These authors sought to characterize the functional recovery after arthroscopic rotator cuff repair in 135 patients (mean age 60 years) (45 small-sized, 45 in medium-sized, and 45 in large-to massive-sized tears). The mean age was 60 years.
Twenty-seven shoulders (20%) had failure of the repair on MRI taken 9 months after surgery.
Patients experienced the average recovery of
high-level ROM front-of-the-body activities at 3 months
high-level ROM behind-the-back activities at 9 months
simple strength-related activities at10 months
and sports/leisure activities at 14 months
Patients with large-to-massive tears were delayed from some activities compared with patients with small tears (10 ± 0 versus 7 ± 1 for washing back, p = 0.010; 11 ± 0 versus 10 ± 0 for lifting 5 kg, p = 0.020; 15 ± 0 versus 13 ± 0 for sports/leisure).
Patients with retears, compared with intact healing, had a longer time to return to washing hair (3 ± 2 versus 3 ± 1, p = 0.007), combing (4 ± 3 versus 2 ± 1, p = 0.002), washing the back (10 ± 3 versus 8 ± 3, p = 0.034), and sports/leisure (15 ± 3 versus 14 ± 3, p = 0.010).
Patients with retears, compared with intact healing, had a longer time to return to washing hair (3 ± 2 versus 3 ± 1, p = 0.007), combing (4 ± 3 versus 2 ± 1, p = 0.002), washing the back (10 ± 3 versus 8 ± 3, p = 0.034), and sports/leisure (15 ± 3 versus 14 ± 3, p = 0.010).
The authors concluded that it took patients an average of 14 months to recover their daily motion after surgery. Tear size and retear affected only the recovery period of high-level motion activities and sports/leisure.
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