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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

DOI

10.1302/0301-620x.91b2.21286

Type

Journal article

Journal

The Journal of bone and joint surgery. British volume

Publication Date

02/2009

Volume

91

Pages

201 - 205

Addresses

Orthopaedic Research Office, Academic Centre, James Cook University Hospital, Middlesbrough, England. bhanusch@doctors.org.uk

Keywords

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