Efficacy of arthroscopic deep rotator cuff suture with spinal needle for rotator cuff repair in treating rotator cuff tears
Abstract Background In arthroscopic rotator cuff repair, satisfactory postoperative outcomes can be achieved by simplifying the surgical procedure and ensuring proper integration of the deep rotator cuff tissue with the footprint area for tendon reconstruction. The purpose of this study was to evalu...
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BMC
2025-06-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | https://doi.org/10.1186/s13018-025-06018-1 |
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| author | Minghua Zhang Dongfeng Chen Daohua Chen Jiajing Lai Chunfang Jian |
| author_facet | Minghua Zhang Dongfeng Chen Daohua Chen Jiajing Lai Chunfang Jian |
| author_sort | Minghua Zhang |
| collection | DOAJ |
| description | Abstract Background In arthroscopic rotator cuff repair, satisfactory postoperative outcomes can be achieved by simplifying the surgical procedure and ensuring proper integration of the deep rotator cuff tissue with the footprint area for tendon reconstruction. The purpose of this study was to evaluate the short-term efficacy of arthroscopic spinal needle sutures for the repair of rotator cuff tears. Methods This retrospective study included a cohort of 81 patients with rotator cuff tears who underwent arthroscopic suture repair using a spinal needle between January 2021 and March 2021, with a minimum follow-up duration of 27 months. Pre- and postoperative Constant–Murley Score (CMS), University of California–Los Angeles Shoulder Score (UCLASS), Visual Analog Scale (VAS) scores, and range of motion (ROM) measurements, including active forward flexion, abduction, and lateral rotation angles, were compared to assess shoulder anatomy, function, strength, and subjective patient satisfaction. Results Statistically significant improvements were observed in CMS, UCLASS, VAS, and ROM postoperatively (P = 0.000). The excellent or good outcome rate was 81.48%. Age and preoperative ROM significantly influenced outcomes (P = 0.039 and P = 0.006), respectively, whereas gender and pain duration did not show a significant effect (P > 0.05). Patients older than 30 years demonstrated significantly better results (P < 0.001). Conclusion The use of a spinal needle for rotator cuff tear repair under direct arthroscopic visualization is a safe, efficient, and clinically effective technique. Level of Evidence IV Clinical/Controlled Trials Not applicable. |
| format | Article |
| id | doaj-art-5e2f3fb9c0594434a9dd6c0079441517 |
| institution | Kabale University |
| issn | 1749-799X |
| language | English |
| publishDate | 2025-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj-art-5e2f3fb9c0594434a9dd6c00794415172025-08-20T03:43:27ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2025-06-0120111110.1186/s13018-025-06018-1Efficacy of arthroscopic deep rotator cuff suture with spinal needle for rotator cuff repair in treating rotator cuff tearsMinghua Zhang0Dongfeng Chen1Daohua Chen2Jiajing Lai3Chunfang Jian4Department of Bone and Joint Sports Medicine, Longyan First Affiliated Hospital of Fujian Medical UniversityDepartment of Bone and Joint Sports Medicine, Longyan First Affiliated Hospital of Fujian Medical UniversityDepartment of Bone and Joint Sports Medicine, Longyan First Affiliated Hospital of Fujian Medical UniversityDepartment of Bone and Joint Sports Medicine, Longyan First Affiliated Hospital of Fujian Medical UniversityDepartment of Anesthesiology, Longyan First Affiliated Hospital of Fujian Medical UniversityAbstract Background In arthroscopic rotator cuff repair, satisfactory postoperative outcomes can be achieved by simplifying the surgical procedure and ensuring proper integration of the deep rotator cuff tissue with the footprint area for tendon reconstruction. The purpose of this study was to evaluate the short-term efficacy of arthroscopic spinal needle sutures for the repair of rotator cuff tears. Methods This retrospective study included a cohort of 81 patients with rotator cuff tears who underwent arthroscopic suture repair using a spinal needle between January 2021 and March 2021, with a minimum follow-up duration of 27 months. Pre- and postoperative Constant–Murley Score (CMS), University of California–Los Angeles Shoulder Score (UCLASS), Visual Analog Scale (VAS) scores, and range of motion (ROM) measurements, including active forward flexion, abduction, and lateral rotation angles, were compared to assess shoulder anatomy, function, strength, and subjective patient satisfaction. Results Statistically significant improvements were observed in CMS, UCLASS, VAS, and ROM postoperatively (P = 0.000). The excellent or good outcome rate was 81.48%. Age and preoperative ROM significantly influenced outcomes (P = 0.039 and P = 0.006), respectively, whereas gender and pain duration did not show a significant effect (P > 0.05). Patients older than 30 years demonstrated significantly better results (P < 0.001). Conclusion The use of a spinal needle for rotator cuff tear repair under direct arthroscopic visualization is a safe, efficient, and clinically effective technique. Level of Evidence IV Clinical/Controlled Trials Not applicable.https://doi.org/10.1186/s13018-025-06018-1Rotator cuff tearArthroscopySpinal needleClinical effect |
| spellingShingle | Minghua Zhang Dongfeng Chen Daohua Chen Jiajing Lai Chunfang Jian Efficacy of arthroscopic deep rotator cuff suture with spinal needle for rotator cuff repair in treating rotator cuff tears Journal of Orthopaedic Surgery and Research Rotator cuff tear Arthroscopy Spinal needle Clinical effect |
| title | Efficacy of arthroscopic deep rotator cuff suture with spinal needle for rotator cuff repair in treating rotator cuff tears |
| title_full | Efficacy of arthroscopic deep rotator cuff suture with spinal needle for rotator cuff repair in treating rotator cuff tears |
| title_fullStr | Efficacy of arthroscopic deep rotator cuff suture with spinal needle for rotator cuff repair in treating rotator cuff tears |
| title_full_unstemmed | Efficacy of arthroscopic deep rotator cuff suture with spinal needle for rotator cuff repair in treating rotator cuff tears |
| title_short | Efficacy of arthroscopic deep rotator cuff suture with spinal needle for rotator cuff repair in treating rotator cuff tears |
| title_sort | efficacy of arthroscopic deep rotator cuff suture with spinal needle for rotator cuff repair in treating rotator cuff tears |
| topic | Rotator cuff tear Arthroscopy Spinal needle Clinical effect |
| url | https://doi.org/10.1186/s13018-025-06018-1 |
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