Chinese Journal of Tissue Engineering Research ›› 2021, Vol. 25 ›› Issue (21): 3431-3437.doi: 10.3969/j.issn.2095-4344.3872

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Comparison of the effects of arthroscopic double-row suture fixation and suture bridge fixation for rotator cuff injury: a meta-analysis 

Jiang Lingkai, Wei Lei, Dong Zhengquan, Gu Xiaodong, Li Pengcui   

  1. Laboratory of Orthopedics, Second Hospital of Shanxi Medical University, Taiyuan 030000, Shanxi Province, China
  • Received:2020-09-23 Revised:2020-09-25 Accepted:2020-10-30 Online:2021-07-28 Published:2021-01-25
  • Contact: Li Pengcui, MD, Chief physician, Laboratory of Orthopedics, Second Hospital of Shanxi Medical University, Taiyuan 030000, Shanxi Province, China
  • About author:Jiang Lingkai, Master candidate, Laboratory of Orthopedics, Second Hospital of Shanxi Medical University, Taiyuan 030000, Shanxi Province, China
  • Supported by:
    the National Natural Science Foundation of China, No. 81772415 (to WL) 

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Abstract: OBJECTIVE: Suture bridge fixation technology is a new rotator cuff repair technology. However, there is a big difference between the results of double row suture and clinical technique. This study explored the clinical value of arthroscopic double row suture fixation and suture bridge fixation in the repair of rotator cuff injury.
METHODS: A computer was used to search PubMed, Web of Science, Embase, CNKI, Wanfang, and China Biomedical System databases for articles on arthroscopic double row suture fixation and suture bridge fixation in the repair of rotator cuff injury published from July 2010 to July 2020. The Cochrane manual was used to assess the quality of randomized controlled trials, and the NOS scale was used to assess the quality of cohort studies. The data in each study were extracted and organized into tables. RevMan 5.3 software was used for meta-analysis and synthesis of the study data.
RESULTS: (1) A total of 10 articles and 735 patients were included in the analysis, of which one article was a randomized controlled trial and nine articles were a retrospective cohort study. The literature quality assessment indicated that the included literature was of high quality. (2)  Meta-analysis results showed that compared with the double row suture fixation technique, the suture bridge technique had advantages at Constant score (MD=1.11, 95%CI:0.12-2.09, P=0.03), postoperative visual analogue scale score (MD=-0.20, 95%CI:-0.35 to 0.19, P=0.000 2), postoperative tearing rate (OR=0.28, 95%CI:0.14-0.55, P=0.000 2), and operation time (MD=-14.0, 95%CI:-20.54 to -7.47, P < 0.000 1). There was no significant difference in postoperative University of California, Los Angeles score, postoperative rating scale of the American shoulder and elbow surgeons score, and postoperative range of motion.
CONCLUSION: The arthroscopic suture bridge technique may have better shoulder function stability, higher application safety and less pain than double row suture fixation. More prospective, large-sample randomized controlled studies are still needed to provide first-level evidence to verify.

Key words: bone, internal fixation, arthroscopy, double-row suture fixation, suture bridge technique, rotator cuff injury, repair, meta-analysis

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