Clinical and structural outcomes of arthroscopic single -row versus double -row fixation for treating rotator cuff tear:a systematic review and meta -analysis
JIANG Chang-qing
REN Shi-you
XIAO De-ming
ZHANG Wen-tao
CHEN Guo-fei
LI Wei
Abstract：Objective To evaluate the effects of arthroscopic single -row versus double -row fixation in treating rotator cuff tear, so as to provide evidence -based information for its clinical application.Methods Eligible studies were identified from electronic databases including PubMed, SpringerLink, EMBASE, the Cochrane Library, Medline, Science Direct, CNKI, WanFang data and VIP data.The retrieved literature was selected according to the inclusion and exclusion criteria and a meta analysis was performed with the software RevMan 5.2 after identification of the relevant data.Results Thirteen studies met our inclusion criteria, including 427 cases in the single -row fixa-tion group and 413 cases in the double -row fixation group.The re -tear risk of the single row fixation group was higher than that of the double -row fixation group(P <0.001).The ASES score(the American shoulder and elbow surgeons scores) and UCLA score (the University of California, Los Angeles score)in the single -row fixation group were lower than those of the double -row fixation group, but the Constant score and WORC score (the Western Ontar-io rotator cuff index score) were found to have no statistical difference.The forward flexion motion, shoulder external rotation and shoulder internal rotation were better in the double -row fixation group than those of the single -row fixa-tion group(P <0.05), while there was no statistical difference in indicators such as patients’satisfaction, internal ro-tation motion, external rotation motion and shoulder internal rotation (P >0.05.Conclusion Double -row fixation for treating rotator cuff tear has lower risk of re -tear and can obtain better results in the ASES score, UCLA score, shoulder abductor motion and shoulder internal rotation.However, there is no detectable difference in the Constant score,WORC score, satisfaction, internal rotation motion, external rotation motion and shoulder external rotation be-tween single -row and double -row fixations.
Keywords：rotator cuff teararthroscopyfixa-tionmeta analysis
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：7( 32-38 )