International Journal of Drug Delivery Technology
Volume 16, Issue 4s

Does arthroscopic transosseous repair of postero superior rotator cuff differ in functional outcomes as with double row suture anchor repair? A comparative study

Dr Praveen K1*, Dr Narendran P2, Dr Pinnama Reddy Bhargava Reddy3, Dr Santhosh Kumar4, Dr Balaji S5

1*Junior resident - Y3, Department of Orthopaedics, VMKV Medical College & Hospital, Salem

ORCID ID: https://orcid.org/0009-0005-8567-071X
2Associate Professor, Department of Orthopaedics, VMKV Medical College & Hospital, Salem
3Senior Resident, Department of Orthopaedics, VMKV Medical College & Hospital, Salem
4Assistant Professor, Department of Orthopaedics, VMKV Medical College & Hospital, Salem
5Junior resident - Y2, Department of Orthopaedics, VMKV Medical College & Hospital, Salem

ABSTRACT

BACKGROUND: Arthroscopic double row repair of rotator cuff with suture anchors is a common procedure with excellent functional outcomes, however there exist concern with implant cost, utility in osteoporosis especially in rural population and females respectively. Recently trans osseous methods have been available for the same with the aim of repairing the rotator cuff like the double row repair. There are limited clinical studies in this regard. The purpose of this study was to demonstrate the clinical efficacy of arthroscopic trans osseous rotator cuff repair as compared with the existing methods of repair with suture anchors.

METHODOLOGY: This is a randomized prospective comparative study from a single centre between 2022 to 2025. Consecutively presenting rotator cuff patients underwent arthroscopic trans osseous double row repair (GROUP A-AT) or with suture anchor (GROUP B-SA). The demographic parameters and disabilities was recorded and post op follow-up of 3 months, 6 months, 1 year follow-up with constant score, ASES score and oxford scores.

RESULT: There were 30 patients GROUP A(AT-15); GROUP B (SA-15) with mean age of 56 years (44 to 72 years) of male female ratio 19:11, there was no significance in parameters and comorbidities involvement of subscapularis of biceps tendon (P-0.59) constant score, ASES score, oxford score. The mean scores after 3, 6, 12 months in the trans osseous group (30.2, 34.40, 37.33, 40.27). In the suture anchor group (30, 34.3, 37.67, 40.60). The functional outcomes of significantly good improvement in the trans osseous group as like suture anchor group (P-value <0.01). 3 cases in suture anchor had anchor pullout, lateral row failure noted in suture anchor.

CONCLUSION: Arthroscopic repair of the rotator cuff with trans osseous method provides equivalent functional outcome results with double row repair, it also avoids the complication associated with suture anchor.

KEYWORDS: Arthroscopic rotator cuff repair, Trans osseous fixation, Suture anchor, Functional outcomes, Double-row repair

How to cite this article: Praveen K, Narendran P, Reddy PRB, Kumar S, Balaji S, Does arthroscopic transosseous repair of postero superior rotator cuff differ in functional outcomes as with double row suture anchor repair? A comparative study. Int J Drug Deliv Technol. 2026;16(4s): 157-168; DOI: 10.25258/ijddt.16.157-168