Comparison of debridement versus suture in large rotator cuff tears: long-term study of 64 shoulders

Archives of Orthopaedic and Trauma Surgery
Thomas MotyckaFranz Landsiedl

Abstract

The goal of this study is to determine whether suturing is superior to non-closure in terms of the subjective long-term outcome in large rotator cuff tears. A total of 64 shoulders with rotator cuff tears of at least 3 cm diameter and followed up for a mean period of 5 years and 8 months were retrospectively examined. The patients' medical history, clinical findings, radiographs and Constant scores were studied. Patients whose tears had been closed with an open suture (n=33) were compared with those whose tears had not been closed (n=31). Neither the comparison between open suturing and debridement nor that between open and arthroscopic debridement reveal a significant difference with regard to the overall Constant score or the individual parameters. These results suggest that in the long-term, suturing of large rotator cuff tears is not superior to debridement.

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Citations

Sep 10, 2008·Hand : Official Journal of the American Association for Hand Surgery·Wasim S KhanMark Ravenscroft
Jul 23, 2008·Journal of Shoulder and Elbow Surgery·Xiong-Wei LuDominique F Gazielly
Aug 26, 2017·The Open Orthopaedics Journal·Matthias Alexander König, Volker Alexander Braunstein
Feb 7, 2008·The Cochrane Database of Systematic Reviews·J A CoghlanS N Bell
Apr 1, 2015·Shoulder & Elbow·Rohit KulkarniJonathan L Rees

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