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. 2019 May;11(1 Suppl):68-76.
doi: 10.1177/1758573218773529. Epub 2018 May 12.

Long-term results of arthroscopic and mini-open repair of small- to medium-size full-thickness rotator cuff tears

Dfp van Deurzen  1 , Vab Scholtes  1 , W J Willems  1 , H H Geerdink  1 , H J van der Woude  2 , Vpm van der Hulst  2 , Mpj van den Bekerom  1
Affiliations

Long-term results of arthroscopic and mini-open repair of small- to medium-size full-thickness rotator cuff tears

Dfp van Deurzen et al. Shoulder Elbow. 2019 May.

Abstract

Background: This retrospective cohort study evaluated functional outcome and structural integrity after arthroscopic- or mini-open repair of small- to medium-size rotator cuff tears assessed at long-term follow-up.

Methods: All patients operated between 2001 and 2004 were invited to participate. Functional outcome was measured by Constant-Murley Score, Disability of Arm, Shoulder and Hand and Oxford Shoulder Score. Quality of life was assessed with EuroQol Health 5 Dimension. Patient satisfaction was assessed in terms of pain and overall result. Structural integrity of the rotator cuff repair was determined using ultrasound.

Results: Of the eligible 62 patients, 44 patients were available for follow-up. After a mean of 11.3 years, 76% of the patients had good to excellent functional outcome on the Constant-Murley Score (median 82, range 29-95). The majority of patients reported good results on both Disability of Arm, Shoulder and Hand and Oxford Shoulder Score (median Disability of Arm, Shoulder and Hand 5.0, range 1.0-54; median Oxford Shoulder Score 19, range 13-39). The quality of life was also good (mean EuroQol Health 5 Dimension utility score 0.88, standard deviation 0.12). Eighty per cent was satisfied with the overall result. Ultrasound examination revealed structural integrity in 76% of all cases.

Conclusion: This study shows that functional outcome is good and structural integrity is high for the majority of patients 11.3 years after repair of small- to medium-size rotator cuff lesions.

Keywords: functional outcome; long-term results; quality of life; rotator cuff repair; satisfaction; ultrasound.

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Figures

Figure 1.
Figure 1.
Rotator cuff tear characteristics. ISP: infraspinatus; SSc: subscapularis; SSP: supraspinatus.
See this image and copyright information in PMC

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