Although patients with large, U-shaped, full-thickness rotator cuff tears had satisfactory clinical outcomes with arthroscopic side-to-side repair, published results showed a higher re-tear rate with simple side-to-side fixation performed without footprint fixation.
Researchers evaluated functional scores and integrity of the tendon repairs among 59 patients with large, U-shaped, full-thickness rotator cuff tears who underwent arthroscopic side-to-side repair. Researchers performed a physical examination on all patients 1 day before the operation and performed postoperative evaluations at 3, 6 and 9 months and 1 and 2 years.
Results showed improvements in the VAS score from approximately 5.7 preoperatively to 2.4 postoperatively, in forward flexion with a mean range of motion of 152.7° preoperatively to 164.5° postoperatively and in the mean Constant-Murley score from 57.3 preoperatively to 77.8 postoperatively. Researchers observed cuff integrity on postoperative MRI examinations, with a re-tear rate of 54.2%. However, researchers found a significantly lower re-tear rate among patients who underwent anchor fixation to the medial row (45%) vs. patients who underwent simple side-to-side repair (73.7%). Patients with healed rotator cuff tears did not have significantly different University of California, Los Angeles shoulder ratings and Constant-Murley scores compared with patients who had re-tears, according to results. – by Casey Tingle
Disclosures: The authors report no relevant financial disclosures.