UltraTape and sutures combination versus conventional sutures in arthroscopic rotator cuff repair: a 6-month retrospective matched cohort study
Abstract Background Biomechanical testing for tendon repair using new generation tapes at time zero showed superior mechanical strength and higher load to failure compared to conventional sutures. The aim of this study was to determine if the biomechanical advantage of UltraTape would translate into...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-07-01
|
| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-025-05860-7 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849343070157406208 |
|---|---|
| author | Ala’ Hawa James Bilbrough Christyon Hayek Mina Shenouda George A. C. Murrell |
| author_facet | Ala’ Hawa James Bilbrough Christyon Hayek Mina Shenouda George A. C. Murrell |
| author_sort | Ala’ Hawa |
| collection | DOAJ |
| description | Abstract Background Biomechanical testing for tendon repair using new generation tapes at time zero showed superior mechanical strength and higher load to failure compared to conventional sutures. The aim of this study was to determine if the biomechanical advantage of UltraTape would translate into a better repair integrity and higher functional outcome in the clinical setting. Methods Retrospective analysis of 81 matched consecutive patients (suture group, n = 53; tape group, n = 28) with a cuff tear size greater than 1.5*1 cm² (antero-posterior * medio-lateral diameters) repaired by a single senior surgeon. Results 6-months post-surgery, no significant difference in retear rates between the tape and the suture groups (control) (25%;7/28)(15%;8/53)(P = 0.3) respectively. Clinically, lift-off strength (48 ± 6) was significantly higher in the tape group compared to the suture group (39 ± 4)(P < 0.01). Frequency of pain on activity (1.2 ± 0.4), the level of pain at rest (0.2 ± 0.1), passive internal rotation (7 ± 1) and the overall satisfaction of patients about their shoulders (2 ± 0.4) were significantly lower in the tape group compared to the suture group (1.8 ± 0.3)(0.5 ± 0.1)(10 ± 1)(3.5 ± 0.1)(P < 0.01). Operative time was significantly higher in the tape group (35 ± 2.9 min) compared to the suture group (20 ± 1.4 min) (P < 0.01). Conclusion 6 months post cuff repair, the combination of an UltraTape with conventional sutures did not reduce the re-tear rate. Additionally, despite showing higher shoulder lift-off strength, lower level of shoulder pain at rest and lower frequency of shoulder pain on activity, the UltraTape/Sutures combination prolonged the time needed for repair, reduced shoulder internal rotation level and lowered the patients’ overall satisfaction about their shoulders. |
| format | Article |
| id | doaj-art-8b8d3a55706041498a2dabd04e9ba578 |
| institution | Kabale University |
| issn | 1749-799X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj-art-8b8d3a55706041498a2dabd04e9ba5782025-08-20T03:43:10ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2025-07-0120111210.1186/s13018-025-05860-7UltraTape and sutures combination versus conventional sutures in arthroscopic rotator cuff repair: a 6-month retrospective matched cohort studyAla’ Hawa0James Bilbrough1Christyon Hayek2Mina Shenouda3George A. C. Murrell4Department of Surgery, Orthopedics Division, Faculty of Medicine, Yarmouk UniversitySt George Hospital Campus, Orthopedic Research Institute, University of New South WalesSt George Hospital Campus, Orthopedic Research Institute, University of New South WalesSt George Hospital Campus, Orthopedic Research Institute, University of New South WalesSt George Hospital Campus, Orthopedic Research Institute, University of New South WalesAbstract Background Biomechanical testing for tendon repair using new generation tapes at time zero showed superior mechanical strength and higher load to failure compared to conventional sutures. The aim of this study was to determine if the biomechanical advantage of UltraTape would translate into a better repair integrity and higher functional outcome in the clinical setting. Methods Retrospective analysis of 81 matched consecutive patients (suture group, n = 53; tape group, n = 28) with a cuff tear size greater than 1.5*1 cm² (antero-posterior * medio-lateral diameters) repaired by a single senior surgeon. Results 6-months post-surgery, no significant difference in retear rates between the tape and the suture groups (control) (25%;7/28)(15%;8/53)(P = 0.3) respectively. Clinically, lift-off strength (48 ± 6) was significantly higher in the tape group compared to the suture group (39 ± 4)(P < 0.01). Frequency of pain on activity (1.2 ± 0.4), the level of pain at rest (0.2 ± 0.1), passive internal rotation (7 ± 1) and the overall satisfaction of patients about their shoulders (2 ± 0.4) were significantly lower in the tape group compared to the suture group (1.8 ± 0.3)(0.5 ± 0.1)(10 ± 1)(3.5 ± 0.1)(P < 0.01). Operative time was significantly higher in the tape group (35 ± 2.9 min) compared to the suture group (20 ± 1.4 min) (P < 0.01). Conclusion 6 months post cuff repair, the combination of an UltraTape with conventional sutures did not reduce the re-tear rate. Additionally, despite showing higher shoulder lift-off strength, lower level of shoulder pain at rest and lower frequency of shoulder pain on activity, the UltraTape/Sutures combination prolonged the time needed for repair, reduced shoulder internal rotation level and lowered the patients’ overall satisfaction about their shoulders.https://doi.org/10.1186/s13018-025-05860-7Rotator cuff tearSingle-rowUltraTapeSutureRotator cuff repairRe-tear |
| spellingShingle | Ala’ Hawa James Bilbrough Christyon Hayek Mina Shenouda George A. C. Murrell UltraTape and sutures combination versus conventional sutures in arthroscopic rotator cuff repair: a 6-month retrospective matched cohort study Journal of Orthopaedic Surgery and Research Rotator cuff tear Single-row UltraTape Suture Rotator cuff repair Re-tear |
| title | UltraTape and sutures combination versus conventional sutures in arthroscopic rotator cuff repair: a 6-month retrospective matched cohort study |
| title_full | UltraTape and sutures combination versus conventional sutures in arthroscopic rotator cuff repair: a 6-month retrospective matched cohort study |
| title_fullStr | UltraTape and sutures combination versus conventional sutures in arthroscopic rotator cuff repair: a 6-month retrospective matched cohort study |
| title_full_unstemmed | UltraTape and sutures combination versus conventional sutures in arthroscopic rotator cuff repair: a 6-month retrospective matched cohort study |
| title_short | UltraTape and sutures combination versus conventional sutures in arthroscopic rotator cuff repair: a 6-month retrospective matched cohort study |
| title_sort | ultratape and sutures combination versus conventional sutures in arthroscopic rotator cuff repair a 6 month retrospective matched cohort study |
| topic | Rotator cuff tear Single-row UltraTape Suture Rotator cuff repair Re-tear |
| url | https://doi.org/10.1186/s13018-025-05860-7 |
| work_keys_str_mv | AT alahawa ultratapeandsuturescombinationversusconventionalsuturesinarthroscopicrotatorcuffrepaira6monthretrospectivematchedcohortstudy AT jamesbilbrough ultratapeandsuturescombinationversusconventionalsuturesinarthroscopicrotatorcuffrepaira6monthretrospectivematchedcohortstudy AT christyonhayek ultratapeandsuturescombinationversusconventionalsuturesinarthroscopicrotatorcuffrepaira6monthretrospectivematchedcohortstudy AT minashenouda ultratapeandsuturescombinationversusconventionalsuturesinarthroscopicrotatorcuffrepaira6monthretrospectivematchedcohortstudy AT georgeacmurrell ultratapeandsuturescombinationversusconventionalsuturesinarthroscopicrotatorcuffrepaira6monthretrospectivematchedcohortstudy |