Large and massive tears of the rotator cuff: Functional outcome and integrity of the repair after a mini-open procedure

B. C. Hanusch, L. Goodchild, P. Finn, A. Rangan

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

The aim of this study was to determine the functional outcome and rate of re-tears following mini-open repair of symptomatic large and massive tears of the rotator cuff using a two-row technique. The 24 patients included in the study were assessed prospectively before and at a mean of 27 months (18 to 53) after surgery using the Constant and the Oxford Shoulder scores. Ultrasound examination was carried out at follow-up to determine the integrity of the repair. Patient satisfaction was assessed using a simple questionnaire. The mean Constant score improved significantly from 36 before to 68 after operation (p < 0.0001) and the mean Oxford Shoulder score from 39 to 20 (p < 0.0001). Four of the 24 patients (17%) had a re-tear diagnosed by ultrasound. A total of 21 patients (87.5%) were satisfied with the outcome of their surgery. The repair remained intact in 20 patients (83%). However, the small number of re-tears (four patients) in the study did not allow sufficient analysis to show a difference in outcome in relation to the integrity of the repair.

Original languageEnglish
Pages (from-to)201-205
Number of pages5
JournalJournal of Bone and Joint Surgery - Series B
Volume91
Issue number2
DOIs
Publication statusPublished - 1 Feb 2009

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