Objective: To explore the clinical efficacy of shoulder arthroscopic one-knot-two-wire suture bridge technique in the treatment of small and medium-sized rotator cuff tears. Methods: The clinical data of 22 patients with small and medium-sized rotator cuff injuries treated with the one-knot-two-wire suture bridge technique from February 2022 to June 2023 in the Department of Orthopaedics of Jingzhou Hospital Affiliated to Yangtze University were retrospectively analysed, among which 14 cases were male and 8 cases were female; the age ranged from 35 to 68 years old, with an average of (50.86 ± 10.80) years old. All cases underwent an MRI examination of the shoulder joint to understand the type and degree of injury. The duration of the disease ranged from 120 to 166 d, with a mean of (141.23 ± 13.46) d. The evaluation of the operation time, intraoperative bleeding, visual analogue scale (VAS) of pain, Constant-Murley score and Sugaya grading of shoulder MRI were performed at the last follow-up. Results: All 22 patients were followed up for 12 - 18 months, with a mean of (14.68 ± 1.89 d). The operation time was 38 - 58 min, mean (48.18 ± 5.92) min; intraoperative bleeding was 5 - 15 mL, mean (10.00 ± 3.45) mL. All patients achieved normal healing without re-tear, vascular and nerve injury, incision infection, anchor nail loosening and dislodgement and other complications. At the last follow-up, both shoulders were normal in shape and symmetrical on both sides. The VAS score was 0 - 1.2 points, with an average of 0.61 ± 0.42 points, and the Constant-Murley score was 70 - 98 points, with an average of 86.09 ± 8.56 points. The Sugaya classification of MRI examination was 17 cases of grade I, 4 cases of grade II, and 1 case of grade III. Conclusion： One-knot-two-wire suture bridge technique is used for the treatment of small and medium-sized rotator cuff tears with short operative time, low bleeding, and good clinical outcome.
Liu, Y.F., Guo, B., Xu, J.,et al. (2023) Clinical Efficacy Analysis of Arthroscopic Las-so-Loop Technique and Suture Bridge Technique in the Treatment of Small and Medium-Sized Rotator Cuff Injuries. Journal of Practical Orthopaedics, 29, 823-826.
[3]
Lapner, P., Henry, P., Athwal, G.S., Moktar, J., McNeil, D. and MacDonald, P. (2022) Treatment of Rotator Cuff Tears: A Systematic Review and Meta-Analysis. Journal of Shoulder and Elbow Surgery, 31, e120-e129. https://doi.org/10.1016/j.jse.2021.11.002
[4]
Han, Q.X., Zhang, L., Zhang, S.,et al. (2021) Arthroscopic Suture Bridge Technique for Rotator Cuff Injuries over 5 Years: Postoperative Retear Rate and the Effect of Retear on Shoulder Function. Chinese Journal of Sports Medicine, 40, 427-432.
[5]
Lu, W., Wang, D.P., Zhu, W.M., et al. (2014) One-Knot Two-Line Bridge Method for Small and Medium-Sized Rotator Cuff Tears and Follow-Up Report. Proceedings of the 13th Asian Congress of Sports Medicine, Beijing, 450-451.
[6]
Niglis, L., Collin, P., Dosch, J., Meyer, N. and Kempf, J. (2017) Intra-and Inter-Observer Agreement in MRI Assessment of Rotator Cuff Healing Using the Sugaya Classification 10 Years after Surgery. Orthopaedics & Traumatology: Surgery & Research, 103, 835-839. https://doi.org/10.1016/j.otsr.2017.06.006
[7]
Ishikawa, H., Smith, K.M., Wheelwright, J.C., Christensen, G.V., Henninger, H.B., Tashjian, R.Z., et al. (2023) Rotator Cuff Muscle Imbalance Associates with Shoulder Instability Direction. Journal of Shoulder and Elbow Surgery, 32, 33-40. https://doi.org/10.1016/j.jse.2022.06.022
[8]
Dickinson, R.N. and Kuhn, J.E. (2023) Nonoperative Treatment of Rotator Cuff Tears. Physical Medicine and Rehabilitation Clinics of North America, 34, 335-355. https://doi.org/10.1016/j.pmr.2022.12.002
[9]
Mancini, M.R., Horinek, J.L., Phillips, C.J. and Denard, P.J. (2023) Arthroscopic Rotator Cuff Repair: A Review of Surgical Techniques and Outcomes. Clinics in Sports Medicine, 42, 81-94. https://doi.org/10.1016/j.csm.2022.08.004
[10]
Lo, E.Y., Ouseph, A., Garofalo, R. and Krishnan, S.G. (2024) Anchorless Arthroscopic Transosseous Rotator Cuff Repair. JBJS Essential Surgical Techniques, 14, e23.00046. https://doi.org/10.2106/jbjs.st.23.00046
[11]
Lapner, P., Henry, P., Athwal, G., Moktar, J., McNeil, D. and MacDonald, P. (2023) Position Statement: Management of Rotator Cuff Tears in Adults. Canadian Journal of Surgery, 66, E190-E195. https://doi.org/10.1503/cjs.022221
[12]
Wang, L., Tian, J.N., Zhou, Z.H.,et al. (2024) Comparison of the Efficacy of Three Arthroscopic Rotator Cuff Repair Techniques and Analysis of Factors Affecting Postoperative Chronic Pain. Chinese Journal of Endoscopy, 30, 42-51.
[13]
Wang, T., Wang, H.L., Guo, X.F.,et al. (2024) Effects of Knotless Suture Bridge Fixation versus Knotted Suture Bridge Fixation on Joint Mobility, ASES Score and Post-Operative Complications in Patients with Rotator Cuff Injury. Hainan Medicine, 35, 2007-2011.
[14]
Burkhart, S.S., Denard, P.J., Konicek, J. and Hanypsiak, B.T. (2013) Biomechanical Validation of Load-Sharing Rip-Stop Fixation for the Repair of Tissue-Deficient Rotator Cuff Tears. The American Journal of Sports Medicine, 42, 457-462. https://doi.org/10.1177/0363546513516602
