These authors conducted a multicenter, prospective cohort study of 125 revision rotator cuff repairs undertaken between March 2009 and December 2010.
The patient-reported retear rate was 32.6%, and the reoperation rate was 34.7%. Reasons for reoperation in the revision group included retear (48%), stiffness (42%), and infection (10%).
Better clinical outcomes are seen in nonsmokers, those with only 1 tendon affected, and those who underwent tenotomy instead of tenodesis for a damaged long head of biceps tendon.
Comment: These patients did not have followup MRI's so we cannot know the true retear rate, which is likely to be substantially higher than the already quite high patient-reported rate of 33%. Furthermore, the authors were not able to compare the clinical outcomes for the retorn and the intact re-repairs. In that over one-third of the revision cuff repairs had yet another surgery, it the value of this surgery to patients is unclear.
As has been well demonstrated (see this link and this link) patients with rotator cuff tears - even massive, irreparable ones - can be improved by a simple surgical procedure that does not involve an attempted repair and does not require post operative limitation of use of the arm during a healing period. To see a video of the smooth and move procedure, click on this link.
Better clinical outcomes are seen in nonsmokers, those with only 1 tendon affected, and those who underwent tenotomy instead of tenodesis for a damaged long head of biceps tendon.
Comment: These patients did not have followup MRI's so we cannot know the true retear rate, which is likely to be substantially higher than the already quite high patient-reported rate of 33%. Furthermore, the authors were not able to compare the clinical outcomes for the retorn and the intact re-repairs. In that over one-third of the revision cuff repairs had yet another surgery, it the value of this surgery to patients is unclear.
As has been well demonstrated (see this link and this link) patients with rotator cuff tears - even massive, irreparable ones - can be improved by a simple surgical procedure that does not involve an attempted repair and does not require post operative limitation of use of the arm during a healing period. To see a video of the smooth and move procedure, click on this link.
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