Arthroscopic vs mini-open rotator cuff repair. A quality of life impairment study

Abstract

We compared the clinical and quality of life related outcome of rotator cuff repair performed using either a mini-open or an arthroscopic technique for rotator cuff tears of less than 3 cm. The records of 64 patients who underwent rotator cuff repair between September 2003 and September 2005 were evaluated. Thirty-two patients underwent a mini-open rotator cuff repair, and 32 patients underwent an arthroscopic rotator cuff repair. The mean follow-up period was 31 months in the mini-open group and 30.6 months in the arthroscopic group (P > 0.05). The UCLA rating system, range of motion examination and the self-administered SF-36 used for postoperative evaluation showed a statistically significant improvement from the preoperative to the final score for both groups (P < 0.05). No statistically significant difference in the total UCLA scores was found when comparing the two repair techniques (P > 0.05). This study suggests that there is no difference in terms of subjective and objective outcomes between the two surgical procedures studied if patients have rotator cuff tears of less than 3 cm.

Indications for Reverse Total Shoulder Arthroplasty in Rotator Cuff Disease

“…The millennium ushered in a new brand of surgeons who, during their residencies, made the transition to arthroscopic shoulder surgery [10,19,38,42]. Arthroscopic surgery reportedly provides similar functional scores, pain relief, clinical tests of motion and strength, and patient satisfaction to open rotator cuff repair [28,30,38,42,44,49,55,59,62]. Two recent reviews of the arthroscopic and mini-open rotator cuff repair literature reported that both techniques resulted in similar UCLA scores, mean ASES scores, patient satisfaction ratings, complications, active elevation, and active external rotation [38,42].…”

The temporal outcomes of open versus arthroscopic knotted and knotless rotator cuff repair over 5 years

“…25,[33][34][35][36][37][38] We found that, at 5 years post-surgery, the arthroscopic knotless technique produced greater strength in external rotation than both open and arthroscopic knotted repairs, and was the only technique to show a significant increase in the rotator cuff functional index compared to pre-operative level. Between the pre-operative examination and 5-year follow-up, the open repair group did not improve in any plane of shoulder strength measurement except lift off, whereas both arthroscopic knotted and arthroscopic knotless repairs improved in all modes of strength except adduction; corresponding with its purpose as the examinations internal control.…”

Correlations of isokinetic measurements with tendon healing following open repair of rotator cuff tears

“…Osti et al revealed that there was no difference in terms of subjective and objective outcomes between the open and arthroscopic surgical technique if patients had rotator cuff tears of less than 3 cm. We preferred open cuff repair because our patients had chronic tears [18].…”