Increased acromiohumeral distance in a double-row arthroscopic rotator cuff surgery compared to a single-row surgery after 12 months

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dc.authoridKaya Turan / 0000-0002-0547-995Xen_US
dc.authoridHaluk Çabuk / 0000-0002-1413-2149en_US
dc.authoridÇağatay Öztürk / 0000-0003-3133-206Xen_US
dc.authorscopusidKaya Turan / 57201721233
dc.authorscopusidHaluk Çabuk / 56400866300
dc.authorscopusidÇağatay Öztürk / 57664733000
dc.authorwosidKaya Turan / GSD-1790-2022
dc.authorwosidHaluk Çabuk / AAL-9654-2020
dc.authorwosidÇağatay Öztürk / Y-7483-2018
dc.contributor.authorTuran, Kaya
dc.contributor.authorÇabuk, Haluk
dc.contributor.authorKöroğlu, Cenk
dc.contributor.authorÖztürk, Ça?atay
dc.date.accessioned2021-06-24T12:06:37Z
dc.date.available2021-06-24T12:06:37Z
dc.date.issued2021en_US
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground: Arthroscopic rotator cuff surgery is an effective treatment for rotator cuff tears with the considered use of double-row repair techniques becoming popular in the last decade. We aim to compare the effects of double- and single-row arthroscopic rotator cuff repairs (ARCR) on repair integrity (RI) and acromiohumeral distance (AHD). Methods: In this observational study, we retrospectively identified 98 patients with degenerative rotator cuff tear treated with arthroscopic rotator cuff repair between 2016 and 2019. We excluded 22 patients with partial-thickness tears, 15 with associated subscapularis or SLAP tears, 13 with massive tears, and 5 patients lost to follow-up; we included 43 patients who had ARCR for full-thickness cuff tear and clinical, radiologic follow-up. Of these 43 patients, 23 are grouped as double-row repair group (DRG) and 20 as single-row repair group (SRG). A minimum of 12 months after the surgery, bilateral shoulder MRIs were obtained. Contralateral shoulders without asymptomatic rotator cuff tears served as a control group (CG). The operating surgeon and two other surgeons experienced in arthroscopy blindly measured the AHD and determined the RI at the control MRIs in all groups. Functional assessments relied on UCLA and qDASH Scores. Results: The mean age was 57.89 (45–78) years, and the mean follow-up time was 28,65 (21–43) months. The mean AHD of the CG was 9.7 ± 0.96 mm, the preoperative AHD of DRG was 8.62 ± 1.45 mm, and SRG was 9.71 ± 0.95 mm. The postoperative mean AHD of DRG 9.61 ± 1.83 mm and SRG was 10.21 ± 1.97 mm. AHD differences between the preoperative and postoperative groups were significant (P=0.009). The increase of the AHD in the double-row group was significantly higher than the single-row group (P=0.004). There was a high correlation between the RI and DASH scores (P=0.005). RI did not correlate with the repair method (P=0.580). Conclusion: Although double-row repairs can maintain greater AHD than single-row repairs in the clinical setting, this difference did not affect functional results. Regardless of the surgical intervention, functional results are favourable if RI is achieved. Level of evidence: Level III, Retrospective Cohort Study.en_US
dc.identifier.citationTuran, K., Çabuk, H., Köroğlu, C., & Öztürk, Ç. (2021). Increased acromiohumeral distance in a double-row arthroscopic rotator cuff surgery compared to a single-row surgery after 12 months. Journal of Orthopaedic Surgery and Research, 16(1), 1-7.en_US
dc.identifier.doi10.1186/s13018-021-02523-1en_US
dc.identifier.issn1749-799Xen_US
dc.identifier.issue1en_US
dc.identifier.pmid34134739en_US
dc.identifier.scopus2-s2.0-85108095162en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1186/s13018-021-02523-1
dc.identifier.urihttps://hdl.handle.net/20.500.12713/1831
dc.identifier.volume16en_US
dc.identifier.wosWOS:000664613200001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorTuran, Kaya
dc.institutionauthorÇabuk, Haluk
dc.institutionauthorÖztürk, Çağatay
dc.language.isoenen_US
dc.publisherBioMed Central Ltden_US
dc.relation.ispartofJournal of Orthopaedic Surgery and Researchen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAcromiohumeral Distanceen_US
dc.subjectArthroscopyen_US
dc.subjectDouble-Rowen_US
dc.subjectIntegrityen_US
dc.subjectRotator Cuff Repairen_US
dc.subjectSingle-Rowen_US
dc.titleIncreased acromiohumeral distance in a double-row arthroscopic rotator cuff surgery compared to a single-row surgery after 12 monthsen_US
dc.typeArticleen_US

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