Functional Outcomes and Predictors of Failure After Rotator Cuff Repair During Total Shoulder Arthroplasty

Orthopedics
Michael LiveseySurena Namdari

Abstract

A well-functioning rotator cuff is necessary for successful anatomic total shoulder arthroplasty (TSA). This study evaluated patients who underwent concomitant TSA and rotator cuff repair (RCR) for functional outcomes, revision rates, and predictors of poor results. Retrospective chart review was conducted to identify patients who underwent TSA and RCR. Demographic data, rotator cuff tear and RCR characteristics, range of motion, and radiographs were recorded. Minimum 2-year functional outcomes were obtained. Predictors of reoperation and/or poor clinical results were determined. Forty-five patients met inclusion criteria (22 high-grade partial-thickness and 23 full-thickness tears). Fourteen (31%) patients were labeled as having a poor result; 8 (18%) patients required reoperation. There was a significant difference between the acromiohumeral interval preoperatively and immediately postoperatively (P=.013). However, at maximum radiographic follow-up, the acromiohumeral interval was not significantly different from preoperative values (P=.86). Patients with a preoperative acromiohumeral interval of less than 8 mm had an increased rate of cuff-related reoperation (P=.003). Although concomitant TSA and RCR is a reasonable conside...Continue Reading

References

Jan 1, 1988·The Journal of Arthroplasty·J L FranklinF A Matsen
Jul 1, 1984·The Journal of Bone and Joint Surgery. American Volume·R H Cofield
Jan 23, 1998·Journal of Shoulder and Elbow Surgery·M E TorchiaC R Settergren
May 1, 1998·The Journal of Bone and Joint Surgery. American Volume·J W SperlingC M Rowland
Jan 13, 2001·Journal of Shoulder and Elbow Surgery·F A MatsenK L Smith
Dec 6, 2001·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·P E BijurE J Gallagher
May 4, 2002·Journal of Shoulder and Elbow Surgery·Tom R Norris, Joseph P Iannotti
Jul 11, 2002·The Journal of Bone and Joint Surgery. American Volume·Mark D LazarusFrederick A Matsen
Dec 11, 2002·The Journal of Bone and Joint Surgery. American Volume·T Bradley EdwardsGilles Walch
Feb 7, 2003·The Journal of Bone and Joint Surgery. American Volume·Joseph P Iannotti, Tom R Norris
Jul 10, 2003·Journal of Shoulder and Elbow Surgery·Robert M OrfalyMichael A Wirth
Feb 24, 2005·Journal of Shoulder and Elbow Surgery·Pascal BoileauFrederic Balg
Jun 3, 2009·The Journal of Bone and Joint Surgery. American Volume·Jay D KeenerKen Yamaguchi
Feb 26, 2011·The American Journal of Sports Medicine·Nam Su ChoYong Girl Rhee
Jul 2, 2011·Journal of Shoulder and Elbow Surgery·Lawrence V GulottaUNKNOWN HSS Arthroscopic Rotator Cuff Registry
Nov 8, 2011·The Journal of Bone and Joint Surgery. British Volume·J A SinghR H Cofield
Mar 1, 2012·Journal of Shoulder and Elbow Surgery·Thomas M LawrenceRobert H Cofield
Nov 1, 1994·Journal of Shoulder and Elbow Surgery·R R RichardsJ D Zuckerman
Oct 20, 2012·The Journal of Bone and Joint Surgery. American Volume·David C AcklandMarcus G Pandy
Jan 10, 2014·International Journal of Shoulder Surgery·Nathanael AhearnPartha P Sarangi
Sep 13, 2014·Journal of Shoulder and Elbow Surgery·Tuyen K KietC Benjamin Ma
Dec 3, 2014·Journal of Shoulder and Elbow Surgery·William W SchairerLawrence V Gulotta

❮ Previous
Next ❯

Citations

Oct 20, 2020·Journal of Shoulder and Elbow Surgery·Bradley S SchochRichard J Friedman
Apr 24, 2021·Journal of Shoulder and Elbow Surgery·Brian W HillJoseph A Abboud

❮ Previous
Next ❯

Methods Mentioned

BETA
total shoulder arthroplasty
RSA

Software Mentioned

nlme
R Foundation for Statistical
R

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.