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[Arthroscopic-assisted mini-open rotator cuff repair].

Mehmet Demirhan1, Ata Can Atalar, Yavuz Kocabey

  • 1Department of Orthopedics and Traumatology (Ortopedi ve Travmatoloji Anabilim Dali), Medicine Faculty of Istanbul University, 34390 Capa, Turkey. msdemirhan@hotmail.com

Acta Orthopaedica Et Traumatologica Turcica
|January 3, 2003
PubMed
Summary

Arthroscopic-assisted mini-open rotator cuff repair showed excellent or good results in 81% of patients. This technique offers a superior alternative for rotator cuff surgery in selected cases, potentially reducing hospital stays and pain.

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Area of Science:

  • Orthopedic Surgery
  • Arthroscopy
  • Sports Medicine

Background:

  • Advancements in arthroscopic techniques have introduced new alternatives for rotator cuff repair.
  • Arthroscopic-assisted mini-open repair combines arthroscopic subacromial decompression with a mini-open surgical approach.

Purpose of the Study:

  • To retrospectively evaluate the outcomes of arthroscopic-assisted mini-open rotator cuff repair.
  • To assess the efficacy and patient satisfaction with this surgical technique.

Main Methods:

  • 31 patients with rotator cuff tears underwent arthroscopic subacromial decompression and mini-open repair.
  • Patient selection criteria included tear retraction and muscle degeneration; age-specific treatment protocols were followed.
  • Evaluations included physical and radiographic examinations, and Constant scores, with a mean follow-up of 24.4 months.

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Main Results:

  • 81% of patients achieved excellent or good results, with 19% having satisfactory outcomes.
  • The mean Constant score was 84.6.
  • One patient experienced joint stiffness but recovered full activity after arthroscopic capsular release and rehabilitation.

Conclusions:

  • Arthroscopic-assisted rotator cuff repair is a superior option for selected patients.
  • This technique preserves deltoid attachment and facilitates tendon repair.
  • Potential benefits include shorter hospital stays, reduced postoperative pain, and faster rehabilitation.