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Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft
Published on: June 6, 2025
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Does diabetes mellitus predispose to both rotator cuff surgery and subsequent failure?
Karch M Smith1, Angela P Presson2, Chong Zhang2
1Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT, USA.
JSES International
|July 5, 2021
Summary
Diabetes mellitus (DM) increases the risk of rotator cuff repair (RCR) surgery by 48%. However, DM does not impact the need for revision RCR surgery after the initial procedure.
Area of Science:
- Orthopedic Surgery
- Endocrinology
- Health Services Research
Background:
- Diabetes mellitus (DM) is a potential factor in rotator cuff disease etiology.
- The impact of DM on healing after surgical rotator cuff repair (RCR) requires further characterization.
Purpose of the Study:
- To investigate the association between DM and undergoing RCR.
- To examine the link between DM and revision RCR surgery.
- To analyze the association between DM and the overall cost of RCR.
Main Methods:
- Retrospective analysis of 2008-2017 Truven Health MarketScan database claims.
- Matched case-control study comparing RCR cases and controls.
- Multivariable logistic regression and Cox proportional hazard models used for analysis, adjusting for multiple covariates.
Main Results:
- Diabetic patients had 48% higher odds of undergoing RCR surgery (OR = 1.48).
- No significant association was found between DM and revision RCR (HR = 1.03).
- DM was associated with a 3% increase in RCR costs (Ratio = 1.03).
Conclusions:
- Diabetic individuals face a higher risk of requiring RCR surgery.
- DM is not a significant predictor for subsequent rotator cuff revision surgery.
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