Arthroscopic rotator cuff repair using a single or double row technique: A meta-analysis of randomized clinical trial

• Published in: Revista española de cirugía ortopédica y traumatología
• Main Authors: Núñez, J H, Montenegro, J D, Surroca, M, Ocrospoma-Flores, B, Guerra-Farfán, E, Mendez-Sanchez, G, Fraguas, A, Gómez, O
• Format: Journal Article
• Language: English; Spanish
• Published: Spain 29.11.2023
• Subjects: Doble hilera, Revisión sistemática; Double row, Systematic review; Hombro; Shoulder; Manguito rotador; Single row; Rotator cuff; Hilera simple
• ISSN: 1988-8856
• DOI: 10.1016/j.recot.2023.11.023

To compare the double row technique versus the single row technique for arthroscopic rotator cuff repair, in order to assess whether there are clinical differences. Systematic review of randomized clinical trials comparing the clinical results of the double-row technique versus the single-row technique in arthroscopic rotator cuff repair. Demographic, clinical, and surgical variables were analyzed, including functional scores, tendon healing rate, and re-tear rate. Thirteen randomized clinical trials were selected. 437 patients in the single row group (50.7%) and 424 patients in the double row group (49.3%) were analyzed. No significant differences were found between the two groups in terms of age (P=.84), sex (P=.23) and loss to follow-up (P=.52). Significant differences were found for the better results of the double row technique at the UCLA level (P=.01). No significant differences were found on the Constant-Murley scale (P=.87) or on the ASES scale (P=.56). Similarly, there was a higher healing rate (P=.006) and less risk of rotator cuff re-tears with the double row technique (P=.006). In rotator cuff repair, the double row technique was found to be superior to the single row technique in terms of better UCLA score, better tendon healing rate, and lower re-tear rate. No clinically significant differences were found on the Constant-Murley scale or on the ASES scale.