Guided versus freehand acromioplasty during rotator cuff repair. A randomized prospective study

Lädermann, Alexandre; Chagué, Sylvain; Preissmann, Delphine; Kolo, Franck C.; Rime, Olivier; Kevelham, Bart; Bothorel, Hugo; Charbonnier, Caecilia

doi:10.1016/j.otsr.2020.02.010

Cited by 5 publications

(5 citation statements)

References 36 publications

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“…The arthroscopic procedure was performed using suture anchors (Mitek Healix 4.5 mm mounted with two Orthocord sutures), as well as knotless anchors for double-row fixation (Mitek Healix 5.5 mm knotless). A systematic partial bursectomy was carried out, as well as acromioplasty in cases with impingement or an offending spur [ 15 , 16 ] but was limited to smoothing the bone spurs. A footprint was created and was limited to the repair size by performing gentle and superficial burring using a 5 mm Arthrex Bone Cutter.…”

Section: Methodsmentioning

confidence: 99%

Aquatic therapy following arthroscopic rotator cuff repair enables faster improvement of Constant score than land‐based therapy or self‐rehabilitation therapy

et al. 2023

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Purpose To compare the clinical and functional outcomes of arthroscopic rotator cuff repair over a period of 2 years using three postoperative rehabilitation modalities: aquatic therapy, land-based therapy, and self-rehabilitation therapy. The null hypothesis was that aquatic therapy would provide no difference in Constant score compared to land-based therapy and self-rehabilitation therapy. Methods A prospective study was performed on subjects scheduled for arthroscopic rotator cuff repair between 2012 and 2017 that complied with the following criteria: (i) small to medium sized symptomatic supraspinatus and/or infraspinatus tendon tears, (ii) low to moderate tendon retraction according to Patte, and (iii) fatty infiltration stage ≤2. Patients were allocated to perform either aquatic therapy, land-based therapy, or self-rehabilitation therapy for 2-4 months. Independent observers blinded to the study design collected Constant score, SSV, and patient satisfaction at 2 months, 3 months, 6 months, 1 year and 2 years. Study design Level III, cohort study Results At 2 months follow-up, patients performing aquatic therapy had significantly higher Constant scores (p < 0.001) and SSV (p < 0.001) compared to those performing land-based therapy or self-rehabilitation therapy. At 3 months follow-up, patients performing aquatic therapy had significantly higher Constant scores (p < 0.001), and SSV (p < 0.001), both of which exceeded the respective minimal clinically important differences (MCIDs) of 10.4 and 12. Patients performing aquatic therapy continued to have significantly higher Constant scores and SSV at 6 months, 1 year, and 2 years. Conclusion Aquatic therapy has a very limited positive effect on clinical outcomes at 3 months after surgery, but yields no relevant improvements on function or satisfaction at 1 to 2 years follow-up.

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Section: Methodsmentioning

confidence: 99%

Aquatic therapy following arthroscopic rotator cuff repair enables faster improvement of Constant score than land‐based therapy or self‐rehabilitation therapy

et al. 2023

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“…However, the role of acromioplasty in 2021 is still not clearly defined. [8][9][10] Some have argued that gliding of the rotator cuff under the acromiohumeral arch is probably part of human evolution, since we stand erect to compensate the deficiency of the superior rotator cuff. 11,12 Similarly to Ulysses, 150 years after the initial description of Duplay and a tumultuous journey, subacromial impingement has in some respects returned to its starting position (Fig 1).…”

Section: Proper Indications For Shoulder Subacromial Decompression Results In Excellent Outcomesmentioning

confidence: 99%

Proper Indications for Shoulder Subacromial Decompression Result in Excellent Outcomes

Lädermann

Denard

2021

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“… 31 Tenodesis or tenotomy of the long head of the biceps was systematically performed. Adjuvant acromioplasty was performed in patients who had radiographic signs of dynamic impingement or to improve visualization, 32 , 33 , 34 and resection of the distal section of the clavicle was performed when pain was elicited by palpation of the acromioclavicular joint. At the end of the intervention, all RCRs were complete and “watertight,” with adequate restoration of the tendons to their footprints.…”

Section: Methodsmentioning

confidence: 99%

Traumatic and Atraumatic Rotator Cuff Tears Have the Same Rates of Healing

Guevara-Alvarez,

Valencia-Ramon,

Bothorel

et al. 2024

Arthroscopy, Sports Medicine, and Rehabilitation

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Guided versus freehand acromioplasty during rotator cuff repair. A randomized prospective study

Cited by 5 publications

References 36 publications

Aquatic therapy following arthroscopic rotator cuff repair enables faster improvement of Constant score than land‐based therapy or self‐rehabilitation therapy

Aquatic therapy following arthroscopic rotator cuff repair enables faster improvement of Constant score than land‐based therapy or self‐rehabilitation therapy

Proper Indications for Shoulder Subacromial Decompression Result in Excellent Outcomes

Traumatic and Atraumatic Rotator Cuff Tears Have the Same Rates of Healing

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