2019
DOI: 10.1177/0363546519834574
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Repair of Rotator Cuff Tears in the Elderly: Does It Make Sense? A Systematic Review

Abstract: Background: The indications and outcomes for rotator cuff repair (RCR) among patients ≥70 years old are not widely reported. Many active patients in this age range desire a joint-preserving option, and several small series reported successful clinical outcomes after RCR among patients aged ≥70 years. Purpose: To systematically review the literature on the outcomes of RCR among patients ≥70 years old. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic review of the literature was perfo… Show more

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Cited by 23 publications
(19 citation statements)
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“…Although rotator cuff tears are common in the elderly population, both the surgeons and patients have been hesitant towards surgical repair because of the various risk factors for failure, including decreased bone density, and tendon vascularity, as well as comorbidities among elderly patients ( 1 , 2 ). However, there have been increasing demands for surgical repair of rotator cuff injuries among these patients ( 2 , 6 ).…”
Section: Discussionmentioning
confidence: 99%
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“…Although rotator cuff tears are common in the elderly population, both the surgeons and patients have been hesitant towards surgical repair because of the various risk factors for failure, including decreased bone density, and tendon vascularity, as well as comorbidities among elderly patients ( 1 , 2 ). However, there have been increasing demands for surgical repair of rotator cuff injuries among these patients ( 2 , 6 ).…”
Section: Discussionmentioning
confidence: 99%
“…All these terms were searched in TITLE/ABSTRACT. We also reviewed the reference lists of eligible original articles and previous systematic reviews to identify additional studies (1,2,(6)(7)(8)10).…”
Section: Literature Searchmentioning
confidence: 99%
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“…Conservative treatment has success rates ranging from 40% to 82% [ 2 , 3 ], although frequent complications such as reduction of subacromial space and progression of glenohumeral arthritis are reported in the literature [ 4 ]. Surgical treatment of complete RC tears may be the most appropriate choice [ 5 , 6 , 7 ]. However, although surgical RC repair generally guarantees satisfactory results, the rate of re-tearing can be up to 70%, particularly in cases of massive lesions and in patients over 65 years of age [ 8 , 9 , 10 , 11 ].…”
Section: Introductionmentioning
confidence: 99%