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Journal of Bone and Joint Surgery - British Volume, Vol 91-B, Issue 2, 201-205.
doi: 10.1302/0301-620X.91B2.21286  
Copyright © 2009 by British Editorial Society of Bone and Joint Surgery
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Large and massive tears of the rotator cuff

FUNCTIONAL OUTCOME AND INTEGRITY OF THE REPAIR AFTER A MINI-OPEN PROCEDURE

B. C. Hanusch, MRCS, MSc, Orthopaedic Research Registrar1; L. Goodchild, MCSP, MMACP, Extended Scope2; P. Finn, MSc, Senior Lecturer in Medical Statistics4; and A. Rangan, FRCS(Tr&Orth), Consultant Orthopaedic Surgeon3

1 Orthopaedic Research Office, Academic Centre
2 Physiotherapist, Department of Rehabilitation
3 Department of Trauma & Orthopaedics James Cook University Hospital, Marton Road, Middlesbrough TS4 3BW, UK.
4 School of Health & Social Care University of Teesside, Middlesbrough TS1 3BA, UK.

Correspondence should be sent to Miss B. C. Hanusch; e-mail: bhanusch{at}doctors.org.uk

The aim of this study was to determine the functional outcome and rate of re-tears following mini-open repair of symptomatic large and massive tears of the rotator cuff using a two-row technique.

The 24 patients included in the study were assessed prospectively before and at a mean of 27 months (18 to 53) after surgery using the Constant and the Oxford Shoulder scores. Ultrasound examination was carried out at follow-up to determine the integrity of the repair. Patient satisfaction was assessed using a simple questionnaire.

The mean Constant score improved significantly from 36 before to 68 after operation (p < 0.0001) and the mean Oxford Shoulder score from 39 to 20 (p < 0.0001). Four of the 24 patients (17%) had a re-tear diagnosed by ultrasound. A total of 21 patients (87.5%) were satisfied with the outcome of their surgery. The repair remained intact in 20 patients (83%). However, the small number of re-tears (four patients) in the study did not allow sufficient analysis to show a difference in outcome in relation to the integrity of the repair.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General