Arthroscopic assisted mini-open rotator cuff repair outcome measures
Year: 2024
Type: article
Abstract: Background Rotator cuff injuries are considered the most common tendon injuries in adults, overall. Rotator cuff injury is a common cause of shoulder pain and disability and becomes more common with advancing age. Most symptomatic rotator cuff disease is seen between fifth and sixth decades. Rotator cuff tear are associated with pain and weakness and can result in significant disability, it is also known that asymptomatic rotator cuff tears exist in a large percentage of patients, and asymptomatic tears increases with increasing age The primary advantage Arthroscopic assisted Mini-open repair of the rotator cuff tear is the avoidance of passing and tying complex techniques of arthroscopic suture, it creates less surgical trauma, facilitating early hospital discharge and decreasing postoperative pain. Thus, this study aimed to evaluate outcome measures and post operative complications of arthroscopic assisted mini open rotator cuff repair. Patients and Methods A prospective case series study was performed on 20 patients started may 2017 till may 2019. The technique is not technically demanding than all-arthroscopic repair while still having the advantages of arthroscopic repair. These include the ability to perform diagnostic arthroscopy, preservation of the origin of the deltoid, rapid hospital discharge, less postoperative pain, and accelerated rehabilitation. Mini-open repair seems to be equivalent to all-arthroscopic repair in multiple nonrandomized comparative studies, and a randomized trial is underway to formally address this question. Results A total of 20 patients 11 (55%) males and 9 (45%) females were included in this study with mean age of 58.00±9.17 years. There was high significant gradual improvement in Modified UCLA shoulder scale among the studied patients at 1, 3 and 6 months postoperative follow up compared to preoperative. Post operative complications were found in 6 patients. Three cases (15 %) had Stiffness, and the other 3 cases (15 %) had superficial wound infection. A were significant correlations between Modified UCLA shoulder scale with Age, operative time and postoperative complications. While, there were no significant correlations with gender or side. our study concluded that, surgery for rotator cuff tears improves self-reported patient outcomes and has a lasting and durable result at an average of fifteen years after surgery. Conclusion Arthroscopically assisted mini-open technique for rotator cuff repair is an excellent approach for repair of a torn rotator cuff. Surgery for rotator cuff tears improves self-reported patient outcomes and has a lasting and durable result.
Source: The Egyptian Orthopaedic Journal
Authors: Mohammed R.A. Saleh, Mohamed H. Fadel
Institution: Helwan University
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W4409218239