Double-Row Suture-Bridge Modified Mason-Allen Stitch for Repair of Supraspinatus Tendon Tear: The Queen Mary Hospital-Stitch

Abstract

It is well known that a substantial number of patients undergoing rotator cuff repair experience a full-thickness retear postsurgery. To enhance the suture's grip on the cuff tissue, several surgeons suggest employing various adaptations of the Mason-Allen stitch pattern for the repair. Nonetheless, the suture-passing configurations in many of these adapted Mason-Allen stitches tend to be more intricate and time-consuming compared to the double-row suture-bridge (DR-SB) repair, making them technically challenging and less preferred. We suggest a modified version of the traditional DR-SB technique, integrating elements of the modified Mason-Allen pattern, termed the double-row suture-bridge modified Mason-Allen stitch. This stitch utilizes a suture-passing pattern similar to the conventional DR-SB repair, while maintaining the strong grasping strength and reduced retear rate inherent in the original Mason-Allen stitch, thus achieving an optimal balance of effectiveness and efficiency.