Patología de hombro

Universidad de Chile Departamento de Ortopedia y Traumatología 212 La elección entre técnicas como la fila única y la doble fila debe basarse en las características específicas de la rotura, destacando que, aunque la doble fila puede mejorar la integridad tendinosa, sus beneficios funcionales no siempre justifican los costos adicionales. Además, el uso de terapias adyuvantes, como PRP, muestra un potencial prometedor para reducir las tasas de re-rotura en ciertos contextos. En conjunto, las decisiones terapéuticas deben basarse en un equilibrio entre la evidencia disponible, las características clínicas del paciente y las preferencias individuales, buscando siempre maximizar la funcionalidad y calidad de vida del paciente. Bibliografía ● Brindisino F, Salomon M, Giagio S, Pastore C, Innocenti T. Rotator cuff repair vs. nonoperative treatment: a systematic review with meta-analysis. Journal of Shoulder and Elbow Surgery . 2021;30(11):2648-2659. ● Dang A, Davies M. Rotator Cuff Disease: Treatment Options and Considerations. Sports Med Arthrosc Rev . 2018;26(3):129-133. ● Gutman MJ, et al. Early repair of traumatic rotator cuff tears improves functional outcomes. J Shoulder Elbow Surg . 2021;30(11):2475-2483. ● Hantes ME, et al. Arthroscopic Single-Row Versus Double-Row Suture Bridge Technique for Rotator Cuff Tears in Patients Younger Than 55 Years: A Prospective Comparative Study. The American Journal of Sports Medicine . 2018;46(1):116-121. ● Karakus O, et al. Difference in the results of repair made with single or double rows according to the shape and size of the tear in arthroscopic rotator cuff surgery. Medicine . 2021;100(32):e26791. ● Keener JD, et al. Degenerative Rotator Cuff Tears: Refining Surgical Indications Based on Natural History Data. J Am Acad Orthop Surg . 2019;27(5):156-165. ● Lapner P, et al. Treatment of rotator cuff tears: a systematic review and meta-analysis. J Shoulder Elbow Surg . 2022;31:e120-e129. ● Loew M, et al. How to discriminate between acute traumatic and chronic degenerative rotator cuff lesions: an analysis of specific criteria on radiography and magnetic resonance imaging. J Shoulder Elbow Surg . 2015;24(12):1685-1693. ● Plachel F, et al. A Systematic review of long-term clinical and radiological outcomes of arthroscopic and open/mini-open rotator cuff repairs. American Journal of Sports Medicine . 2023;51(7):1904-1913. ● Schemitsch C, Chahal J, Vicente M, et al. Surgical repair versus conservative treatment and subacromial decompression for the treatment of rotator cuff tears. The Bone & Joint Journal . 2019;101-B(9):1100-1106 ● Xu C, Zhao J, Li D. Meta-analysis comparing single-row and double-row repair techniques in the arthroscopic treatment of rotator cuff tears. Journal of Shoulder and Elbow Surgery . 2014;23(2):182-8. ● Yamamoto N, et al. Risk Factors for Tear Progression in Symptomatic Rotator Cuff Tears. Am J Sports Med . 2017;45(11):2524-2531. ● Zhang Q, Ge H, Zhou J, et al. Single-Row or Double-Row Fixation Technique for Full-Thickness Rotator Cuff Tears: A Meta-Analysis. PloS One . 2013;8(7):e68515.