Factors affecting healing after arthroscopic rotator cuff repair

World Journal of Orthopedics
Amir M AbtahiRobert Z Tashjian

Abstract

Rotator cuff repair has been shown to have good long-term results. Unfortunately, a significant proportion of repairs still fail to heal. Many factors, both patient and surgeon related, can influence healing after repair. Older age, larger tear size, worse muscle quality, greater muscle-tendon unit retraction, smoking, osteoporosis, diabetes and hypercholesterolemia have all shown to negatively influence tendon healing. Surgeon related factors that can influence healing include repair construct-single vs double row, rehabilitation, and biologics including platelet rich plasma and mesenchymal stem cells. Double-row repairs are biomechanically stronger and have better healing rates compared with single-row repairs although clinical outcomes are equivalent between both constructs. Slower, less aggressive rehabilitation programs have demonstrated improved healing with no negative effect on final range of motion and are therefore recommended after repair of most full thickness tears. Additionally no definitive evidence supports the use of platelet rich plasma or mesenchymal stem cells regarding improvement of healing rates and clinical outcomes. Further research is needed to identify effective biologically directed augmentations tha...Continue Reading

Citations

Apr 4, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Siddharth A MahureAndrew S Rokito
Jul 9, 2016·Journal of Physical Therapy Science·Yoshihiro KaiNaoto Shiba
Jul 15, 2016·European Journal of Medical Research·Felix DyrnaAndreas Schmitt
Oct 16, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jourdan M CancienneBrian C Werner
Oct 18, 2016·Annals of the New York Academy of Sciences·Sahishnu PatelWilliam N Levine
Mar 21, 2017·Prosthetics and Orthotics International·Yuma SonodaTaku Kawasaki
Jul 14, 2017·The Journal of Orthopaedic and Sports Physical Therapy·Peter K EdwardsAllan Wang
Nov 5, 2017·Current Rheumatology Reports·Brittany TaylorLouis Soslowsky
Jul 7, 2018·JBJS Reviews·Jaydev MistryRonald E Delanois
Aug 15, 2018·The Journal of Bone and Joint Surgery. American Volume·Kathleen A DerwinStavros Thomopoulos
Aug 22, 2018·The American Journal of Sports Medicine·Jung Ho ParkSeok Won Chung
Apr 13, 2017·The Open Orthopaedics Journal·Dimitrios GiotisNikolaos K Paschos
Mar 21, 2019·The Journal of Bone and Joint Surgery. American Volume·Jérôme TirefortAlexandre Lädermann
Sep 11, 2018·Medicine and Science in Sports and Exercise·Y U CaiPengfei Zhu
Jan 4, 2020·JBJS Reviews·Luciano Andrés RossiMaximiliano Ranalletta
Mar 30, 2018·Archives of Orthopaedic and Trauma Surgery·A AteschrangTobias M Kraus
Oct 22, 2018·Musculoskeletal Surgery·C ChillemiS Gumina
Feb 26, 2019·Journal of Orthopaedic Surgery·Mehmet Hamdi ŞahanMikail İnal
Nov 28, 2018·Orthopaedic Journal of Sports Medicine·Jake X CheckettsMatt Vassar
May 11, 2016·Molecular and Cellular Biochemistry·Finosh G ThankamDevendra K Agrawal
Oct 29, 2017·Archives of Orthopaedic and Trauma Surgery·Marc-Frederic PastorMathias Wellmann
Jul 13, 2017·Stem Cells International·Roberto Berebichez-FridmanClemente Ibarra
Jul 19, 2020·Current Reviews in Musculoskeletal Medicine·Andrew R JensenJoaquin Sanchez-Sotelo
Jan 19, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Naohide TakeuchiYasuharu Nakashima
Feb 9, 2021·JSES International·Kevin I KashanchiEdward D Wang
Feb 4, 2021·Arthroscopy Techniques·Mohamed G MorsyAhmed H Waly
May 21, 2021·The American Journal of Sports Medicine·Yoshiaki ItoigawaMuneaki Ishijima
May 29, 2021·Journal of Clinical Orthopaedics and Trauma·Akshar H PatelMichael J O'Brien
Jul 2, 2021·Arthroscopy, Sports Medicine, and Rehabilitation·Eric J CotterBrian F Grogan
Jul 26, 2021·BMC Musculoskeletal Disorders·Umile Giuseppe LongoVincenzo Denaro
Oct 8, 2018·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Gaëtan J OpsomerLaurent Lafosse
Aug 10, 2021·Orthopaedic Journal of Sports Medicine·Abdulhamit MisirAhmet Guney
Sep 2, 2021·BMC Musculoskeletal Disorders·Umile Giuseppe LongoVincenzo Denaro

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