Arthroscopic Outcomes Similar To Open Procedures In Rotator Cuff Repair

Outcomes following arthroscopic rotator cuff repair are similar to those obtained using traditional open procedures.

Researchers from the Sports Medicine Institute of Indiana, Indianapolis, evaluated arthroscopic procedures to repair full-thickness rotator cuff tears performed by one surgeon, after follow-up lasting from between two and 14 years. The authors assessed outcomes based on the UCLA rating scale. They considered a score of between 34-35 as an excellent result, UCLA scores of 28-33 and 21-27 were described as good and fair respectively. UCLA score of between zero and 20 was a poor outcome.

Thirty-five patients underwent staple fixation, 26 of whom underwent arthroscopic subacromial decompression. The surgeon evaluated shoulders arthroscopically after removing the staples. Sixty-three and 20 percent of patients showed either excellent or good outcomes respectively based on UCLA scores. Eleven and 6 percent showed fair and poor results respectively.

Sixty-five patients underwent side-to-side suture and anchor repair, with, in all cases, arthroscopic subacromial decompression. Fifty-eight patients also underwent concomitant resection of the distal clavicle. Seventy-two and 19 percent of patients showed either excellent or good outcomes respectively. Three and 6 percent showed fair and poor results respectively….

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