Xavier Bayle1, Thuy-Trang Pham1, Marie Faruch2, Aurelie Gobet3, Pierre Mansat1, Nicolas Bonnevialle4,5. 1. Department of Orthopaedic Surgery, Hôpital Riquet, Place Baylac, 31059, Toulouse, France. 2. Department of Radiology, Hôpital Riquet, Place Baylac, 31059, Toulouse, France. 3. Department of Epidemiology and Public Health, Hôpital Pellegrin, Place Amélie Raba Leon, 33076, Bordeaux, France. 4. Department of Orthopaedic Surgery, Hôpital Riquet, Place Baylac, 31059, Toulouse, France. nicolasbonnevialle@yahoo.fr. 5. Centre Hospitalier Universitaire de Purpan, Place Baylac, 31059, Toulouse, France. nicolasbonnevialle@yahoo.fr.
Abstract
PURPOSE: Arthroscopic techniques tend to become the gold standard in rotator cuff repair. However, little data are reported in the literature regarding the improvement of postoperative outcomes and re-tear rate relative to conventional open surgery. The aim of this study was to compare clinical outcomes and cuff integrity after arthroscopic versus open cuff repair. METHODS: We prospectively assessed clinical outcomes and cuff integrity after an arthroscopic or open rotator cuff repair with a minimum follow-up of 12 months. Clinical evaluation was based on Constant score, Simple Shoulder Value (SSV) and American Shoulder and Elbow Score (ASES). Rotator cuff healing was explored with ultrasound. RESULTS: 44 patients in arthroscopic group A (mean age 56-year-old) and 43 in open group O (mean age 61-year-old) fulfilled the inclusion criteria. Tendons were repaired with a single row technique associated with biceps tenodesis and subacromial decompression. All objective clinical scores significantly improved postoperatively in both groups. No statistical difference was identified between group A and O regarding, respectively, Constant score (72 vs 75 points; p = 0.3), ASES score (88 vs 91 points; p = 0.3), and SSV (81 vs 85%). The overall rate of re-tear (Sugaya type IV or V) reached 7 and 9%, respectively, in group A and O (p = 0.8). CONCLUSION: This study did not prove any difference of arthroscopic over open surgery in case of rotator cuff repair regarding clinical outcome and cuff integrity at 1-year follow-up. LEVEL II: Prospective comparative study.
PURPOSE: Arthroscopic techniques tend to become the gold standard in rotator cuff repair. However, little data are reported in the literature regarding the improvement of postoperative outcomes and re-tear rate relative to conventional open surgery. The aim of this study was to compare clinical outcomes and cuff integrity after arthroscopic versus open cuff repair. METHODS: We prospectively assessed clinical outcomes and cuff integrity after an arthroscopic or open rotator cuff repair with a minimum follow-up of 12 months. Clinical evaluation was based on Constant score, Simple Shoulder Value (SSV) and American Shoulder and Elbow Score (ASES). Rotator cuff healing was explored with ultrasound. RESULTS: 44 patients in arthroscopic group A (mean age 56-year-old) and 43 in open group O (mean age 61-year-old) fulfilled the inclusion criteria. Tendons were repaired with a single row technique associated with biceps tenodesis and subacromial decompression. All objective clinical scores significantly improved postoperatively in both groups. No statistical difference was identified between group A and O regarding, respectively, Constant score (72 vs 75 points; p = 0.3), ASES score (88 vs 91 points; p = 0.3), and SSV (81 vs 85%). The overall rate of re-tear (Sugaya type IV or V) reached 7 and 9%, respectively, in group A and O (p = 0.8). CONCLUSION: This study did not prove any difference of arthroscopic over open surgery in case of rotator cuff repair regarding clinical outcome and cuff integrity at 1-year follow-up. LEVEL II: Prospective comparative study.
Authors: Nicholas Elena; Brittany M Woodall; William P Mac Hale; Patrick J McGahan; Neil P Pathare; Edward C Shin; James L Chen Journal: Arthrosc Tech Date: 2018-05-22
Authors: Martin S Davey; Eoghan T Hurley; John P Scanlon; Mohamed Gaafar; Leo Pauzenberger; Hannan Mullett Journal: Arthrosc Sports Med Rehabil Date: 2021-03-22