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An analysis of rotator cuff repair
1Oklahoma Center for Athletes, University of Oklahoma Health Sciences Center.
The American Journal of Sports Medicine
|September 1, 1994
Summary
Open rotator cuff repair with subacromial decompression yields good functional results. Routine arthroscopy before repair is costly and does not improve outcomes for chronic rotator cuff tears.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
Background:
- Chronic rotator cuff tears often require surgical intervention.
- Evaluating the efficacy of different surgical approaches is crucial for patient outcomes.
Purpose of the Study:
- To compare the functional outcomes of open rotator cuff repair versus arthroscopic treatment.
- To assess the cost-effectiveness of routine arthroscopy in rotator cuff repair.
Main Methods:
- A cohort of 54 patients with chronic rotator cuff tears underwent surgical repair.
- Patients were followed for an average of 25.9 months with functional evaluations.
- Included isokinetic strength testing and Shoulder and Elbow Surgery Society classification.
Main Results:
- 80% of patients achieved satisfactory functional results.
- Unsatisfactory outcomes were linked to large tears and reduced postoperative range of motion.
- Open repair with subacromial decompression showed good results; arthroscopy did not improve functional outcomes but increased costs by ~$2000/patient.
Conclusions:
- Open repair and subacromial decompression are effective for chronic rotator cuff tears.
- Routine arthroscopy prior to rotator cuff repair is not recommended due to increased costs and lack of functional benefit.