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[Complete rotator cuff rupture--differential surgical techniques and intermediate-term results].
M Pfahler1, S Branner, H J Refior
1Orthopädische Klinik, LMU München, Klinikum Grosshadern.
Zeitschrift Fur Orthopadie Und Ihre Grenzgebiete
|October 29, 2000
Summary
Open rotator cuff repair shows good to very good midterm results in 80% of cases, particularly with transosseous refixation. Preoperative criteria like acromion-humeral distance and defect size predict successful surgical outcomes.
Area of Science:
- Orthopedic Surgery
- Shoulder Reconstruction
- Rotator Cuff Repair
Background:
- Rotator cuff tears are common injuries.
- Open surgical repair is a standard treatment.
- Predicting surgical outcomes is crucial for patient management.
Purpose of the Study:
- To evaluate the midterm results of open rotator cuff repair.
- To identify criteria for a good surgical outcome.
Main Methods:
- Retrospective analysis of 130 patients (135 shoulders) undergoing open rotator cuff repair between 1988 and 1993.
- Surgical techniques included acromioplasty with transosseous refixation, transtendinous suture, or tendon transfers.
- Clinical (Constant score), radiological, and sonographical assessments were performed pre- and post-surgery.
Main Results:
- 95 patients (98 shoulders) were followed up for an average of 4 years and 8 months.
- 80% of cases achieved good or very good long-term results, especially with transosseous refixation and tendon transfers.
- Prognostic criteria were established to predict surgical outcomes preoperatively.
Conclusions:
- Specific preoperative criteria can predict successful rotator cuff repair outcomes.
- Key prognostic factors include acromion-humeral head distance (>7 mm), rotator cuff defect size (<2 x 3 cm), and passive range of motion.