These authors evaluated the functional outcomes and the repair integrity by ultrasound at a minimum of 2 years after a double-pulley suture bridge rotator cuff repair. After surgery patients wore an abduction brace for 6 weeks.
The overall retear rate was 19.5% (50% for massive tears, 18% ( for large tears, 17% for medium tears, and no failures for small tears). Seventy-five percent of retears were identified within 6 months after operation and 25% were identified more than 1 year after repair. The functional outcomes of the intact group and the retear group were not different according to the ASES score, the Constant score, the KSS, and the UCLA score.
The authors concluded that the outcome improved independent of the tear size and the cuff integrity. This result is very similar to those shown here, here, here, here, here, here, and here.
Here is a plot of their data comparing Constant Scores for intact and retorn repairs.
See also the evidence supporting the idea of stress relaxation after cuff repair.
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