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. 2015 Jun;7(2):234-40.
doi: 10.4055/cios.2015.7.2.234. Epub 2015 May 18.

Gender Affects Early Postoperative Outcomes of Rotator Cuff Repair

Chul-Hyun Cho  1 , Hee-Uk Ye  1 , Jae-Won Jung  1 , Young-Kuk Lee  2
Affiliations

Gender Affects Early Postoperative Outcomes of Rotator Cuff Repair

Chul-Hyun Cho et al. Clin Orthop Surg. 2015 Jun.

Abstract

Background: The literature does not provide consistent information on the impact of patients' gender on recovery after rotator cuff repair. The purpose of this study was to determine whether gender affects pain and functional recovery in the early postoperative period after rotator cuff repair.

Methods: Eighty patients (40 men and 40 women) were prospectively enrolled. Pain intensity and functional recovery were evaluated, using visual analog scale (VAS) pain score and range of motion on each of the first 5 postoperative days, at 2 and 6 weeks and at 3, 6, and 12 months after surgery. Perioperative medication-related adverse effects and postoperative complications were also assessed.

Results: The mean VAS pain score was significantly higher for women than men at 2 weeks after surgery (p = 0.035). For all other periods, there was no significant difference between men and women in VAS pain scores, although women had higher scores than men. Mean forward flexion in women was significantly lower than men at 6 weeks after surgery (p = 0.033) and the mean degree of external rotation in women was significantly lower than men at 6 weeks (p = 0.007) and at 3 months (p = 0.017) after surgery. There was no significant difference in medication-related adverse effects or postoperative complications.

Conclusions: Women had more pain and slower recovery of shoulder motion than men during the first 3 months after rotator cuff repair. These findings can serve as guidelines for pain management and rehabilitation after surgery and can help explain postoperative recovery patterns to patients with scheduled rotator cuff repair.

Keywords: Arthroscopic repair; Function; Gender; Pain; Rotator cuff.

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Conflict of interest statement

CONFLICT OF INTEREST: No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1. Pain intensity was measured using visual analog scale (VAS) pain scores on each of the first 5 postoperative days and then at 2 weeks, 6 weeks, 3 months, 6 months, and 12 months after surgery. The mean VAS pain score was significantly higher for women than for men at 2 weeks after surgery (*P = 0.035).
Fig. 2
Fig. 2. Forward flexion was measured at 2 weeks, 6 weeks, 3 months, 6 months, and 12 months after surgery and was significantly lower for women than for men at 6 weeks (*P = 0.033).
Fig. 3
Fig. 3. External rotation was measured at 2 weeks, 6 weeks, 3 months, 6 months, and 12 months after surgery. Mean postoperative external rotation was significantly lower for women than for men at 6 weeks (*P = 0.007) and at 3 months (*P = 0.017).
See this image and copyright information in PMC

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