الفهرس | Only 14 pages are availabe for public view |
Abstract Single-row repair via suture anchor has become the preferred arthroscopic shoulder stabilization, repairing the labrum back to the glenoid rim with point fixation at each anchor. However, high-risk populations may benefit from a more secure anatomic reconstruction than that afforded by the traditional arthroscopic single-row techniques. Double row technique is a new concept aiming to create a stronger and more stable reattachment of the anterior capsulolabral complex.to a larger surface on the anterior glenoid restoring the original capsulolabral footprint, thus increasing the potential of healing. Biomechanical studies suggest a statistically significant biomechanical advantage with double-row versus single-row repair. However, biomechanical studies are open and cannot mimic injury to soft tissue that occurs with in vivo shoulder dislocation and instability. Currently, to our knowledge, no comparative clinical study exists; however, descriptive techniques and clinical follow up for double row repair have been published and they show promising results but not yet clinically proven superiority. The concluded superiority of double-row capsulolabral repair versus single-row repair remains uncertain because comparative studies assessing clinical outcomes have to be performed. |