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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(06): 984-991
DOI: 10.1055/s-0042-1746179
Artigo Original
Ombro e Cotovelo

Evaluation of the Clinical Outcomes of the Arthroscopic Treatment of Rotator Cuff Tears Using the Modified Suture Bridge Technique[*]

Article in several languages: português | English

Authors

  • João Manoel Fonseca Filho 

    1   Grupo de Cirurgia do Ombro e Cotovelo, Hospital Alemão Oswaldo Cruz, São Paulo, SP, Brasil

  • Guilherme do Val Sella

    2   Grupo de Cirurgia do Ombro, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brasil

  • Luis Henrique Lima de Souza

    2   Grupo de Cirurgia do Ombro, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brasil

  • Renato Miyadahira

    2   Grupo de Cirurgia do Ombro, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brasil

  • João Roberto Polydoro Rosa 

    3   Grupo de Cirurgia de Trauma do Esporte, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brasil

  • Alberto Naoki Miyazaki

    1   Grupo de Cirurgia do Ombro e Cotovelo, Hospital Alemão Oswaldo Cruz, São Paulo, SP, Brasil
    2   Grupo de Cirurgia do Ombro, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brasil
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Abstract

Objective To evaluate the postoperative clinical outcomes of the arthroscopic repair of rotator cuff injuries using a suture configuration we have developed based on a modification of the Suture Bridge (Arthrex, Naples, FL, United States).

Methods A retrospective study with 28 male (41.2%) and 40 female (58.8%) subjects with a mean age of 60 years. All patients underwent rotator cuff repair with the modified Suture Bridge technique and follow-up for a minimum period of 18 months. The clinical assessment was performed using the University of California, Los Angeles (UCLA) Shoulder Score.

Results The mean postoperative range of motion was of 134° (range: 110° to 140°) for elevation, 58° (range: 40° to 70°) for lateral rotation, and T10 (range: L4 to T7) for medial rotation. The mean increase was of 15° for elevation, 14° for lateral rotation, and 2 vertebral levels for medial rotation. The outcomes were excellent in 61 (83.6%) cases, good in 8 (10.9%), and regular in 4 cases (5.5%).

Conclusion The modified Suture Bridge technique for the arthroscopic repair of rotator cuff injuries led to excellent or good postoperative clinical outcomes in most cases (69; 94.5%).

Keywords

wound healing - ischemia - rotator cuff injuries - recurrence - suture techniques

Financial Support

This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior — Brasil (CAPES) — Finance Code 001.


* Study developed at the Department of Orthopedics and Traumatology, Hospital Alemão Oswaldo Cruz, São Paulo, SP, Brazil.




Publication History

Received: 24 April 2021

Accepted: 18 February 2022

Article published online:
02 August 2022

© 2022. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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