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….