{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T15:38:39Z","timestamp":1780587519066,"version":"3.54.1"},"reference-count":33,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2019,5,6]],"date-time":"2019-05-06T00:00:00Z","timestamp":1557100800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,5,6]],"date-time":"2019-05-06T00:00:00Z","timestamp":1557100800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To compare functional outcomes and magnetic resonance image (MRI) tendon integrity following either the suture bridge or the knotless cinch\u2010bridge technique used for arthroscopic double\u2010layer rotator cuff repair.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>37 prospectively enrolled patients (46\u201376 years), who were treated with arthroscopic double\u2010layer rotator cuff repair (group 1: suture bridge <jats:italic>n<\/jats:italic>\u2009=\u200920, group 2: cinch bridge <jats:italic>n<\/jats:italic>\u2009=\u200917) were clinically and radiographically assessed before and at an average of 24.0\u2009\u00b1\u20094.7\u00a0months after the procedure. Shoulder function was evaluated by the constant score (CS), range of motion, and various patient\u2010related scores. Repaired tendon integrity was evaluated by MRI. Peri\u2010 and postoperative complications were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All functional and patient\u2010related scores significantly improved from pre\u2010 to postoperative. Significantly better postoperative CS (<jats:italic>P\u2009<\/jats:italic>=\u20090.037), flexion (<jats:italic>P\u2009<\/jats:italic>&lt;\u20090.001), and abduction (<jats:italic>P\u2009<\/jats:italic>=\u20090.009) were detected after arthroscopic cinch compared to suture\u2010bridge repair. The mean CS improvements from baseline to follow\u2010up were not significantly different between the groups (n.s.). Patient\u2010related scores did not show any statistical significant differences. The MRI healing rate following arthroscopic double\u2010layer repair with the suture\u2010 and cinch\u2010bridge technique was 95% and 94%, respectively. Fatty infiltration regarding the supraspinatus and infraspinatus increased in 55% and 35% (group 1) and in 53% and 48% (group 2), respectively. Muscle hypotrophy remained stable in all patients. Overall, 92% of the patients were very satisfied or satisfied with the procedure. No complications were detected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Arthroscopic knotless double\u2010layer rotator cuff repair with the cinch\u2010bridge technique showed higher CS, forward flexion, and abduction values, as well as similar patient\u2010related short\u2010term outcome and MRI integrity compared to the suture\u2010bridge technique. These results highlight the potential importance of less tendon strangulation for better clinical short\u2010term outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Level II, prospective comparative study.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-019-05519-x","type":"journal-article","created":{"date-parts":[[2019,5,6]],"date-time":"2019-05-06T12:36:04Z","timestamp":1557146164000},"page":"3920-3928","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["The knotless cinch\u2010bridge technique for delaminated rotator cuff tears leads to a high healing rate and a more favorable short\u2010term clinical outcome than suture\u2010bridge repair"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6684-1978","authenticated-orcid":false,"given":"Philipp R.","family":"Heuberer","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Health Pi, Wollzeile 1\u20103 1010 Vienna Austria"},{"name":"<!--<label>2<\/label>--> Vienna Shoulder and Sports Clinic Vienna Austria"},{"name":"<!--<label>3<\/label>--> Austrian Research Group for Regenerative and Orthopedic Medicine (AURROM) Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leo","family":"Pauzenberger","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Vienna Shoulder and Sports Clinic Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael S.","family":"Gruber","sequence":"additional","affiliation":[{"name":"<!--<label>4<\/label>--> The Medical University Vienna Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernhard","family":"Kriegleder","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Vienna Shoulder and Sports Clinic Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roman C.","family":"Ostermann","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Vienna Shoulder and Sports Clinic Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1198-4132","authenticated-orcid":false,"given":"Brenda","family":"Laky","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Vienna Shoulder and Sports Clinic Vienna Austria"},{"name":"<!--<label>3<\/label>--> Austrian Research Group for Regenerative and Orthopedic Medicine (AURROM) Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Werner","family":"Anderl","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Vienna Shoulder and Sports Clinic Vienna Austria"},{"name":"<!--<label>3<\/label>--> Austrian Research Group for Regenerative and Orthopedic Medicine (AURROM) Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,5,6]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2016.08.011"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010012\u20101922\u20109"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2016.04.036"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.D.02035"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13018\u2010016\u20100407\u20109"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2011.02.012"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198701000-00023"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1058\u20102746(99)90097\u20106"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2007.02.123"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2013.08.021"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749\u20108063(05)80289\u20100"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402\u2010008\u20100625\u20107"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509332431"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010015\u20103739\u20109"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517689873"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2017.08.043"},{"key":"e_1_2_7_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2016.03.012"},{"key":"e_1_2_7_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515615573"},{"key":"e_1_2_7_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511406395"},{"key":"e_1_2_7_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2013.05.002"},{"key":"e_1_2_7_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2009.12.020"},{"key":"e_1_2_7_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516631751"},{"key":"e_1_2_7_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2014.08.004"},{"key":"e_1_2_7_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2011.04.034"},{"key":"e_1_2_7_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.06.024"},{"key":"e_1_2_7_27_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518796818"},{"key":"e_1_2_7_28_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510383394"},{"key":"e_1_2_7_29_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512459170"},{"key":"e_1_2_7_30_2","doi-asserted-by":"publisher","DOI":"10.1097\/BTE.0b013e3181c2a940"},{"key":"e_1_2_7_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.08.011"},{"key":"e_1_2_7_32_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623\u2010200705000\u201000006"},{"key":"e_1_2_7_33_2","doi-asserted-by":"publisher","DOI":"10.3109\/17453679608994685"},{"key":"e_1_2_7_34_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010012\u20102103\u20106"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-019-05519-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00167-019-05519-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-019-05519-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00167-019-05519-x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T10:55:51Z","timestamp":1760871351000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1007\/s00167-019-05519-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5,6]]},"references-count":33,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2019,12]]}},"alternative-id":["10.1007\/s00167-019-05519-x"],"URL":"https:\/\/doi.org\/10.1007\/s00167-019-05519-x","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,5,6]]},"assertion":[{"value":"15 January 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 April 2019","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 May 2019","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with Ethical Standards"}},{"value":"The authors report the following potential conflicts of interest: Werner Anderl and Philipp Heuberer received consultancies from Arthrex; and Werner Anderl royalties from Arthrex and Medacta. However, the companies had no influence on study design, data collection, interpretation of the results, or the final manuscript. All other authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"There was no funding received for this study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Funding"}},{"value":"The study was approved by the institutional review board.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}