APEX Shoulder Mastering Surgical Techniques for Clinical Success-Single Row RCR_ Yup, We Still Do That! Why and How to do Them

Single Row RCR_ Yup, We Still Do That! Why and How to do Them

Video Transcription

Video Summary

The speaker argues that single-row rotator cuff repairs remain valuable in 2020, especially when using the SCOE row technique, which places anchors medially with multiple sutures to reduce tension and improve healing. Despite industry and peer pressure favoring double-row repairs, evidence shows no significant clinical or imaging advantage of double-row over tension-free single-row repairs. The SCOE method, combined with bone marrow vents and microfracture, yields 92.5% healing at two years with fewer catastrophic failures. Additionally, double-row repairs are less cost-effective. Overall, the speaker advocates for tailored single-row repairs emphasizing optimal anchor placement and tension management.

Asset Caption

Mark Getelman, MD

Keywords

single-row rotator cuff repair

SCOE row technique

anchor placement

tension-free repair

cost-effectiveness