Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 26, Issue 3 , Pages 316-323 , March 2010

Biomechanical Advantages of Triple-Loaded Suture Anchors Compared With Double-Row Rotator Cuff Repairs

  • F. Alan Barber, M.D.

      Affiliations

    • Plano Orthopedic Sports Medicine and Spine Center, Plano, Texas, U.S.A.
    • Corresponding Author InformationAddress correspondence and reprint requests to F. Alan Barber, M.D., Plano Orthopedic and Sports Medicine Center, 5228 W Plano Pkwy, Plano, TX 75093, U.S.A.
    • ,
  • Morley A. Herbert, Ph.D.

      Affiliations

    • Advanced Surgical Institutes, Medical City Dallas Hospital, Dallas, Texas, U.S.A.
    • ,
  • F. Alexander Schroeder, M.D.

      Affiliations

    • Memorial Bone and Joint Clinic, Houston, Texas, U.S.A.
    • ,
  • Jorge Aziz-Jacobo, M.D.

      Affiliations

    • Plano Orthopedic Sports Medicine and Spine Center, Plano, Texas, U.S.A.
    • ,
  • Matthew M. Mays, M.D.

      Affiliations

    • Richmond Bone & Joint Clinic, Sugar Land, Texas, U.S.A.
    • ,
  • Jay H. Rapley, M.D.

      Affiliations

    • Plano Orthopedic Sports Medicine and Spine Center, Plano, Texas, U.S.A.

Received 15 December 2008 ,Accepted 20 July 2009.

References 

  1. Zheng N, Harris HW, Andrews JR. Failure analysis of rotator cuff repair: A comparison of three double-row techniques. J Bone Joint Surg Am. 2008;90:1034–1042
  2. Adams CR, Schoolfield JD, Burkhart SS. The results of arthroscopic subscapularis tendon repairs. Arthroscopy. 2008;24:1381–1389
  3. Ko SH, Lee CC, Friedman D, Park KB, Warner JJ. Arthroscopic single-row supraspinatus tendon repair with a modified mattress locking stitch: A prospective, randomized controlled comparison with a simple stitch. Arthroscopy. 2008;24:1005–1012
  4. Krishnan SG, Harkins DC, Schiffern SC, Pennington SD, Burkhead WZ. Arthroscopic repair of full-thickness tears of the rotator cuff in patients younger than 40 years. Arthroscopy. 2008;24:324–328
  5. Charousset C, Grimberg J, Duranthon LD, Bellaiche L, Petrover D, Kalra K. The time for functional recovery after arthroscopic rotator cuff repair: Correlation with tendon healing controlled by computed tomography arthrography. Arthroscopy. 2008;24:25–33
  6. Sugaya H, Maeda K, Matsuki K, Moriishi J. Functional and structural outcome after arthroscopic full-thickness rotator cuff repair: Single-row versus dual-row fixation. Arthroscopy. 2005;21:1307–1316
  7. Meier SW, Meier JD. The effect of double-row fixation on initial repair strength in rotator cuff repair: A biomechanical study. Arthroscopy. 2006;22:1168–1173
  8. Kim DH, Elattrache NS, Tibone JE, et al. Biomechanical comparison of a single-row versus double-row suture anchor technique for rotator cuff repair. Am J Sports Med. 2006;34:407–414
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  10. Nelson CO, Sileo MJ, Grossman MG, Serra-Hsu F. Single-row modified Mason-Allen versus double-row arthroscopic rotator cuff repair: A biomechanical and surface area comparison. Arthroscopy. 2008;24:941–948
  11. Mahar A, Tamborlane J, Oka R, Esch J, Pedowitz RA. Single-row suture anchor repair of the rotator cuff is biomechanically equivalent to double-row repair in a bovine model. Arthroscopy. 2007;23:1265–1270
  12. Song HS, Williams GR. Arthroscopic reduction and fixation with suture-bridge technique for displaced or comminuted greater tuberosity fractures. Arthroscopy. 2008;24:956–960
  13. Kim KC, Rhee KJ, Shin HD. Deformities associated with the suture-bridge technique for full-thickness rotator cuff tears. Arthroscopy. 2008;24:1251–1257
  14. Ji JH, Kim WY, Ra KH. Arthroscopic double-row suture anchor fixation of minimally displaced greater tuberosity fractures. Arthroscopy. 2007;23:1133.e1–1133.e4www.arthroscopyjournal.org
  15. Bynum CK, Lee S, Mahar A, Tasto J, Pedowitz R. Failure mode of suture anchors as a function of insertion depth. Am J Sports Med. 2005;33:1030–1034
  16. Burkhart SS, Diaz Pagan JL, Wirth MA, Athanasiou KA. Cyclic loading of anchor-based rotator cuff repairs: Confirmation of the tension overload phenomenon and comparison of suture anchor fixation with transosseous fixation. Arthroscopy. 1997;13:720–724
  17. Burkhart SS, Johnson TC, Wirth MA, Athanasiou KA. Cyclic loading of transosseous rotator cuff repairs: Tension overload as a possible cause of failure. Arthroscopy. 1997;13:172–176
  18. Coons DA, Barber FA, Herbert MA. Triple-loaded single-anchor stitch configurations: An analysis of cyclically loaded suture-tendon interface security. Arthroscopy. 2006;22:1154–1158
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  20. Barber FA, Herbert MA, Coons DA, Boothby MH. Sutures and suture anchors—Update 2006. Arthroscopy. 2006;22:1063–1069.e2www.arthroscopyjournal.org
  21. Barber FA, Herbert MA, Beavis RC. Cyclic load and failure behavior of arthroscopic knots and high strength sutures. Arthroscopy. 2009;25:192–199
  22. Barber FA, Herbert MA, Beavis RC, Barrera Oro F. Suture anchor materials, eyelets, and designs: Update 2008. Arthroscopy. 2008;24:859–867
  23. Barber FA, Coons DA, Ruiz-Suarez M. Cyclic load testing and ultimate failure strength of biodegradable glenoid anchors. Arthroscopy. 2008;24:224–228
  24. Barber FA, Coons DA, Ruiz-Suarez M. Cyclic load testing of biodegradable suture anchors containing 2 high-strength sutures. Arthroscopy. 2007;23:355–360
  25. Domb BG, Glousman RE, Brooks A, Hansen M, Lee TQ, ElAttrache NS. High-tension double-row footprint repair compared with reduced-tension single-row repair for massive rotator cuff tears. J Bone Joint Surg Am. 2008;90(Suppl 4):35–39
  26. Tingart MJ, Apreleva M, Zurakowski D, Warner JJ. Pullout strength of suture anchors used in rotator cuff repair. J Bone Joint Surg Am. 2003;85:2190–2198
  27. Castagna A, Garofalo R, Conti M, Borroni M, Snyder SJ. Arthroscopic rotator cuff repair using a triple-loaded suture anchor and a modified Mason-Allen technique (Alex stitch). Arthroscopy. 2007;23:440.e1–440.e4www.arthroscopyjournal.org
  28. Sileo MJ, Ruotolo CR, Nelson CO, Serra-Hsu F, Panchal AP. A biomechanical comparison of the modified Mason-Allen stitch and massive cuff stitch in vitro. Arthroscopy. 2007;23:235–240.e2www.arthroscopyjournal.org
  29. Cummins CA, Appleyard RC, Strickland S, Haen PS, Chen S, Murrell GA. Rotator cuff repair: An ex vivo analysis of suture anchor repair techniques on initial load to failure. Arthroscopy. 2005;21:1236–1241
  30. Kowalsky MS, Dellenbaugh SG, Erlichman DB, Gardner TR, Levine WN, Ahmad CS. Evaluation of suture abrasion against rotator cuff tendon and proximal humerus bone. Arthroscopy. 2008;24:329–334
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  32. Trantalis JN, Boorman RS, Pletsch K, Lo IK. Medial rotator cuff failure after arthroscopic double-row rotator cuff repair. Arthroscopy. 2008;24:727–731
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  34. Reardon DJ, Maffulli N. Clinical evidence shows no difference between single- and double-row repair for rotator cuff tears. Arthroscopy. 2007;23:670–673

 Supported by ConMed Linvatec and DePuy Mitek. F.A.B. has received from ConMed Linvatec and DePuy Mitek something of value (exceeding the equivalent of US $500) related to this manuscript or research.

PII: S0749-8063(09)00651-3

doi: 10.1016/j.arthro.2009.07.019

Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 26, Issue 3 , Pages 316-323 , March 2010

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