Functional Results of Arthroscopic Rotator Cuff Repair Using the Knotless Transosseous Equivalent Technique
DOI:
https://doi.org/10.63403/re.v32i2.404Keywords:
Rotator Cuff Tear, Arthroscopy, Transosseous Equivalent, Knotless, Double RowAbstract
Introduction: rotator cuff tears represent the most common shoulder pathology, especially in elderly patients.
Open and arthroscopic rotator cuff repair are associated with excellent functional outcomes. Regardless of recent advances in rotator cuff repair techniques, the rate of re-tears or lack of healing of the rotator cuff remains significantly high.
Objectives: to report the functional outcomes of a consecutive series of patients with rotator cuff tears operated on with the arthroscopic knotless transosseous equivalent (TOE) technique.
Materials and methods: a prospective cohort study was conducted between June 2023 and June 2024. All patients who underwent double-row rotator cuff repair using the knotless TOE technique were evaluated.
Mobility was assessed with a goniometer, pain with the visual analogue scale, and functional outcomes with the ASES and SANE scores. Postoperative complications were documented.
Results: a total of seventy patients were treated. The mean follow-up was fourteen months (range 12–24 months). There were forty women (57%) and thirty men (43%). The mean age of the patients was 61.9 ± 4.3 years.
The patients showed significant improvement in all functional scores evaluated. In addition, 85% passed the SCB (substantial clinical benefit) for the ASES score, meaning they had substantial clinical improvement. There were four complications (6%) and two revisions (3%).
Conclusion: arthroscopic repair of small and medium rotator cuff tears treated using the knotless transosseous equivalent double-row technique is associated with significant improvement in pain and functional outcomes with a low short-term complication rate.
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Copyright (c) 2025 Rodrigo Brandariz, Catalina Larrague, Ignacio Tanoira, Santiago Bongiovanni, Maximiliano Ranalletta
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This work is published under a Creative Commons Attribution–NonCommercial–ShareAlike 4.0 International License (CC BY-NC-SA 4.0). The authors retain the copyright.
