Related Experiment Video
Updated: May 18, 2026
07:10
Modified Long Head of Biceps Tendon Rerouting and Fixation as Partial Capsular Reconstruction for Massive Irreparable Rotator Cuff Tears
Published on: March 6, 2026
Operative repair of massive rotator cuff tears: Long-term results
L U Bigliani1, F A Cordasco, S J McLlveen
1New York, N.Y.; Shoulder Service, New York Orthopaedic Hospital, Columbia-Presbyterian Medical Center, USA.
Journal of Shoulder and Elbow Surgery
|September 14, 2012
Summary
Operative repair of massive rotator cuff tears provides significant pain relief and improved arm function for most patients. Long-term follow-up shows 85% satisfactory outcomes, with 92% achieving adequate pain relief and functional improvement.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Musculoskeletal Research
Background:
- Massive rotator cuff tears often cause significant pain and functional limitations.
- Surgical intervention is considered for patients with debilitating symptoms.
Purpose of the Study:
- To evaluate the long-term outcomes of operative repair for massive rotator cuff tears.
- To assess pain relief, range of motion, and patient satisfaction after surgical repair.
Main Methods:
- Retrospective review of 61 patients undergoing operative repair for massive rotator cuff tears.
- Procedures included subacromial decompression and rotator cuff tendon repair to bone.
- Patients were followed for an average of 7 years.
Main Results:
- 85% of patients reported satisfactory outcomes (52% excellent, 33% good).
- 92% achieved satisfactory pain relief, with significant gains in active forward elevation (76%) and external rotation (30°).
- Two patients experienced re-tears after subsequent trauma.
Conclusions:
- Operative repair of massive rotator cuff tears yields high rates of satisfactory functional recovery and pain relief.
- Surgical intervention can effectively restore shoulder function in the long term.
- While generally successful, re-tears can occur, emphasizing the importance of post-operative care and avoiding re-injury.
