Thursday, April 5, 2012

Outcomes of arthroscopic rotator cuff repairs in obese patients JSES

Outcomes of arthroscopic rotator cuff repairs in obese patients were investigated in a recent JSES article.
The patients were classified as normal weight (body mass index <25), overweight (BMI 25-30), and obese (BMI>30). The sizes of the cuff tears did not differ significantly between obese and non obese patients. Operative times were on average 21 minutes longer (p .013) for the obese patients. Patients had an arthroscopic 'double row equivalent' repair with PT started at 6 weeks.  ASES and PENN scores were statistically significantly worse for the obese patients at an average of 16 months after surgery.  83% of the non-obese patients had 'successful' outcomes while only 71% of the obese patients had successful outcomes. 23 of the 59 obese patients were kept overnight to monitor for sleep apnea.  5 of 59 repairs in obese patients had revision surgery while 5 of 90 repairs in non obese patients had revisions. The structural outcomes of the cuff repairs are not otherwise presented; reliable information on cuff integrity is not available.

This information on obesity as a risk factor is of interest. We do not know, however, the degree to which obesity is a risk factor for structural healing of the repaired cuff.


Use the "Search the Blog" box to the right to find other topics of interest to you.

You may be interested in some of our most visited web pages including: shoulder arthritis, total shoulder, ream and runreverse total shoulderCTA arthroplasty, and rotator cuff surgery.