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The aim of this study was to determine the functional outcome and rate of re-tears following mini-open repair of symptomatic large and massive tears of the rotator cuff using a two-row technique. The 24 patients included in the study were assessed prospectively before and at a mean of 27 months (18 to 53) after surgery using the Constant and the Oxford Shoulder scores. Ultrasound examination was carried out at follow-up to determine the integrity of the repair. Patient satisfaction was assessed using a simple questionnaire. The mean Constant score improved significantly from 36 before to 68 after operation (p < 0.0001) and the mean Oxford Shoulder score from 39 to 20 (p < 0.0001). Four of the 24 patients (17%) had a re-tear diagnosed by ultrasound. A total of 21 patients (87.5%) were satisfied with the outcome of their surgery. The repair remained intact in 20 patients (83%). However, the small number of re-tears (four patients) in the study did not allow sufficient analysis to show a difference in outcome in relation to the integrity of the repair.

Original publication




Journal article


The Journal of bone and joint surgery. British volume

Publication Date





201 - 205


Orthopaedic Research Office, Academic Centre, James Cook University Hospital, Middlesbrough, England.


Rotator Cuff, Shoulder Joint, Humans, Lacerations, Arthroscopy, Range of Motion, Articular, Treatment Outcome, Reoperation, Epidemiologic Methods, Recovery of Function, Adult, Aged, Middle Aged, Female, Male