double-Row Anchorage Technique Improve Tendon Healing in Arthroscopic Rotator Cuff Repair?

A Prospective, Nonrandomized, Comparative Study of Double-Row and Single-Row Anchorage Techniques With Computed Tomographic Arthrography Tendon Healing Assessment

Christophe Charousset, MD^,*, Jean Grimberg, MD, Louis Denis Duranthon, MD, Laurance Bellaiche, MD and David Petrover, MD

From the Association Francilienne de Traumatologie du Sport, Paris, France, and the Clinique Bachaumont, Service de Radiologie, Paris, France

^* Address correspondence to Christophe Charousset, Association Francilienne de Traumatologie du Sport, 60, rue de Courcelles, 75008 Paris, France (e-mail: c.charousset{at}lafts.com).

Background: Increasing the rate of watertight tendon healing has been suggested as an important criterion for optimizing clinical results in rotator cuff arthroscopic repair.

Hypothesis: A double-row anchorage technique for rotator cuff repair will produce better clinical results and a better rate of tendon healing than a single-row technique.

Study Design: Cohort study; Level of evidence, 2.

Methods: We compared 31 patients undergoing surgery with a double-row anchorage technique using Panalok anchors and Cuff Tack anchors and 35 patients with rotator cuff tear undergoing surgery with a single-row anchorage arthroscopic technique using Panalok anchors. We compared pre- and postoperative Constant score and tendon healing, as evaluated by computed tomographic arthrography 6 months after surgery, in these 2 groups.

Results: The Constant score increased significantly in both groups, with no difference between the 2 groups (P = .4). Rotator cuff healing was judged anatomic in 19 patients with double-row anchorage and in 14 patients with single-row anchorage; this difference between the groups was significant (P = .03).

Conclusion: In this first study comparing double- and single-row anchorage techniques, we found no significant difference in clinical results, but tendon healing rates were better with the double-row anchorage. Improvements in the double-row technique might lead to better clinical and tendon healing results.

Key Words: arthroscopy rotator cuff repair • rotator cuff footprint • double-row fixation • tendon healing

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