Arthroscopic versus mini-open salvage repair of the rotator cuff tear: outcome analysis at 2 to 6 years’ follow-up

Kim, Seung‐Ho; Ha, Kwon-Ick; Park, Jong-Hyuk; Kang, Jae-Kyoung; Sh, Oh; Oh, Irvin

doi:10.1016/s0749-8063(03)00395-5

Cited by 106 publications

(77 citation statements)

References 26 publications

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“…It also allows the surgeon to fully evaluate and treat other pathologies inside the shoulder joint such as labral tears and injuries to the long head of the biceps tendon [18][19][20]. Advocates for all arthroscopic repairs argue that arthroscopy gives surgeons the ability and flexibility with various portal locations to completely visualize and analyze a tear.…”

Section: Surgical Techniquesmentioning

confidence: 99%

“…Additional advantages of all arthroscopic repairs include small skin incisions, decreased postoperative pain, faster recovery, better cosmetic results, no deltoid detachment, and less soft tissue dissection [18,21]. Up to now, there has been no documented significant difference in patient outcomes when compared with other techniques [8•, 18,20].…”

Section: Surgical Techniquesmentioning

confidence: 99%

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Expectations Following Rotator Cuff Surgery

Novoa-Boldo

Gulotta

2018

Curr Rev Musculoskelet Med

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Purpose of Review To outline the radiographic and clinical outcomes after a rotator cuff surgery in order to set the expectations with the patient before the surgery to obtain a better outcome, taking into account the factors that can affect the outcome and the technique used for the repair. Recent Findings The majority of surgeons use arthroscopic repair.The double-row repair has better biomechanical strength, footprint coverage, and radiographic healing rates. The principal factors that can affect the outcome of the surgery are the tendon quality, tear size and retraction, fatty infiltration, chronicity of the tear, and concomitant pathologies. Summary Arthroscopic rotator cuff repair can decrease pain and increase function allowing patients to improve their quality of life; 90% of patients are happy 6 months after the surgery and maintain stability during 5 years. Greater preoperative expectations would show better outcomes and patient satisfaction after the surgery.

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Section: Surgical Techniquesmentioning

confidence: 99%

Section: Surgical Techniquesmentioning

confidence: 99%

Expectations Following Rotator Cuff Surgery

Novoa-Boldo

Gulotta

2018

Curr Rev Musculoskelet Med

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“…Arthroscopic shoulder surgery became popular in the 1980s and, like many new techniques, was initially looked upon somewhat skeptically [46]. 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].…”

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%

Indications for Reverse Total Shoulder Arthroplasty in Rotator Cuff Disease

Drake¹,

O’Connor

Edwards

2010

Clinical Orthopaedics &Amp; Related Research

220

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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“…Factors most commonly considered to have an effect on postoperative outcome are age, gender, smoking status, and tear size [2,8,10,12,16,17,18,22,23,29,33,34,36,39,41,44]; contradictory results have been reported, with some studies suggesting these factors do have an impact on outcome [8,10,12,22,29,36,41,44] and others suggesting they do not [16-18, 23, 33, 34, 39]. However, to our knowledge, no study has explored whether these factors affect patients with compensation claims differently from those without compensation claims (eg, do large tears have a worse outcome in WCB recipients than nonrecipients; does smoking have a different impact on outcome in WCB recipients than nonrecipients?).…”

Section: Introductionmentioning

confidence: 99%

Do Outcomes Differ after Rotator Cuff Repair for Patients Receiving Workers' Compensation?

Balyk

Luciak-Corea²,

Otto

et al. 2008

Clinical Orthopaedics &Amp; Related Research

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Comparisons of outcomes after rotator cuff repair between Worker's Compensation Board (WCB) recipients and nonrecipients generally do not consider patient, injury, and shoulder characteristics. We compared preoperative differences between WCB recipients and nonrecipients and determined the impact on their 6-month postoperative outcome. We evaluated a prospective cohort of 141 patients with full-thickness rotator cuff tears, 36 of whom (26%) were WCB recipients, preoperatively and 3 and 6 months after rotator cuff repair. Their mean age was 54.0 ± 10.4 years (standard deviation) and 102 (72%) patients were male. Shoulder range of motion, Western Ontario Rotator Cuff (WORC) index, and American Shoulder and Elbow Surgeons' score were used to evaluate outcomes. We performed regression analyses to control for baseline differences in age, baseline scores, smoking status, symptom duration, injury type, and associated biceps disorder between WCB recipients and nonrecipients. WCB recipients were younger and more likely to smoke, have a traumatic injury, and undergo surgery within 6 months of injury. WCB recipients had lower recovery for all outcomes when these differences were not considered but when differences were accounted for, only 6-month WORC scores were lower in WCB recipients. Clinicians should consider preoperative characteristics before concluding WCB recipients experience less recovery after surgical repair.

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Arthroscopic versus mini-open salvage repair of the rotator cuff tear: outcome analysis at 2 to 6 years’ follow-up

Cited by 106 publications

References 26 publications

Expectations Following Rotator Cuff Surgery

Expectations Following Rotator Cuff Surgery

Indications for Reverse Total Shoulder Arthroplasty in Rotator Cuff Disease

Do Outcomes Differ after Rotator Cuff Repair for Patients Receiving Workers' Compensation?

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