Abstract
Mini-open approach has been considered for years the gold standard for rotator cuff repairs. Nevertheless, the rate of tendon-to-bone healing, and that of cuff re-tear, still remains unclear. Between 2001 and 2004, 37 shoulders (32 patients) with a mean age of 54.8 years (range, 34-72) and a large or massive cuff tear were repaired with a mini-open procedure. At a minimum of 3 years postoperatively (range, 36-60 months), 27 shoulders (23 patients) underwent functional evaluation and US investigation of cuff integrity. The rotator cuff was completely healed and watertight in 13 cases (48.1%), while recurrent defects were detected in the remaining 14 shoulders (51.9%). In 12 cases (92.5%), the recurrent tears were smaller and in 2 (7.5%) larger than the initial tear. Despite the high re-tear rate, the overall Constant and UCLA scores improved from of 38.4 to 72.1 and 11.2 to 29.4, respectively. However, only "large" re-tears were correlated with a worse functional outcome (P < .005). The preoperative tear size was negatively associated with tendon healing. Patients with an intact rotator cuff repair were, on average, 15 years younger (49.9) than those who sustained a tear recurrence (64.14) (P < .005). Our results suggest that la...Continue Reading
References
Jan 1, 1994·The American Journal of Sports Medicine·L E Paulos, M H Kody
Jul 2, 1999·Journal of Shoulder and Elbow Surgery·H B KnudsenO Sneppen
Jun 3, 2005·The Journal of Bone and Joint Surgery. American Volume·Pascal BoileauSumant G Krishnan
Jun 3, 2005·The Journal of Bone and Joint Surgery. American Volume·Joseph P IannottiNandkumar M Rawool
Jul 7, 2005·Skeletal Radiology·Stefano BianchiIbrahim Fikry Abdelwahab
Dec 6, 2005·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Hiroyuki SugayaJoji Moriishi
May 3, 2007·The Journal of Bone and Joint Surgery. American Volume·Hiroyuki SugayaJoji Moriishi
Jul 4, 2007·The Journal of Bone and Joint Surgery. American Volume·Laurent LafosseReuben Gobezie
Jul 17, 2007·Journal of Shoulder and Elbow Surgery·Brian J ColeJennifer K Hayden
Jan 1, 1931·Annals of Surgery·E A Codman, I B Akerson
Oct 13, 2007·Journal of Shoulder and Elbow Surgery·Pei-Hung ShenLeou-Chyr Lin
Dec 7, 2007·Journal of Shoulder and Elbow Surgery·Michael J DeFrancoJoseph P Iannotti
Dec 11, 2007·Journal of Shoulder and Elbow Surgery·Joseph P Burns, Stephen J Snyder
Feb 15, 2008·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Alessandro CastagnaRaffaele Garofalo
Oct 2, 2008·The Journal of Bone and Joint Surgery. British Volume·M OzbaydarM Demirhan
Feb 5, 2009·The Journal of Bone and Joint Surgery. British Volume·B C HanuschA Rangan
May 1, 1992·Journal of Shoulder and Elbow Surgery·L U BiglianiE S Musso
Citations
Jun 25, 2013·International Orthopaedics·Patricio MeleanPeter Habermeyer
Jul 2, 2014·Journal of Shoulder and Elbow Surgery·Konstantinos DitsiosAnastasios Christodoulou
Jul 3, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Zhenxiang ZhangQingsong Li
Jan 12, 2013·The Physician and Sportsmedicine·Edward P MulliganMichael Khazzam
Feb 2, 2013·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Jin-Young ParkJung-Taek Hwang
Feb 5, 2013·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Alan L ZhangSeth C Gamradt
Feb 10, 2012·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Sung-Jae KimYong-Min Chun
Jan 8, 2016·Skeletal Radiology·Mohammad Reza HayeriEric Y Chang
Oct 13, 2015·Orthopaedics & Traumatology, Surgery & Research : OTSR·L Nové-JosserandR Ogassawara
Dec 9, 2014·Journal of Shoulder and Elbow Surgery·Brett A LenartGerald R Williams
Feb 5, 2015·Annals of Biomedical Engineering·Anthony RatcliffeEvan L Flatow
Sep 2, 2014·Clinics in Orthopedic Surgery·Chul-Hyun ChoHong-Kwan Shin
May 3, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Eric C MakhniNikhil N Verma
May 10, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Michael E SteinhausNikhil N Verma
May 7, 2015·The American Journal of Sports Medicine·Melissa A KluczynskiLeslie J Bisson
Sep 24, 2015·The American Journal of Sports Medicine·Nam Su ChoYong Girl Rhee
Apr 22, 2014·The American Journal of Sports Medicine·Brian T N LeGeorge A C Murrell
Oct 10, 2014·The American Journal of Sports Medicine·Melissa A KluczynskiLeslie J Bisson
Mar 21, 2017·The American Journal of Sports Medicine·Yeong Seok LeeJae Chul Yoo
Aug 29, 2012·The American Journal of Sports Medicine·Dominik C MeyerChristian Gerber
Jun 18, 2017·Journal of Shoulder and Elbow Surgery·Bryan M SaltzmanBrian Forsythe
Jun 16, 2018·The American Journal of Sports Medicine·James R BaileyGrant E Garrigues
Mar 16, 2019·The Cochrane Database of Systematic Reviews·Emily C KeatsZulfiqar A Bhutta
Aug 26, 2017·The Open Orthopaedics Journal·Matthias Alexander König, Volker Alexander Braunstein
Mar 14, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Juan PanTing-Wu Qin
Apr 14, 2017·The Cochrane Database of Systematic Reviews·Batool A Haider, Zulfiqar A Bhutta
Apr 9, 2020·The American Journal of Sports Medicine·Johannes BarthAchilleas Boutsiadis
Apr 17, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·C HolweinS Buchmann
May 9, 2014·The Journal of Bone and Joint Surgery. American Volume·Nathan A MallGeorge A Paletta
Nov 6, 2018·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Seung Bo ShimJae Chul Yoo