Arthroscopic versus Mini-Open Rotator Cuff Repair

Morse, Kenneth R.; Davis, Alexandra; Afra, Robert; Kaye, Elizabeth Krall; Schepsis, Anthony A.; Voloshin, Ilya

doi:10.1177/0363546508322903

Cited by 141 publications

(81 citation statements)

References 38 publications

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“…Debates continued throughout the 1990s, comparing open versus arthroscopic rotator cuff repair [9,28,30,48,49,59,62]. The millennium ushered in a new brand of surgeons who, during their residencies, made the transition to arthroscopic shoulder surgery [10,19,38,42]. Arthroscopic surgery reportedly provides similar functional scores, pain relief, clinical tests of motion and strength, and patient satisfaction to open rotator cuff repair [28,30,38,42,44,49,55,59,62].…”

Section: Introductionmentioning

confidence: 99%

“…The millennium ushered in a new brand of surgeons who, during their residencies, made the transition to arthroscopic shoulder surgery [10,19,38,42]. Arthroscopic surgery reportedly provides similar functional scores, pain relief, clinical tests of motion and strength, and patient satisfaction to open rotator cuff repair [28,30,38,42,44,49,55,59,62]. Two recent reviews of the arthroscopic and mini-open rotator cuff repair literature reported that both techniques resulted in similar UCLA scores, mean ASES scores, patient satisfaction ratings, complications, active elevation, and active external rotation [38,42].…”

Section: Introductionmentioning

confidence: 99%

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Indications for Reverse Total Shoulder Arthroplasty in Rotator Cuff Disease

Drake¹,

O’Connor

Edwards

2010

Clinical Orthopaedics &Amp; Related Research

222

129

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Background Reverse total shoulder arthroplasty (RTSA) was introduced to treat rotator cuff tear arthropathy but is now used to treat a variety of problems. Although its use has expanded substantially since the FDA's approval in 2004, the appropriateness in patients with rotator cuff disease is unclear. Questions/purposes We review the use of RTSA in patients with rotator cuff disease to (1) describe classification of rotator cuff tear reparability and the concept of a balanced shoulder; (2) explore the theory behind RTSA design relative to rotator cuff arthropathy; (3) discuss the indications and contraindications for RTSA; and (4) review published outcomes of RTSA for rotator cuff arthropathy.Methods We performed a selective review of the literature on the use of RTSA in the treatment of rotator cuff disease.Results Modern RTSA designs restore deltoid tension and a functional fulcrum to the rotator cuff deficient shoulder, which allows recovery of active shoulder elevation and effectively restores function in short-and mediumterm followup studies. Conclusions In short-term followup the RTSA relieves symptoms and restores function for patients with cuff tear arthropathy and irreparable rotator cuff tears with pseudoparalysis (preserved deltoid contraction but loss of active elevation). Severely impaired deltoid function, an isolated supraspinatus tear, and the presence of full active shoulder elevation with a massive rotator cuff tear and arthritis are contraindications to RTSA. Clinical Relevance For properly selected patients who have symptomatic and disabling rotator cuff deficiency, RTSA can result in life-changing improvements in pain, motion, function, and patient satisfaction. Level of Evidence Level V therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Indications for Reverse Total Shoulder Arthroplasty in Rotator Cuff Disease

Drake¹,

O’Connor

Edwards

2010

Clinical Orthopaedics &Amp; Related Research

222

129

View full text Add to dashboard Cite

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“…25,[33][34][35][36][37][38] We found that, at 5 years post-surgery, the arthroscopic knotless technique produced greater strength in external rotation than both open and arthroscopic knotted repairs, and was the only technique to show a significant increase in the rotator cuff functional index compared to pre-operative level. Between the pre-operative examination and 5-year follow-up, the open repair group did not improve in any plane of shoulder strength measurement except lift off, whereas both arthroscopic knotted and arthroscopic knotless repairs improved in all modes of strength except adduction; corresponding with its purpose as the examinations internal control.…”

Section: Discussionmentioning

confidence: 71%

The temporal outcomes of open versus arthroscopic knotted and knotless rotator cuff repair over 5 years

Lucena

Lam

Millar

et al. 2014

Journal of Science and Medicine in Sport

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“…9,13,14 83 to 92% of arthroscopic cuff repairs achieve satisfactory results. [14][15][16][17][18][19] Techniques using staples or suture anchors in single or double rows have been described, 5,7,[20][21][22][23][24] but few reported on tendon-cuff integrity after arthroscopic repair. 25 Metal implants can lead to complications, especially in patients with chronic rotator cuff tears, poor-quality bone in the greater tuberosity, and articular damage caused by a loose or intra-articular metal anchor.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Repair of Rotator Cuff Tears Using Absorbable Anchors with a Single-Row Technique

Russo

Cautiero

Giudice

et al. 2010

J Orthop Surg (Hong Kong)

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Purpose. To review outcomes of arthroscopic repair of rotator cuff tears using absorbable anchors with a single-row technique. Methods. 66 patients underwent arthroscopic repair for rotator cuff tears using absorbable anchors with a single-row technique. 51 of them aged 37 to 73 (mean, 57) years had been followed up for a mean of 29 (range, 20-37) months. The extent of the tear was classified as large, medium or small. Functional outcome was assessed using the Constant score. Constant scores and re-tear rates in 3 patient groups (classified by patient age and tear size) were compared. Results. Among the 66 patients, there were 24 large, 29 medium and 13 small cuff tears, and a total of 48, 37, and 18 anchors were used, respectively. Among the 51 patients, the median Constant score improved significantly after arthroscopy (30 vs. 73, p<0.0001

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Arthroscopic versus Mini-Open Rotator Cuff Repair

Abstract: Based on current literature, there was no difference in outcomes between the arthroscopic and mini-open rotator cuff repair techniques.

Cited by 141 publications

References 38 publications

Indications for Reverse Total Shoulder Arthroplasty in Rotator Cuff Disease

Indications for Reverse Total Shoulder Arthroplasty in Rotator Cuff Disease

The temporal outcomes of open versus arthroscopic knotted and knotless rotator cuff repair over 5 years

Arthroscopic Repair of Rotator Cuff Tears Using Absorbable Anchors with a Single-Row Technique

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