The Journal of Bone and Joint Surgery (American). 2008;90:35-39.
doi:10.2106/JBJS.H.00650
© 2008 The Journal of Bone and Joint Surgery, Inc.
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High-Tension Double-Row Footprint Repair Compared with Reduced-Tension Single-Row Repair for Massive Rotator Cuff Tears

Benjamin G. Domb, MD1, Ronald E. Glousman, MD2, Adam Brooks, BA2, Matthew Hansen, MD2, Thay Q. Lee, PhD3 and Neal S. ElAttrache, MD2

1 Loyola University Stritch School of Medicine, 1010 Executive Court, Suite 250, Westmont, IL 60559
2 6801 Park Terrace Drive, Los Angeles, CA 90065
3 5901 East 7th Street, Long Beach, CA 90822

The first 150 words of the full text of this article appear below.


   Introduction
 
Amassive, retracted tear of the rotator cuff poses a unique challenge to the orthopaedic surgeon. All attempts must be made to mobilize the tendons such that they can be repaired to their anatomic insertion sites on the greater tuberosity in a tension-free manner. However, many retracted tears cannot be fully mobilized. In this situation, there is substantial controversy over the most successful repair technique.

The advent of double-row repairs has been a substantial advance in rotator cuff repair. The double-row technique has been shown to be biomechanically superior to single-row and transosseous suture techniques1-4. However, the studies comparing these repair constructs have subjected all specimens to the same loads, failing to account for differences in tension between the repair constructs.

In the case of a retracted massive cuff tear that cannot be adequately mobilized, performing a double-row footprint repair as advocated by several authors requires repairing the cuff under . . . [Full Text of this Article]


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