Sunday, February 23, 2020

Rotator cuff repair - does it matter if the tendon heals or not?

The clinical and radiologic outcome of microfracture on arthroscopic repair for full-thickness rotator cuff tear

These authors compared clinical and radiologic outcomes of arthroscopic single-row repair augmented with microfracture (SRM) at the greater tuberosity with single-row (SR) and double-row (DR) repair in the treatment of full-thickness rotator cuff tears.

40 patients were treated by SR, 44 by SRM, and 39 by DR.

On followup MRI, the retear rates were substantial: 33%, 14%, and 36% in the SR, SRM, and DR groups, respectively.

The SRM group had significantly improved functional outcomes compared with the SR and DR groups in terms of the postoperative Constant score and visual analog scale.

However the retear had no effect on the functional outcome: improvement in the Constant scores was not significantly different between the shoulders with healed and the shoulders with retorn rotator cuffs.

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