{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:18:56Z","timestamp":1773566336953,"version":"3.50.1"},"reference-count":34,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2019,5,27]],"date-time":"2019-05-27T00:00:00Z","timestamp":1558915200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,5,27]],"date-time":"2019-05-27T00:00:00Z","timestamp":1558915200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2019,5,27]],"date-time":"2019-05-27T00:00:00Z","timestamp":1558915200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,5,27]],"date-time":"2019-05-27T00:00:00Z","timestamp":1558915200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,7,1]],"date-time":"2020-07-01T00:00:00Z","timestamp":1593561600000},"content-version":"am","delay-in-days":401,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate clinical and radiological outcomes of knotless suture bridge repair after a minimum of 5\u00a0years of follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A prospective consecutive series of full\u2010thickness supraspinatus atraumatic chronic tears was evaluated in the study. Tears were medium or large. Further inclusion criteria were minimum clinical follow\u2010up of 5\u00a0years with magnetic resonance imaging (MRI) at 24\u00a0months and fatty infiltration &lt;2. Patients with shoulder stiffness, arthritis, or rotator cuff tear involving the subscapularis tendon were excluded. An arthroscopic cuff repair was performed using a knotless double\u2010row suture bridge technique with braided suture tapes. Clinical outcomes were evaluated using the Constant score, the American Shoulder and Elbow Surgeons score, strength score, and a visual analog scale. Tendon healing was analyzed according to Sugaya MRI classification at 24\u00a0months. A Sugaya score of 1 or 2 was considered as tendon healing. Statistical analysis was performed with the Student's\n                      <jats:italic>t<\/jats:italic>\n                      \u2010test.\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .05 were considered statistically significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Sixty\u2010eight patients were included in this series. Mean follow\u2010up was equal to 68.8 \u00b1 7\u00a0months. At last follow\u2010up, the mean visual analog scale, American Shoulder and Elbow Surgeons score, and Constant scores improved significantly from 5.5 \u00b1 1.6, 48.2 \u00b1 13.1, 37.8 \u00b1 8.3, to 2.1 \u00b1 2.1 (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= 5.43 E\u201014), 87.4 \u00b1 15.8 (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= 7.15 E\u201027), and 82.8 \u00b1\u00a014.7 (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= 1.01 E\u201033), respectively. Anteflexion improved from 99.3\u00b0 \u00b1 13.4\u00b0 preoperatively to 136.6\u00b0 \u00b1 15.9\u00b0 at last follow\u2010up (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= 3.08 E\u201021). Strength score was significantly higher postoperatively (18.4 \u00b1 6.7 vs 8.3 \u00b1 3.5). MRI showed 88% (n\u00a0= 57) of Sugaya 1\u20102 repairs. Patients with unhealed rotator cuffs showed significantly lower functional results than the Sugaya 1\u20102 group. No correlation between degree of retraction and rate of healing was observed. Four symptomatic patients (6%) required revision for failed rotator cuff repair.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Despite potential confounding factors, arthroscopic knotless suture bridge repair of rotator cuff tears with acromioplasty demonstrated excellent long\u2010term results of tendon healing, pain relief, and improvement of shoulder function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, therapeutic case series.<\/jats:p>\n                  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