Arthroscopic Repair of Large and Massive Rotator Cuff Tears: Complete Repair with Aggressive Release Compared with Partial Repair Alone at a Minimum Follow-up of 5 Years.

The Journal of Bone and Joint Surgery. American Volume
Jeung Yeol JeongYong-Min Chun

Abstract

The purpose of this retrospective study was to assess the clinical and radiographic outcomes of large and massive rotator tears treated with arthroscopic complete repair with a posterior interval slide compared with partial repair without a posterior interval slide at a minimum follow-up of 5 years. This study included 58 patients with large and massive rotator cuff tears that were unable to be treated with arthroscopic complete repair with an anterior interval slide and margin convergence alone. Each patient underwent either arthroscopic complete repair with an additional posterior interval slide and a subsequent side-to-side repair of the interval slide edge (complete-repair group) or arthroscopic partial repair with margin convergence and without the additional posterior interval slide (partial-repair group). Patient assignment to treatment group was not randomized. Clinical assessments included the visual analog scale pain score, the Subjective Shoulder Value, the American Shoulder and Elbow Surgeons score, the University of California Los Angeles shoulder score, and active range of motion. Preoperative and 6-month follow-up magnetic resonance arthrography (MRA) images were compared within and between groups. At the time of...Continue Reading

References

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Citations

Apr 14, 2021·The Journal of Bone and Joint Surgery. American Volume·Rachel M FrankStephen R Thompson
Sep 29, 2021·Current Reviews in Musculoskeletal Medicine·Natalie K KucirekStephanie E Wong

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