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SA Orthopaedic Journal

versión On-line ISSN 2309-8309
versión impresa ISSN 1681-150X

SA orthop. j. vol.7 no.3 Pretoria jul./sep. 2008




Clinical outcomes after arthroscopic rotator cuff repair



PJ CoertzeI; JG MyburghII; CA KillianIII; W TollingII; R SteynII

I(MBChB) (UP). Registrar
II(MMed (Orth)) (UP). Principal Specialist, Department of Orthopaedics, University of Pretoria
III(MBChB) (UP), W Tollig (MBChB) (UP), R Steyn (MBChB) (UP) Registrars, Department of Orthopaedics, University of Pretoria





BACKGROUND: Despite the fact that a few studies have reported good results following arthroscopic rotator cuff repair, other studies have raised concern regarding the biomechanical strength and integrity of arthroscopic rotator cuff repair. The purpose of this study was to independently evaluate the clinical results after arthroscopic rotator cuff repair.
METHODS: We performed an independent retrospective review of 42 consecutive patients who underwent arthroscopic decompression and rotator cuff repair between 01 October 2002 and 30 November 2006. Indications for surgery were pain and decreased shoulder function that did not respond to conservative treatment. Complete data were available for a minimum of 12 months postoperatively.
The patients were evaluated both pre-operatively and at follow-up using a Visual Analogue Pain Score (VAS), the American Shoulder and Elbow Surgeon's (ASES) Outcome Score and clinical examination. Their ranges of motion as well as muscle strength were evaluated.
RESULTS: The ASES and VAS scores, range of motion and muscle strength were significantly improved after arthroscopic rotator cuff repair.
CONCLUSION: Arthroscopic rotator cuff repair can reliably improve both shoulder pain and function, regardless of tear size. Future arthroscopic results may be improved with a double row suture technique and improved instrumentation and anchors. We are engaged in a follow-up study to ultrasonically evaluate the structural integrity of the arthroscopic rotator cuff repairs at a minimum of one year post-surgery.



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1. Codman EA. Rotator cuff. In: The shoulder. Boston: Thomas Todd; 1934.         [ Links ]

2. Hawkins RJ, Misamore GW, Hobeika PE. Surgery for full-thickness rotator-cuff tears. J Bone Joint Surg Am 1985;67:349-55.         [ Links ]

3. Ellman H, Hanker G, Bayer M. Repair of the rotator cuff. End result study of factors influencing reconstruction. J Bone Joint Surg Am 1986;68:1136-44.         [ Links ]

4. Cofield RH, Parvizi J, Hoffmeyer PJ, Lanzer WL, Ilstrup DM, Rowland CM. Surgical repair of chronic rotator cuff tears. A prospective long term study. J Bone Joint Surg Am 2001;83:71-7.         [ Links ]

5. Yamaguchi K, Levine WN, Marra G, Galatz LM, Klepps S, Flatow EL, Transitioning to arthroscopic rotator cuff repair: the pros and cons. Instr Course Lect. 2003;52:81-92.         [ Links ]

6. Severud EL, Ruotolo C, Abbott DD, Nottage WM. All-arthroscopic versus mini-open rotator cuff repair: a long term retrospective outcome comparison. Arthroscopy 2003;19:234-8.         [ Links ]

7. Schneeberger AG, von Roll A, Kalberer F, Jacob HA, Gerber C. Mechanical strength of arthroscopic rotator cuff repair techniques: an in vitro study. J Bone Joint Surg Am 2002:84:2125-60.         [ Links ]

8. Galatz IM, Ball CM, Teefey SA, Middleton WD, Yamaguchi K. The outcome and repair integrity of completely arthroscopically repaired large and massive rotator cuff tears. J Bone Joint Surg Am 2004;86:219-24.         [ Links ]

9. Richards R, An K, Bigliani LU. A standardized method for the assessment of shoulder function. J Shoulder Elbow Surg 1994;3:347-52.         [ Links ]



Dr JG Myburgh
Department of Orthopaedics, University of Pretoria
Private Bag x 169, Pretoria, 0001
Tel: (012) 352-2838; Fax: (012) 354-2821

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