Single or Double Row Surgery:

Rotator Cuff in Repair


Image by Jerry.Raia via Flickr

When it comes to a rotator cuff tear, which is better?  Single or double row repair.  A study was conducted with 20 individuals receiving a single row repair and another 20 individuals receiving the double row reapir for their rotator cuff injury.  There was not a drastic difference between the recovery rate of the two surgeries.  Other than the increased cost ofr the DR repair, the re-tear rate for the single row was about 60% as opposed to the double row surgery which was 25% 

Conclusion:

DR repair resulted in a statistically significant lower re-tear rate, with longer surgical time and higher implant expense, despite no difference in clinical outcomes. We think that leakage of the contrast medium is due to an incomplete tendon-to-bone sealing, which is not a re-tear.

This phenomenon could have important medicolegal implications.Level of evidence III. Treatment study: Case–control study…More at Single-row vs. double-row arthroscopic rotator cuff repair: clinical and 3 … – 7thSpace Interactive (press release)

If you experience rotator cuff symptoms or pain, you might want to explore other options, prior to undergoing expensive rotator cuff surgery.  Here is a video that may help answer some of the questions you might be having.