ARTHROSCOPIC ROTATOR CUFF REPAIR – EARLY AND MID TERM RESULTS

O. Levy; B. Venkateswaran; AS Montgomery; T. Zaman; T. Even; S. Copeland

doi:10.1302/0301-620X.88BSUPP_II.0880345

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ARTHROSCOPIC ROTATOR CUFF REPAIR – EARLY AND MID TERM RESULTS

O. Levy
B. Venkateswaran
AS Montgomery
T. Zaman
T. Even
S. Copeland

ARTHROSCOPIC ROTATOR CUFF REPAIR – EARLY AND MID TERM RESULTS

Levy O, Venkateswaran B, Montgomery A, Zaman T, Even T, Copeland S. ARTHROSCOPIC ROTATOR CUFF REPAIR – EARLY AND MID TERM RESULTS. Orthop Procs. 2006;88-B(SUPP_II):345-345. doi:10.1302/0301-620X.88BSUPP_II.0880345

Levy, O., et al. “ARTHROSCOPIC ROTATOR CUFF REPAIR – EARLY AND MID TERM RESULTS.” Orthopaedic Proceedings, vol. 88-B, no. SUPP_II, 2006, pp. 345-345., https://doi.org/10.1302/0301-620X.88BSUPP_II.0880345

Levy, O., Venkateswaran, B., Montgomery, A., Zaman, T., Even, T., & Copeland, S. (2006). ARTHROSCOPIC ROTATOR CUFF REPAIR – EARLY AND MID TERM RESULTS. Orthopaedic Proceedings, 88-B(SUPP_II), 345-345. https://doi.org/10.1302/0301-620X.88BSUPP_II.0880345

Levy, O., Venkateswaran, B., Montgomery, A., Zaman, T., Even, T. and Copeland, S. (2006) “ARTHROSCOPIC ROTATOR CUFF REPAIR – EARLY AND MID TERM RESULTS.” Orthopaedic Proceedings, 88-B(SUPP_II), pp. 345-345. Available at: https://doi.org/10.1302/0301-620X.88BSUPP_II.0880345

Levy, O., B. Venkateswaran, AS Montgomery, T. Zaman, T. Even, and S. Copeland. “ARTHROSCOPIC ROTATOR CUFF REPAIR – EARLY AND MID TERM RESULTS.” Orthopaedic Proceedings 88-B, no. SUPP_II (2006): 345-345. https://doi.org/10.1302/0301-620X.88BSUPP_II.0880345

Levy O, Venkateswaran B, Montgomery A, Zaman T, Even T, Copeland S. ARTHROSCOPIC ROTATOR CUFF REPAIR – EARLY AND MID TERM RESULTS. Orthop Procs. 2006 May 1;88-B(SUPP_II):345-345. https://doi.org/10.1302/0301-620X.88BSUPP_II.0880345

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Abstract

Arthroscopic Rotator cuff repair is gaining popularity in recent years; however, the results of arthroscopic repairs are yet to be reported. Between November 2001 to May 2003, 115 consecutive patients were operated (73 males and 42 females) with arthroscopic repair. 13 patients were lost to follow up, leaving 102 patients available for follow up.

The mean follow up time was 23.8 months (range 12–61). There were 107 patients (95.5%) with full thickness tears and 5 (4.5%) had partial thickness tears. Of the full thickness tears, 8 (7.6%) were massive in size, 36 (34%) large, 44 (41.5%) medium and 18(17%) small.

Mean age was 57.3 years (range 23–78). 47% had a history of trauma.

Mainly Supraspinatus (SSP) tear was recorded in 83.5% and isolated subscapularis tear in 7%. A combination of SSP tear with infraspinatus and teres minor minor (posterior tear) was found in 9.6%.

86% had Acromioplasty (ASD) with or without an AC joint excision arthroplasty. Two patients had Bankart repairs in addition at the time of cuff repair.

Patients were evaluated using the Constant score, satisfaction levels and ultrasound scan to evaluate cuff integrity. Failures were defined as dissatisfied patients and those who had had a re-operation. Re-tear rate was recorded.

The mean pre op Constant score was 40.9 points (95% CI 37.3 to 44.5), which had improved to 84.8 (CI 82.2 to 86.9) at last follow-up. 78% returned to same work and 82% returned to pre injury leisure activity. There were 20 ultrasound demonstrated re-tears (19.6%). However, the majority of patients with radiological re-tears had good function, pain relief and were satisfied. Eight of the 102 patients were not satisfied. Five of these patients had revision operation.

Arthroscopic cuff repair shows high satisfaction rate (92%) and good functional results while offering all the advantages of arthroscopic surgery.

The abstracts were prepared by Orah Naor, IOA Co-ordinator and Secretary. Correspondence should be addressed to Israel Orthopaedic Association, PO Box 7845, Haifa 31074, Israel.