{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T05:18:38Z","timestamp":1783055918614,"version":"3.54.6"},"reference-count":37,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,5,31]],"date-time":"2026-05-31T00:00:00Z","timestamp":1780185600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,31]],"date-time":"2026-05-31T00:00:00Z","timestamp":1780185600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare clinical and radiologic outcomes among patients undergoing double\u2010row suture bridge (DRSB) repair alone, DRSB with platelet\u2010rich plasma (PRP) augmentation, and DRSB with bone marrow stimulation (BMS) augmentation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective study was conducted between March 2019 and February 2023. Inclusion criteria included patients with medium\u2010to\u2010large\u2010sized posterosuperior rotator cuff tears undergoing arthroscopic DRSB repair, with minimum of 2\u2010years of postoperative follow\u2010up and postoperative magnetic resonance imaging. After applying exclusion criteria, 1:1:1 propensity score matching was performed based on age, tear size, fatty infiltration, and smoking status. Clinical outcomes were assessed using the visual analog scale, the American Shoulder and Elbow Surgeons score, subjective shoulder value, the University of California at Los Angeles score, and range of motion (ROM). Structural integrity was evaluated by 6\u2010month postoperative magnetic resonance imaging. Multivariate logistic regression was used to identify independent predictors of retears.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 396 patients included, 46 per group (DRSB alone, DRSB with PRP, and DRSB with BMS) were selected for comparison, matched by age, tear size, fatty infiltration, and smoking status. Clinical outcomes were assessed at mean follow\u2010up of 24.2\u2009\u00b1\u20091.0\u2009months (range, 22\u201027\u2009months) and structural integrity at mean of 6.1\u2009\u00b1\u20090.3\u2009months (range, 5\u20107\u2009months) postoperatively. At 2\u2010year follow\u2010up, there were no significant differences among the 3 groups in clinical scores or ROM. However, the retear rate was significantly lower in DRSB with PRP group (10.9%) compared with both conventional DRSB group (30.4%) and DRSB with BMS (32.6%) group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.05) (DRSB vs PRP,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.038; BMS vs. PRP,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.021). Multivariate analysis identified PRP augmentation as an independent protective factor against retear (OR\u2009=\u20090.177,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.024), whereas BMS did not confer significant benefit.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Using an identical double\u2010row containment technique, retear rates were lower with PRP augmentation than with conventional repair or BMS augmentation. Two\u2010year clinical scores and ROM were similar across groups, and BMS augmentation did not reduce retears compared with conventional repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective comparative study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/arj.70387","type":"journal-article","created":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T05:50:21Z","timestamp":1780293021000},"page":"1103-1113","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Platelet\u2010Rich Plasma and Bone Marrow Stimulation in Double\u2010Row Rotator Cuff Repair Does Not Improve Clinical Outcomes but Reduces Retear Rates: A Retrospective Analysis With Propensity Score Matching"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1858-5863","authenticated-orcid":false,"given":"Hsien\u2010Hao","family":"Chang","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery National Health Insurance Service Ilsan Hospital  Goyang Korea"},{"name":"Department of Orthopedic Surgery, Arthroscopy and Joint Research Institute Severance Hospital, Yonsei University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8147-6136","authenticated-orcid":false,"given":"Yong\u2010Min","family":"Chun","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Arthroscopy and Joint Research Institute Severance Hospital, Yonsei University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8357-3426","authenticated-orcid":false,"given":"Sung\u2010Jae","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Arthroscopy and Joint Research Institute Severance Hospital, Yonsei University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2859-5240","authenticated-orcid":false,"given":"Tae\u2010Hwan","family":"Yoon","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Arthroscopy and Joint Research Institute Severance Hospital, Yonsei University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,31]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"103","article-title":"Current concepts in arthroscopic rotator cuff 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