In situ transtendon repair outperforms tear completion and repair for partial articular-sided supraspinatus tendon tears

J Shoulder Elbow Surg. 2008 Sep-Oct;17(5):722-8. doi: 10.1016/j.jse.2008.01.148. Epub 2008 Jun 16.

Abstract

This biomechanical study compared 2 repair techniques for high-grade, partial, articular-sided supraspinatus tendon tears of the rotator cuff: transtendon in situ repair and tear completion with repair. Standardized, 50% partial, articular-sided supraspinatus lesions were created in 10 pairs of matched fresh, frozen cadaveric shoulders: 10 underwent partial lesion repair with an in situ transtendon technique using 2 suture anchors. In the contralateral 10 shoulders, the partial lesion was converted to a full-thickness tear and repaired with a double-row technique, using 4 suture anchors. Cyclic loading to failure of the supraspinatus tendon was performed using a material testing machine. Gap formation was measured for each rotational position and each incremental load. The in situ transtendon repair had statistically significant less gapping (P = .0001) and higher mean ultimate failure strength (P = .0011) than the double-row repair. In situ transtendon repair was biomechanically superior to tear completion for partial, articular-sided supraspinatus tears.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Biomechanical Phenomena
  • Cadaver
  • Female
  • Humans
  • Male
  • Middle Aged
  • Orthopedic Procedures / methods*
  • Rotator Cuff / physiopathology
  • Rotator Cuff Injuries*
  • Suture Techniques
  • Tendon Injuries / physiopathology*
  • Tendon Injuries / surgery*