HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Google Scholar Articles by Dines, J. S. Articles by Dines, D. M. PubMed PubMed Citation Articles by Dines, J. S. Articles by Dines, D. M.

Single-row Versus Double-row Rotator Cuff Repair: Techniques and Outcomes

From the Hospital for Special Surgery, New York, NY (Dr. J. Dines, Dr. Bedi, and Dr. D. Dines), and the Kerlan Jobe Orthopaedic Clinic, Los Angeles, CA (Dr. ElAttrache).

Dr. Joshua Dines or an immediate family member has received royalties from Biomet, is a member of a speakers’ bureau or has made paid presentations on behalf of Arthrex, and serves as a paid consultant to or is an employee of Biomimetic Therapeutics and Tornier. Dr. ElAttrache or an immediate family member serves as a board member, owner, officer, or committee member of the American Board of Orthopaedic Surgery and the American Orthopaedic Society for Sports Medicine; has received royalties from Arthrex; serves as a paid consultant to or is an employee of Acumed and Arthrex; has received research or institutional support from Arthrex; and has received nonincome support (such as equipment or services), commercially derived honoraria, or other non-research–related funding (such as paid travel) from Acumed and Arthrex. Dr. David Dines or an immediate family member serves as a board member, owner, officer, or committee member of American Shoulder and Elbow Surgeons; has received royalties from Biomet and Biomimetic Therapeutics; serves as a paid consultant to or is an employee of Biomet, Biomimetic Therapeutics, and Tornier; has received research or institutional support from Biomet and Biomimetic Therapeutics; has stock or stock options held in Biomimetic Therapeutics; and has received nonincome support (such as equipment or services), commercially derived honoraria, or other non-research–related funding (such as paid travel) from Biomet. Neither Dr. Bedi nor any immediate family member has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article.

Double-row rotator cuff repair techniques incorporate a medial and lateral row of suture anchors in the repair configuration. Biomechanical studies of double-row repair have shown increased load to failure, improved contact areas and pressures, and decreased gap formation at the healing enthesis, findings that have provided impetus for clinical studies comparing single-row with double-row repair. Clinical studies, however, have not yet demonstrated a substantial improvement over single-row repair with regard to either the degree of structural healing or functional outcomes. Although double-row repair may provide an improved mechanical environment for the healing enthesis, several confounding variables have complicated attempts to establish a definitive relationship with improved rates of healing. Appropriately powered rigorous level I studies that directly compare single-row with double-row techniques in matched tear patterns are necessary to further address these questions. These studies are needed to justify the potentially increased implant costs and surgical times associated with double-row rotator cuff repair.