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COMPARATIVE STUDY OF THE RESULTS AFTER ROTATOR CUFF TEAR REPAIRS ACCORDING TO THE AGE OF THE PATIENTS.



Abstract

Purpose: With this retrospective study, the results of rotator cuff repairs in patients of 60 years and older were compared to patients younger 60.

Methods: 76 patients with an average age of 65 years (60–78 years, group A) and 167 patients younger 60 years (group B) were clinical (Constant – score) and sonographical examined after follow-up of 2 years after reconstruction of the rotator cuff.

Results: In group A, 24 one-, 37 two-, 11 three- and 4 four-tendon tears were treated and the average age and gender adjusted Constant-score was 90,4% (13–126%). 29% showed sonographical signs of a re-defect. In group B, 56 one-, 69 two-, 33 three-, and 9 four-tendon tears were treated and the average age and gender adjusted Constant-score was 81,1% (15–116%). 32% showed sonographical signs of a re-defect.

Conclusion: Both groups did not show significant differences regarding clinical results in the Constant-score size of the rotator cuff defect or occurrence of re-tears. The results in patients older 60 were even better than in younger patients, therefore the older age of the patient should not be primary reason for not repairing a symptomatic rotator cuff tear.

The abstracts were prepared by Eleni Koutsoukou. Correspondence should be addressed to him at the Hellenic Association of Orthopaedic Surgery and Traumatology (HAOST), 20, A. Fleming str, 15123 Marousi, Athens, Greece.