Long-term results of arthroscopic and mini-open repair of small- to medium-size full-thickness rotator cuff tears

Deurzen, Dfp van; Scholtes, V. A. B.; Willems, W. Jaap; Geerdink, HH; Woude, HJ van der; Hulst, Vpm van der; Bekerom, Mpj van den

doi:10.1177/1758573218773529

Cited by 10 publications

(7 citation statements)

References 31 publications

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“…This hypothesis is also supported by studies reporting long-term results of open RC repair, which are more numerous than those investigating the recently introduced arthroscopic technique. 36,50 These results approximate well those of the SOFCOT cohort for the isolated SSp group (19% retear). 2 On the contrary, regarding massive tears assessed by MRI at 9.9 years postoperatively, Zumstein et al 53 reported a much higher retear rate (57%), which comes closer to the figures reported in our studies for C3-C4 tears (SSp nonintegrity, 71%).…”

Section: Discussionsupporting

confidence: 80%

“…Other long-term results available refer to open or mini-open techniques: early studies on long-term outcomes of open RC repair suggested satisfactory results with a decrease in pain after surgery and a return to preinjury activities, 1,5 and more recent ones confirmed maintenance of good strength and high CMS score at 10 years after open repair. 4,7,16,25,43 In a mixed series of arthroscopic and mini-open repairs of small- to medium-size RC tears in 44 patients after a mean follow-up of 11.3 years, van Deurzen et al 50 showed satisfaction in 80% of the cases and 76% good to excellent functional outcomes (median CMS, 82 [range, 29-95]; median Disabilities of the Arm, Shoulder and Hand score, 5.0 [range, 1.0-54]; median Oxford Shoulder Score, 19 [range, 13-39]). Finally, Collin et al 8 reported a mean CMS of 78.5 in a mixed series of arthroscopic and open repairs of massive tears at 10-year follow-up, documenting an association between the preoperative tendon retraction of the infraspinatus and the CMS.…”

Section: Discussionmentioning

confidence: 99%

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Long-term Results of Arthroscopic Rotator Cuff Repair: Initial Tear Size Matters: A Prospective Study on Clinical and Radiological Results at a Minimum Follow-up of 10 Years

et al. 2019

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Background: Arthroscopic techniques are now considered the gold standard for treatment of most rotator cuff (RC) tears; however, no consensus exists on the maintenance of results over time, and long-term follow-up data have been reported for few cohorts of patients. Purpose: To present the long-term results associated with the arthroscopic treatment of RC tears and to evaluate associations between preoperative factors and RC integrity at final follow-up. Study Design: Cohort study; Level of evidence, 3. Methods: A total of 169 patients were contacted at least 10 years after arthroscopic RC surgery and were invited to a clinical evaluation. Information on preoperative conditions, tear size, subjective satisfaction, and functional scores was collected; isometric strength and range of motion were also measured; and each patient underwent an ultrasound examination to evaluate supraspinatus integrity and a shoulder radiograph to evaluate osteoarthritis. Results: A total of 149 patients (88.2% of the eligible patients) were available for a complete telephonic interview, and 102 patients were available for the final evaluation. Ultrasound revealed an intact supraspinatus in 54 patients (53.47%). By adding the 10 patients who underwent revision surgery to the nonintact group, this percentage would drop to 48.65%. Tear size was associated with supraspinatus integrity in univariate analysis (hazard ratio, 3.04; 95% CI, 1.63-5.69; P = .001) and multivariable analysis (hazard ratio, 2.18; 95% CI, 1.03-4.62; P = .04). However, no significant differences were encountered in the subjective and functional scores collected, with the exception of the Constant-Murley Score, which was significantly higher in patients with smaller tears at the index procedure. Strength testing also revealed significantly superior abduction and flexion strength in this group, and radiographs showed a significantly higher acromion-humeral distance and lower grades of osteoarthritis. Patients with an intact supraspinatus at final follow-up showed superior results in all functional scores, greater satisfaction, superior abduction and flexion strength, higher acromion-humeral distance, and lower grades of osteoarthritis. Conclusion: RC tear size at the time of surgery significantly affects supraspinatus integrity at a minimum follow-up of 10 years. However, a larger tear is not associated with an inferior subjective result, although it negatively influences abduction and flexion strength, range of motion, and osteoarthritis progression. Intraoperative efforts to obtain a durable RC repair are encouraged, since supraspinatus integrity at final follow-up influences clinical and functional outcomes, patient satisfaction, and osteoarthritis progression.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Long-term Results of Arthroscopic Rotator Cuff Repair: Initial Tear Size Matters: A Prospective Study on Clinical and Radiological Results at a Minimum Follow-up of 10 Years

et al. 2019

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“…Our study corroborates that the double-row suture technique may lead to higher rates of tendon healing, according to Lafosse et al At 12-month follow-up, none of the patients developed a re-tear. Consistent with previous findings, significantly higher CMSs after repair of small-size tears were observed, confirming the theory that repair of smaller rotator cuff tears results in a better outcome [7].…”

Section: Discussionsupporting

confidence: 91%

Functional Outcomes of Mini-Open Rotator Cuff Repair Surgery: Retrospective, Observational Study

Riaz Baloch,

Idress Shah,

Ur Rahman

et al. 2023

SVOAOR

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This study aimed to investigate the functional outcomes of Mini-Open Rotator Cuff Repair compared to Arthroscopic rotator cuff repair surgery. The study included 20 patients, with an average age of 55 years, who underwent either open or arthroscopic rotator-cuff repair surgery. Our data showed that most patients started going back to work and engaging in regular daily activities three months after surgery. In both groups, the patients' range of motion (ROM) was 100% after three months. The CMS score responses increased after 6 months, and similarly, at 12 months, the CMS scores indicate good or excellent outcomes for both groups. Majority of the factors showed statistically insignificant p-values. However, the median ASES score increased as the follow-up months increased in both groups, with significant P-values (0.057, 0.016, and 0.016) for the scores at 3, 6, and 12 months.

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“…However, metallic suture anchors have been used successfully for a long time [13]. The long-term clinical results of both arthroscopic and open rotator cuff repairs are good, with more than 90% of good or excellent results at 10 years [13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Safety, Efficacy, and Functional Outcomes After Rotator Cuff Repair Using Ceptre® Titanium Screw Anchor: A Retrospective Study

Panchal¹,

Moharana²,

Angrish³

et al. 2023

Cureus

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BackgroundRotator cuff tears (RCTs) are the most common cause of shoulder disability. RCT is characterized by progressive wear and tear of the tendon tissue over time. The incidence of cuff tears ranges from 5% to 39%. With increasing advancements in the surgical sector, an upward trend has been observed in repair surgeries where torn tendons are repaired arthroscopically by inserting surgical implants. With this background, this study aimed to assess the safety, efficacy, and functional outcomes after RCT repair using Ceptre® titanium screw anchor implants. MethodologyThis retrospective, observational, single-center, clinical study was conducted at Epic Hospital in Gujarat, India. Patients who underwent rotator cuff repair surgery between January 2019 and July 2022 were recruited and followed up in December 2022. Baseline characteristics and surgical and post-surgical details were collected from patient medical reports and post-surgery progress data were documented through telephonic follow-up. The functional outcomes and efficacy of the implant were assessed using the American Shoulder and Elbow Surgeons (ASES) form, Shoulder Pain and Disability Index (SPADI) score, Simple Shoulder Test (SST), and Single Assessment Numeric Evaluation (SANE) score. ResultsThe mean age of the recruited patients was 59.74 ± 8.91 years. Among the recruited patients, 64% were females and 36% were males. About 85% of patients had a right shoulder injury and 15% of patients (n = 6/39) had a left shoulder injury. Further, 64% (n = 25/39) of patients had supraspinatus tears, whereas 36% (n = 14) of patients had both supraspinatus and infraspinatus tears. The mean ASES, SPADI, SST, and SANE scores were observed to be 81.

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Long-term results of arthroscopic and mini-open repair of small- to medium-size full-thickness rotator cuff tears

Cited by 10 publications

References 31 publications

Long-term Results of Arthroscopic Rotator Cuff Repair: Initial Tear Size Matters: A Prospective Study on Clinical and Radiological Results at a Minimum Follow-up of 10 Years

Long-term Results of Arthroscopic Rotator Cuff Repair: Initial Tear Size Matters: A Prospective Study on Clinical and Radiological Results at a Minimum Follow-up of 10 Years

Functional Outcomes of Mini-Open Rotator Cuff Repair Surgery: Retrospective, Observational Study

Assessment of Safety, Efficacy, and Functional Outcomes After Rotator Cuff Repair Using Ceptre® Titanium Screw Anchor: A Retrospective Study

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