Summary of Meta-Analyses Dealing with Single-Row versus Double- Row Repair Techniques for Rotator Cuff Tears

Authors:

U J Spiegl, S A Euler, P J Millett, P Hepp

Abstract:

Rotator cuff tears can be repaired by an open approach, mini-open, or all-arthroscopically. Numerous rotator cuff repair techniques have been reported. The most commonly used techniques are single-row (SR) and double-row (DR) repairs. However, controversy exists about superiority of either one strategy.

DR constructs offered superior results in a biomechanical point of view, including increased mechanical strength, decreased gap formation, increased footprint coverage, and water tight isolation of the healing zone avoiding synovial fluid interaction. Thus, favorable biomechanical reconstruction can be achieved, improving the healing process and allowing for a more aggressive postoperative shoulder mobilization. In contrast, it is postulated that SR constructs lead to less interaction with the regional blood supply at the healing zone supporting the biologic healing process. Additionally, the implant costs are lower in SR reconstruction techniques.

On a clinical point of view, the results comparing outcomes after SRversus DR repair have been inconsistent. Whereas some studies report significantly superior results after DR repair with respect to subjective, objective, and radiographic outcomes, several studies have found no differences between both techniques.

There are several meta-analyses available as well as a recent systematic review dealing with this entity. The purpose of this study was to sum up the results of meta-analyses comparing SR and DR repair with respect on clinical outcomes and re-tear rates.

For the complete study: Summary of Meta-Analyses Dealing with Single-Row versus Double- Row Repair Techniques for Rotator Cuff Tears

Peter Millett, MD

Average rating:

39 reviews

Alexandra Thompson

Mar 23, 2024

by Alexandra Thompson on Peter Millett, MD

110%

Dr. Millett and his team did a SLAP tear repair and bicep tenodesis on my left shoulder. I use my arms as an artist, and love to swim in the ocean, surf, paddle, and telemark ski. So regaining full use of my shoulder and keeping my bicep attached was very important to me. Now, over two years later, my shoulder has the equivalent range of motion as my other arm and as before the injury, and no pain. After the first three months it felt so good and was so strong that - to my horror - I completely forgot my six-month follow-up.

Not only did Dr. Millett and his team make my arm as good as new, but having had the experience of such kindness and expertise throughout the process of surgery and recovery is like an added shoulder superpower.

Thank you Rita, Brooke, Jason, Sarah, Camille, Olivia, Dr. Millett and everyone! And see you soon when my husband comes in for his knee...

Jeff Chandler

Jan 31, 2022

by Jeff Chandler on Peter Millett, MD

Flawless procedure, Easy recovery

Dr. Millet's repaired my knee and tibia, following a botched operation by a different surgeon. That procedure was virtually pain free and I was weight bearing within a few days. That was 18 years ago and the knee is still strong. A few years after the knee incident, Dr Millet repaired my shoulder. My insurance company approved me for 3 months of disability following that surgery. I was off pain medication in 2 days and had 90% range of motion within a week. I withdrew my disability claim and returned to work within two weeks of surgery. I’m not a famous athlete—just a regular guy. Nonetheless, I was treated like an NFL at the Steadman clinic. Most notable was the time for recovery. Other surgeons perform their hour-long task in the OR and don’t involve themselves in the other functions. Peter and his team manages the entire process from diagnosis, anesthesia, nursing care, and therapy. He takes a holistic approach to patient care and doesn’t skip any steps.

Jenn West

Jul 2, 2021

by Jenn West on Peter Millett, MD

Saved My Life

I went to Dr. Millett after 7 knee surgeries (6 on my right and 1 on my left) and had seen 11 different surgeons who all refused to remove femur metal from my right leg. I am highly allergic to metal and the chronic pain was leaving me bedridden for 3.5wks out of a month. He personally wrote me back on my inquiry, listened to my concerns, scheduled my surgery within a week (due to insurance issues) and personally followed up with my recovery. The level of patient care from Dr. Millett and his ENTIRE team is above any care I have ever received in my 20 years of dealing with orthopedic surgeons. There are not enough words to describe the level of care, dedication and professionalism you receive from Dr. Millett and his staff.
My only disappointment is that I did not find him sooner!!!

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