Arthroscopic knotless rotator cuff repair: Factors associated with construct selection and recent trends from a manual review of 1617 cases.

Shah, Sarav S; Shah, Aalok; Chadayammuri, Vivek; McGill, Marlena; Wei, Nicole; Tuckman, David V; Sgaglione, Nicholas A · J Orthop · 2018

retrospective_cohort · Level III

Where this comes from

Abstract

Our aim was to identify predictors of construct selection and recent trends for arthroscopic knotless rotator cuff repair (RCR). A manual review of 1617 operative reports was performed. A medium-sized tear had a threefold increase in odds of single row (SR) knotless repair (OR, 6.91; p = 0.009) versus SR knotted (OR, 3.05; p = 0.003). Generalist orthopaedic surgeons were 79% less likely to perform SR knotless repairs versus sports medicine trained specialists (p < 0.001). There was a significant increase from 2009 to 2016 in SR knotless and double row medial row knotless constructs contrasting the declining use of the SR knotted technique.

Anatomy