The results of arthroscopic versus mini-open repair for rotator cuff tears at mid-term follow-up

被引：33
作者：
Pearsall A.W. [1 ]
Ibrahim K.A. [1 ]
Madanagopal S.G. [1 ]
机构：
[1] Department of Orthopaedic Surgery, University of South Alabama, Mobile, AB
来源：
Journal of Orthopaedic Surgery and Research | / 2卷 / 1期
关键词：
Rotator Cuff; Rotator Cuff Tear; Rotator Cuff Repair; Great Tuberosity; Arthroscopic Technique;
D O I：
10.1186/1749-799X-2-24
中图分类号：
学科分类号：
摘要：
Background. To prospectively evaluate patients who underwent a "mini-open" repair versus a completely arthroscopic technique for small to large size rotator cuff tears. Methods. Fifty-two patients underwent "mini-open" or all arthroscopic repair of a full thickness tear of the rotator cuff. Patients who complained of shoulder pain and/or weakness and who had failed a minimum of 6 weeks of physical therapy and had at least one sub-acromial injection were surgical candidates. Pre and post-operative clinical evaluations included the following: 1) demographics; 2) Simple Shoulder Test (SST); 3) University of California, Los Angeles (UCLA) rating scale; 4) visual analog pain assessment (VAS); and 5) pre-op SF12 assessment. Descriptive analysis was performed for patient demographics and for all variables. Pre and post outcome scores, range of motion and pain scale were compared using paired t-tests. Analysis of variance (ANOVA) was used to evaluate any effect between dependent and independent variables. Significance was set at p is less than or equal to 0.05. Results. There were 31 females and 21 males. The average follow-up was 50.6 months (27 -84 months). The average age was similar between the two groups [arthroscopic x = 55 years/mini-open x = 58 years, p = 0.7]. Twenty-seven patients underwent arthroscopic repair and 25 underwent repair with a mini-open incision. The average rotator cuff tear size was 3.1 cm (range: 1-5 centimeters). There was no significant difference in tear size between the two groups (arthroscopic group = 2.9 cm/mini-open group = 3.2 cm, p = 0.3). Overall, there was a significant improvement from pre-operative status in shoulder pain, shoulder function as measured on the Simple Shoulder test and UCLA Shoulder Form. Visual analog pain improved, on average, 4.4 points and the most recent Short Shoulder Form and UCLA scores were 8 and 26 respectively. Both active and passive glenohumeral joint range of motion improved significantly from pre-operatively. Conclusion. Based upon the number available, we found no statistical difference in outcome between the two groups, indicating that either procedure is efficacious in the treatment of small and medium size rotator cuff tears. Level of Evidence. Type III. © 2007 Pearsall et al; licensee BioMed Central Ltd.
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共 68 条
[11]  
Adamson G.F., Tibone J.E., Ten year assessment of primary rotator cuff repairs., J Shoulder Elbow Surg, 2, pp. 57-63, (1993)
[12]  
Ogilvie-Harris D.J., Demaziere A., Arthroscopic debridement versus open repair for rotator cuff tears. A prospective cohort study., J Bone Joint Surg Br, 75, 3, pp. 416-420, (1993)
[13]  
Galatz L.M., Griggs S., Cameron B.D., Iannotti J.P., Prospective longitudinal analysis of postoperative shoulder function: A ten-year follow-up study of full-thickness rotator cuff tears., J Bone Joint Surg Am, 83 A, 7, pp. 1052-1056, (2001)
[14]  
Harryman D.T., MacK L.A., Wang K.Y., Jackins S.E., Richardson M.L., Matsen F.A., Repairs of the rotator cuff. Correlation of functional results with integrity of the cuff., J Bone Joint Surg Am, 73, 7, pp. 982-989, (1991)
[15]  
Bigliani L.U., Cordasco F.A., McIlveen S.J., Muso E.S., Operative repairs of massive rotator cuff tears: Long-term results., J Shoulder Elbow Surg, 1, pp. 120-130, (1992)
[16]  
Cofield R.H., Parvizi J., Hoffmeyer P.J., Lanzer W.L., Ilstrup D.M., Rowland C.M., Surgical repair of chronic rotator cuff tears. A prospective long-term study., J Bone Joint Surg Am, 83 A, 1, pp. 71-77, (2001)
[17]  
Ellman H., Hanker G., Bayer M., Repair of the rotator cuff. End-result study of factors influencing reconstruction., J Bone Joint Surg Am, 68, 8, pp. 1136-1144, (1986)
[18]  
Hawkins R.J., Misamore G.W., Hobeika P.E., Surgery for full-thickness rotator-cuff tears., J Bone Joint Surg Am, 67, 9, pp. 1349-1355, (1985)
[19]  
Misamore G.W., Ziegler D.W., Rushton J.L., Repair of the rotator cuff. A comparison of results in two populations of patients., J Bone Joint Surg Am, 77, 9, pp. 1335-1339, (1995)
[20]  
Hawkins R.J., Morin W.D., Bonutti P.M., Surgical treatment of full-thickness rotator cuff tears in patients 40 years of age or younger., J Shoulder Elbow Surg, 8, 3, pp. 259-265, (1999)
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