Re-Tear Rates Following Rotator Cuff Repair Surgery

Abstract

Re-tears following rotator cuff repair surgery are a common occurrence. Previous studies have identified several factors that have been shown to increase the risk of re-tears. The purpose of this study was to evaluate the rate of re-tear following primary rotator cuff repair and to identify the factors that may contribute to this rate. MethodThe authors performed a retrospective review, looking at rotator cuff repair surgeries performed between May 2017 and July 2019 performed in a hospital by three specialist surgeons. All methods of repair were included. All patients' medical data, including imaging and operation records, were reviewed. ResultsA total of 148 patients were identified. Ninety-three males and 55 females with a mean age of 58 years (range 33-79 years). Thirty-four patients (23%) had post-operative imaging with either magnetic resonance imaging or ultrasound, where it was found that 20 (14%) had a confirmed re-tear. Of these patients, nine went on to have further repair surgery. The average age of the re-tear patients was 59 (age range 39-73) and 55% were female. The majority of the re-tears were from chronic rotator cuff injuries. This paper did not identify any correlation between smoking status or diabetes mellitus and re-tear rates. ConclusionsThis study indicates that re-tear after rotator cuff repair surgery is a common complication. The majority of studies find increasing age to be the biggest risk factor; however, this was not the case in our study which found females in their 50s to have the highest rate of re-tear. Additional research is required to understand what factors can contribute towards rotator cuff re-rupture rates.

The Relationship Among Probable SARCopenia, Osteoporosis and SuprasPinatus Tendon Tears in Postmenopausal Women: The SARCOSP Study

“…Although age-related tendon degeneration and tears also/frequently occurred in men, one study including men and women aged 45-89 years revealed that female gender is a risk factor for massive RC tears [39]. Additionally, a recent study investigating RC re-tear rates in men and women aged 33 to 79 years has shown that re-tear rates after RC repair were more common in women-possibly related to the regional BMD decline in women after menopause, [40,41]. These data appear to be in line with our study results.…”

Delamination of rotator cuff tears impairs healing after repair: a systematic review and meta‐analysis

“…This is most likely owing to the radiological outcomes being examined 6 months after surgery, resulting in incomplete data being considered. According to the literature, most retears occur within 6 months after surgery [29][30][31]; nevertheless, follow-up within 6 months is considered too early to evaluate the continuity of the healed rotator cuf tear. It is worth noting that the study by Park et al [10] was a signiicant source of subgroup heterogeneity for two reasons: irst, the evidence for this study was a case series with a low level of evidence relative to other studies; second, the study only reported the This meta-analysis also revealed that delamination results in lower complete healing rates.…”

Re-tear after arthroscopic rotator cuff repair can be predicted using deep learning algorithm

“…However, postoperative complications can significantly impact the effectiveness of the treatment for this condition. Rotator cuff retear is a prominent post-arthroscopic rotator cuff repair (ARCR) complication, with a significant risk of retear ranging from 8.3% to 27.3% (Fu et al, 2020 ; Davey et al, 2023 ; Routledge et al, 2023 ; Tsuchiya et al, 2023 ). Tear recurrence can be influenced by factors including: (1) inadequate strength of the initial repair construct, and (2) inappropriate postoperative rehabilitation causing structural failure of the repair (Bigliani et al, 1992 ; Neviaser and Neviaser, 1992 ; Boileau et al, 2005 ; Cho et al, 2015 ).…”