PMID- 32728593
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220415
IS  - 2325-9671 (Print)
IS  - 2325-9671 (Electronic)
IS  - 2325-9671 (Linking)
VI  - 8
IP  - 7
DP  - 2020 Jul
TI  - Linked Double-Row Equivalent Arthroscopic Rotator Cuff Repair Leads to 
      Significantly Improved Patient Outcomes.
PG  - 2325967120938311
LID - 10.1177/2325967120938311 [doi]
LID - 2325967120938311
AB  - BACKGROUND: Biomechanical studies have demonstrated that arthroscopic rotator 
      cuff repair using a linked double-row equivalent construct results in 
      significantly higher load to failure compared with conventional 
      transosseous-equivalent constructs. PURPOSE: To determine the patient-reported 
      outcomes (PROs), reoperation rates, and complication rates after linked 
      double-row equivalent rotator cuff repair for full-thickness rotator cuff tears. 
      STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Consecutive patients 
      who underwent linked double-row equivalent arthroscopic rotator cuff repair with 
      minimum 2-year follow-up were included. The primary outcome was the American 
      Shoulder and Elbow Surgeons (ASES) score at final follow-up. Secondary outcomes 
      included the Simple Shoulder Test (SST), shortened Disabilities of the Arm, 
      Shoulder and Hand (QuickDASH) questionnaire, visual analog scale (VAS), 
      reoperations, and complications. Clinical relevance was defined by the minimally 
      clinically important difference (MCID). Comparisons on an individual level that 
      exceeded MCID (individual-level scores) were deemed clinically relevant. 
      Comparisons between preoperative and postoperative scores were completed using 
      the Student t test. All P values were reported with significance set at P < .05. 
      RESULTS: A total of 42 shoulders in 41 consecutive patients were included in this 
      study (21 male patients [51.2%]; mean age, 64.5 +/- 11.9 years; mean follow-up, 
      29.7 +/- 4.5 months). All patients (100%) completed the minimum 2-year follow-up. 
      The rotator cuff tear measured on average 15.2 +/- 8.9 mm in the coronal plane and 
      14.6 +/- 9.8 mm in the sagittal plane. The ASES score improved significantly from 
      35.5 +/- 18.2 preoperatively to 93.4 +/- 10.6 postoperatively (P < .001). The 
      QuickDASH (P < .001), SST (P < .001), and VAS (P < .001) scores also 
      significantly improved after surgery. All patients (42/42 shoulders; 100%) 
      achieved clinically relevant improvement (met or exceeded MCID) on ASES and SST 
      scores postoperatively. There were no postoperative complications (0.0%) or 
      reoperations (0.0%) at final follow-up. CONCLUSION: Arthroscopic repair of 
      full-thickness rotator cuff tears with the linked double-row equivalent construct 
      results in statistically significant and clinically relevant improvements in PRO 
      scores with low complication rates (0.0%) and reoperation rates (0.0%) at 
      short-term follow-up.
CI  - (c) The Author(s) 2020.
FAU - Endo, Atsushi
AU  - Endo A
AD  - Sports Orthopedic and Rehabilitation, Redwood City, California, USA.
FAU - Hoogervorst, Paul
AU  - Hoogervorst P
AD  - Sports Orthopedic and Rehabilitation, Redwood City, California, USA.
FAU - Safranek, Conrad
AU  - Safranek C
AD  - Stanford University, Bioengineering, Stanford, California, USA.
FAU - Sochacki, Kyle R
AU  - Sochacki KR
AD  - Department of Orthopaedic Surgery, Stanford University, Redwood City, California, 
      USA.
FAU - Safran, Marc R
AU  - Safran MR
AD  - Department of Orthopaedic Surgery, Stanford University, Redwood City, California, 
      USA.
FAU - Sherman, Seth L
AU  - Sherman SL
AD  - Department of Orthopaedic Surgery, Stanford University, Redwood City, California, 
      USA.
FAU - Donahue, Joseph
AU  - Donahue J
AD  - Sports Orthopedic and Rehabilitation, Redwood City, California, USA.
LA  - eng
PT  - Journal Article
DEP - 20200716
PL  - United States
TA  - Orthop J Sports Med
JT  - Orthopaedic journal of sports medicine
JID - 101620522
PMC - PMC7366410
OTO - NOTNLM
OT  - arthroscopy
OT  - linked suture anchors
OT  - outcomes
OT  - rotator cuff repair
COIS- One or more of the authors has declared the following potential conflict of 
      interest or source of funding: M.R.S. has received research support from Smith & 
      Nephew; consulting fees from Anika Therapeutics, Linvatec, Medacta, and Smith & 
      Nephew; speaking fees from Linvatec, Medacta, and Smith & Nephew; and royalties 
      from DJO, Saunders/Mosby-Elsevier, Smith & Nephew, Stryker, and Wolters Kluwer 
      Health-Lippincott Williams & Wilkins; and has stock/stock options in Biomimedica. 
      S.L.S. has received research support from Arthrex, grant support from DJO, 
      educational support from Elite Orthopaedics, hospitality payments from Smith & 
      Nephew, and consulting fees from Arthrex, Ceterix Orthopaedics, ConMed Linvatec, 
      Flexion Therapeutics, GLG Consulting, JRF Ortho, Moximed, Olympus, RTI Surgical, 
      and Vericel. J.D. has received educational support from Arthrex and consulting 
      fees from DePuy; and has stock/stock options in Stabilynx. AOSSM checks author 
      disclosures against the Open Payments Database (OPD). AOSSM has not conducted an 
      independent investigation on the OPD and disclaims any liability or 
      responsibility relating thereto.
EDAT- 2020/07/31 06:00
MHDA- 2020/07/31 06:01
PMCR- 2020/07/16
CRDT- 2020/07/31 06:00
PHST- 2020/02/23 00:00 [received]
PHST- 2020/03/26 00:00 [accepted]
PHST- 2020/07/31 06:00 [entrez]
PHST- 2020/07/31 06:00 [pubmed]
PHST- 2020/07/31 06:01 [medline]
PHST- 2020/07/16 00:00 [pmc-release]
AID - 10.1177_2325967120938311 [pii]
AID - 10.1177/2325967120938311 [doi]
PST - epublish
SO  - Orthop J Sports Med. 2020 Jul 16;8(7):2325967120938311. doi: 
      10.1177/2325967120938311. eCollection 2020 Jul.