INTRODUCTION: The goal of this study is to determine whether suturing is superior to non-closure in terms of the subjective long-term outcome in large rotator cuff tears. MATERIALS AND METHODS: A total of 64 shoulders with rotator cuff tears of at least 3 cm diameter and followed up for a mean period of 5 years and 8 months were retrospectively examined. The patients' medical history, clinical findings, radiographs and Constant scores were studied. Patients whose tears had been closed with an open suture (n=33) were compared with those whose tears had not been closed (n=31). RESULTS: Neither the comparison between open suturing and debridement nor that between open and arthroscopic debridement reveal a significant difference with regard to the overall Constant score or the individual parameters. CONCLUSION: These results suggest that in the long-term, suturing of large rotator cuff tears is not superior to debridement.
INTRODUCTION: The goal of this study is to determine whether suturing is superior to non-closure in terms of the subjective long-term outcome in large rotator cuff tears. MATERIALS AND METHODS: A total of 64 shoulders with rotator cuff tears of at least 3 cm diameter and followed up for a mean period of 5 years and 8 months were retrospectively examined. The patients' medical history, clinical findings, radiographs and Constant scores were studied. Patients whose tears had been closed with an open suture (n=33) were compared with those whose tears had not been closed (n=31). RESULTS: Neither the comparison between open suturing and debridement nor that between open and arthroscopic debridement reveal a significant difference with regard to the overall Constant score or the individual parameters. CONCLUSION: These results suggest that in the long-term, suturing of large rotator cuff tears is not superior to debridement.
Authors: Rohit Kulkarni; Joanna Gibson; Peter Brownson; Michael Thomas; Amar Rangan; Andrew J Carr; Jonathan L Rees Journal: Shoulder Elbow Date: 2015-03-31
Authors: A J Carr; J L Rees; C R Ramsay; R Fitzpatrick; A Gray; J Moser; J Dawson; H Bruhn; C D Cooper; D J Beard; M K Campbell Journal: Bone Joint Res Date: 2014-05 Impact factor: 5.853