Early mobilisation following mini-open rotator cuff repair: a randomised control trial

The Bone & Joint Journal
D M ShepsR Balyk

Abstract

This study compared the clinical outcomes following mini-open rotator cuff repair (MORCR) between early mobilisation and usual care, involving initial immobilisation. In total, 189 patients with radiologically-confirmed full-thickness rotator cuff tears underwent MORCR and were randomised to either early mobilisation (n = 97) or standard rehabilitation (n = 92) groups. Patients were assessed at six weeks and three, six, 12 and 24 months post-operatively. Six-week range of movement comparisons demonstrated significantly increased abduction (p = 0.002) and scapular plane elevation (p = 0.006) in the early mobilisation group, an effect which was not detectable at three months (p > 0.51) or afterwards. At 24 months post-operatively, patients who performed pain-free, early active mobilisation for activities of daily living showed no difference in clinical outcomes from patients immobilised for six weeks following MORCR. We suggest that the choice of rehabilitation regime following MORCR may be left to the discretion of the patient and the treating surgeon.

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Citations

Feb 23, 2018·Der Orthopäde·M Farkhondeh Fal, J Kircher
Jan 3, 2019·The Bone & Joint Journal·F S HaddadT D Tennent
Mar 21, 2019·The Journal of Bone and Joint Surgery. American Volume·Jérôme TirefortAlexandre Lädermann
Sep 18, 2020·Musculoskeletal Care·Chris LittlewoodMarcus Bateman
Sep 24, 2020·International Journal of Environmental Research and Public Health·Vincenzo CandelaVincenzo Denaro
Apr 26, 2019·Shoulder & Elbow·Kelms Amoo-AchampongFrank McCormick
May 15, 2021·Journal of Clinical Orthopaedics and Trauma·Katy BolandJulia Walton
Jul 26, 2021·BMC Musculoskeletal Disorders·Umile Giuseppe LongoVincenzo Denaro

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