مرکز منطقه ای اطلاع رساني علوم و فناوري - Arthroscopic-assisted mini-open repair of rotator cuff tears

Latin Abstract :

Objectives: We retrospectively evaluated the results of patients who underwent arthroscopic-assisted mini-open repair of rotator cuff tears. Methods: Twenty-three patients (7 males, 16 females; mean age 56 years; range 41 to 75 years) underwent arthroscopic- assisted mini-open repair for nonretracted rotator cuff tears. The right shoulder was involved in 15 patients and the left in eight patients; 83% being on the dominant side. The range of motion was measured with a goniometer, and muscle strength by manual examination. The patients were assessed by physi¬cal examination, the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES), the UCLA scale, and magnetic resonance imaging (MRI). The mean fol¬low-up was 32 months (range 12 to 61 months). Results: All the patients had medium-sized ruptures. Biceps tenotomy was performed in three patients for tears affecting more than 50% of the biceps tendon. The mean preoperative active forward flexion increased from 99° to 161°, and active external rotation from 28° to 50° postop- eratively (p<0.05); the strength of the supraspinatus and infraspinatus muscles increased significantly (p<0.05). The mean UCLA score was found as 31.6, showing an excellent result in nine patients (39.1%), good in 12 patients (52.2%), moderate in one (4.4%), and poor in one patient. The mean preoperative ASES score increased from 23.7 to 92.4 (p<0.05). The mean healing time was 1.7 months (range 1.5 to 12 months). Twenty-one patients (91.3%) were satis¬fied with the outcome. Of 16 patients with postoperative MRI scans, three (18.8%) exhibited recurrent ruptures. Conclusion: In selective cases, the clinical and function¬al results are successful following arthroscopic-assisted mini-open repair for rotator cuff tears.