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Comparison of Implant Type, Number and Cost, Suture Number, Surgical Time, Clinical Outcomes of Arthroscopic Double-Pulley Suture-Bridge and Single-Row in Repair Supraspinatus Tendon Tears: A Novel Suture-Bridge Technique

Year: 2025

Type: article

Abstract: Purpose: To compare implant type, number and cost, suture number, surgical time, and clinical outcomes between arthroscopic supraspinatus tendon repair using double-pulley suture-bridge (DPSB) and single-row (SR). Methods: = 41) were included. Implant type, number and cost, suture number, and surgical time were compared. Clinical outcomes were evaluated with visual analog scale (VAS), American Shoulder and Elbow Surgeons (ASES), University of California, Los Angeles (UCLA) scores, and range of motion (ROM). Magnetic resonance imaging (MRI) or ultrasound was used to assess structural integrity of the tendon. Results: Suture anchors were the sole implant used in DPSB and SR groups; the surgical costs of DPSB group ($1092) and SR group ($1080) were of no significant difference; the implant cost, the suture number, and the surgical time were of no significant difference. At 24 months of follow-up, VAS, ASES, and UCLA scores and ROM were statistically improved in both groups; however, there were statistical differences between both groups in clinical outcomes of VAS, ASES, UCLA scores and forward flexion, abduction, and internal rotation. On the follow-up of MRI or ultrasound, the overall re-tear rate was 15.6% in DPSB group and 27.2% in SR group at 6 months postoperatively. Conclusions: DPSB is a novel surgical technique of suture-bridge. Suture anchors were the sole implant used in DPSB and SR groups; DPSB and SR groups achieved comparable implant number and cost, surgical time, and suture number; however, the clinical outcomes of DPSB group were significantly better than SR group, and the re-tear rate of DPSB group was lower than SR group. Level of evidence: Level III, retrospective control study. Supplementary Information: The online version contains supplementary material available at 10.1007/s43465-025-01645-6.

Source: Indian Journal of Orthopaedics

DOI: 10.1007/s43465-025-01645-6

Authors: Peiguan Huang, Xiaoxu Wang, Yong Fu, Zhengmao Li, Bin Peng, Chunrong He

Institution: University of South China

Language: English

Topic: Shoulder Injury and Treatment

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $2,190