Arthroscopic Double-Pulley Knotless Suture-Bridge Fixation for Rotator Cuff Tears in Osteoporotic Patients
Li Bingquan
Ouyang Jianfeng
Abstract：Objective Discussing the efficacy of arthroscope double-pulley knotless suture-bridge fixation in osteoporotic patients with rotator cuff tears.Methods A retrospective analysis was conducted on 100 osteoporotic patients with rotator cuff tears treated at Zhuhai People's Hospital between January 2023 and December 2024.According to the repair technique,56 patients[28 males,28 females;age 25～71 years,mean(55.42±6.43)years]were assigned to the double-pulley knotless suture-bridge group and 44 patients[21 males,23 females;age 27～73 years,mean(55.76±6.56)years]to the single-row group.Visual analogue scale(VAS),American shoulder and elbow surgeons(ASES)score,university of California at Los Angeles(UCLA)shoulder score,Constant-Murley score,range of motion,postoperative complications and retear rate were compared.Results At 6-month follow-up.The VAS,ASES,UCLA,Constant-Murley scores,forward flexion and external rotation of the shoulder in the double-pulley knotless suture-bridge group were better than those in the single-row group(P＜0.05).The retear rate and overall complication rate in the double-pulley knotless suture-bridge group were lower than those in the single-row group(P＜0.05).Conclusion Compared with single-row fixation,arthroscopic double-pulley knotless suture-bridge fixation for rotator cuff tears in osteoporotic patients produces superior shoulder function and range of motionwith lower rates of joint stiffness and retear.
Keywords：rotator cuffdouble-pulley knotless suture-bridge fixationsingle-row fixationosteoporosisarthroscope
Publication Date：2025-11-25
Online Publishing Date：2025-12-09(First online date of this platform, not the publication date of the document)
Pages：5( 967-971 )