Literature DB >> 26207092

Prognostic factors for clinical outcomes after rotator cuff repair.

José Otávio Reggi Pécora1, Eduardo Angeli Malavolta1, Jorge Henrique Assunção1, Mauro Emílio Conforto Gracitelli1, João Paulo Sobreiro Martins1, Arnaldo Amado Ferreira1.   

Abstract

OBJECTIVE: To identify prognostic factors of postoperative functional outcomes.
METHODS: Retrospective case series evaluating patients undergoing rotator cuff repair, analyzed by the UCLA score (pre and 12-month postoperative) and Magnetic Resonance Imaging (preoperative). Patients' intrinsic variables related to the injury and intervention were evaluated. Multivariate linear regression analysis was performed to determine variables impact on postoperative functional assessment.
RESULTS: 131 patients were included. The mean UCLA score increased from 13.17 ± 3.77 to 28.73 ± 6.09 (p<0,001). We obtained 65.7% of good and excellent results. Age (r= 0.232, p= 0.004) and reparability of posterosuperior injuries (r= 0.151, p= 0.043) correlated with the functional assessment at 12 months. After multivariate linear regression analysis, only age was associated (p = 0.008).
CONCLUSIONS: The surgical treatment of rotator cuff tears lead to good and excellent results in 65.6% of patients. Age was an independent predictor factor with better clinical outcomes by UCLA score in older patients. Level of Evidence IV, Case Series.

Entities:  

Keywords:  Arthroscopy; Evaluation of results of therapeutic interventions; Prognosis; Rotator cuff

Year:  2015        PMID: 26207092      PMCID: PMC4503607          DOI: 10.1590/1413-78522015230300992

Source DB:  PubMed          Journal:  Acta Ortop Bras        ISSN: 1413-7852            Impact factor:   0.513


  25 in total

1.  The outcome and repair integrity of completely arthroscopically repaired large and massive rotator cuff tears.

Authors:  Leesa M Galatz; Craig M Ball; Sharlene A Teefey; William D Middleton; Ken Yamaguchi
Journal:  J Bone Joint Surg Am       Date:  2004-02       Impact factor: 5.284

2.  Prospective evaluation of arthroscopic rotator cuff repairs at 5 years: part II--prognostic factors for clinical and radiographic outcomes.

Authors:  Lawrence V Gulotta; Shane J Nho; Christopher C Dodson; Ronald S Adler; David W Altchek; John D MacGillivray
Journal:  J Shoulder Elbow Surg       Date:  2011-06-29       Impact factor: 3.019

Review 3.  Rotator cuff repair: published evidence on factors associated with repair integrity and clinical outcome.

Authors:  Matthew D McElvany; Erik McGoldrick; Albert O Gee; Moni Blazej Neradilek; Frederick A Matsen
Journal:  Am J Sports Med       Date:  2014-04-21       Impact factor: 6.202

4.  Path analysis of factors for functional outcome at one year in 463 proximal humeral fractures.

Authors:  Norbert P Südkamp; Laurent Audigé; Simon Lambert; Ralph Hertel; Gerhard Konrad
Journal:  J Shoulder Elbow Surg       Date:  2011-09-14       Impact factor: 3.019

5.  National trends in rotator cuff repair.

Authors:  Alexis Chiang Colvin; Natalia Egorova; Alicia K Harrison; Alan Moskowitz; Evan L Flatow
Journal:  J Bone Joint Surg Am       Date:  2012-02-01       Impact factor: 5.284

6.  Fatty infiltration and atrophy of the rotator cuff do not improve after rotator cuff repair and correlate with poor functional outcome.

Authors:  James N Gladstone; Julie Y Bishop; Ian K Y Lo; Evan L Flatow
Journal:  Am J Sports Med       Date:  2007-03-02       Impact factor: 6.202

7.  Total cost and operating room time comparison of rotator cuff repair techniques at low, intermediate, and high volume centers: mini-open versus all-arthroscopic.

Authors:  R Sean Churchill; Jugal K Ghorai
Journal:  J Shoulder Elbow Surg       Date:  2010-02-04       Impact factor: 3.019

8.  Outcome of rotator cuff repair.

Authors:  Elizabeth M Watson; David H Sonnabend
Journal:  J Shoulder Elbow Surg       Date:  2002 May-Jun       Impact factor: 3.019

9.  Factors influencing the operative results of rotator cuff rupture.

Authors:  M Vastamäki
Journal:  Int Orthop       Date:  1986       Impact factor: 3.075

10.  Prevalence and risk factors of a rotator cuff tear in the general population.

Authors:  Atsushi Yamamoto; Kenji Takagishi; Toshihisa Osawa; Takashi Yanagawa; Daisuke Nakajima; Hitoshi Shitara; Tsutomu Kobayashi
Journal:  J Shoulder Elbow Surg       Date:  2010-01       Impact factor: 3.019

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  4 in total

Review 1.  Outcome assessment in the treatment of rotator cuff tear: what is utilized in Brazil?

Authors:  Jorge Henrique Assunção; Eduardo Angeli Malavolta; Vitor Rodrigues Domingues; Mauro Emilio Conforto Gracitelli; Arnaldo Amado Ferreira Neto
Journal:  Rev Bras Ortop       Date:  2017-09-01

2.  Prognostic factors affecting clinical outcomes after arthroscopic rotator cuff repair: importance of functional recovery by 3 months after surgery.

Authors:  Yosuke Nakamura; Masafumi Gotoh; Yasuhiro Mitsui; Hidehiro Nakamura; Hiroki Ohzono; Takahiro Okawa; Naoto Shiba
Journal:  J Orthop Surg Res       Date:  2018-12-05       Impact factor: 2.359

3.  Sex-Based Differences in Patient-Reported Outcomes After Arthroscopic Rotator Cuff Repair.

Authors:  Stephen D Daniels; Cory M Stewart; Kirsten D Garvey; Emily M Brook; Laurence D Higgins; Elizabeth G Matzkin
Journal:  Orthop J Sports Med       Date:  2019-11-25

4.  Does the supraspinatus tear pattern affect the results of the arthroscopic repair?

Authors:  Eduardo Angeli Malavolta; Fernando Brandão Andrade-Silva; André Lange Canhos; Jorge Henrique Assunção; Mauro Emilio Conforto Gracitelli; Arnaldo Amado Ferreira Neto
Journal:  Rev Bras Ortop (Sao Paulo)       Date:  2019-12-19
  4 in total

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