OUTCOMES OF ARTHROSCOPIC ROTATOR CUFF REPAIR USING THE DOUBLE-ROW SUTURE-BRIDGE TECHNIQUE AT DA NANG HOSPITAL
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Abstract
Background: Rotator cuff tendon tears are among the most common shoulder disorders. Arthroscopic rotator cuff repair using the double-row bridging technique has been developed to enhance tendon healing by restoring the anatomical footprint and improving biomechanical stability. Objective: To describe the clinical characteristics and tear morphology of complete rotator cuff tendon ruptures and to evaluate shoulder functional outcomes following arthroscopic repair using the double-row bridging technique. Materials and Methods: A retrospective and prospective, longitudinal, non-comparative study was conducted on patients diagnosed with complete rotator cuff tendon rupture who underwent arthroscopic repair at Da Nang Hospital between October 2022 and July 2024. Clinical features, tear characteristics, and functional outcomes were assessed. Shoulder function was evaluated using the UCLA (University of California at Los Angeles) score before and after surgery. Results: The study included patients with a nearly equal gender distribution (53.8% male and 46.2% female). The mean age was 56.2 ± 10.3 years, with the highest proportion observed in the 50–60-year age group (43.6%). Traumatic and degenerative causes were almost equally represented. The most common interval from symptom onset to surgery was 6–12 months (41.0%). Tear sizes of 1–3 cm accounted for the highest proportion (48.7%), and C-shaped tears were predominant (59.0%), occurring approximately four to five times more frequently than other tear patterns. Grade I and II tendon retraction was observed in 46.2% of cases. A statistically significant improvement in the UCLA score was noted postoperatively compared with preoperative values (p = 0.005). Conclusion: Arthroscopic rotator cuff tendon repair using a double-row suture-bridge technique yields favorable outcomes in improving shoulder function in patients with rotator cuff tears indicated for surgical treatment.
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Keywords
Rotator cuff tendon rupture; arthroscopic surgery; double-row bridging technique
References
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