Gender Affects Early Postoperative Outcomes of Rotator Cuff Repair

Abstract

BackgroundThe literature does not provide consistent information on the impact of patients' gender on recovery after rotator cuff repair. The purpose of this study was to determine whether gender affects pain and functional recovery in the early postoperative period after rotator cuff repair.MethodsEighty patients (40 men and 40 women) were prospectively enrolled. Pain intensity and functional recovery were evaluated, using visual analog scale (VAS) pain score and range of motion on each of the first 5 postoperative days, at 2 and 6 weeks and at 3, 6, and 12 months after surgery. Perioperative medication-related adverse effects and postoperative complications were also assessed.ResultsThe mean VAS pain score was significantly higher for women than men at 2 weeks after surgery (p = 0.035). For all other periods, there was no significant difference between men and women in VAS pain scores, although women had higher scores than men. Mean forward flexion in women was significantly lower than men at 6 weeks after surgery (p = 0.033) and the mean degree of external rotation in women was significantly lower than men at 6 weeks (p = 0.007) and at 3 months (p = 0.017) after surgery. There was no significant difference in medication-related adverse effects or postoperative complications.ConclusionsWomen had more pain and slower recovery of shoulder motion than men during the first 3 months after rotator cuff repair. These findings can serve as guidelines for pain management and rehabilitation after surgery and can help explain postoperative recovery patterns to patients with scheduled rotator cuff repair.

Effectiveness of the Anti-adhesive Agent Protescal after Arthroscopic Rotator Cuff Repair: A Retrospective Study

“…And although very few studies have investigated the role of HA in the treatment of shoulder disorders, let alone disorders of the rotator cuff, the potential application of HA for the repair of rotator cuff disorders has been proposed on the basis of a few in vitro studies. 2,4) Still, the benefits of HA with respect to ligament repair re-main controversia. 2) We thus investigated the effect of HA-based injections on clinical parameters after rotator cuff repairs in this study.…”

Results of arthroscopic rotator cuff repair

“…The almost equal sex distribution is also reported by other studies carried out by Boileau. However, Razmjou and Cho have reporteddecreased satisfaction and functional score in female patients based on gender specific analysis [21,22] In our study, 19 among 25 patients gave history of predecent trauma. Rest patients had no such history.…”

Risk Factors for Hospital Admission Following Arthroscopic Bankart Repair

“…In arthroscopic rotator cuff surgery, the visual analog scale pain score has been shown to be significantly higher among females in the first 2 weeks following repair. 22 The same study found that females regained functional motion at a slower rate than males, with females having significantly less forward flexion and external rotation at 6 weeks following surgery. 22 Studies such as this, as well as the current study, identifying differences in pain control and pain threshold following arthroscopic shoulder surgery may allow surgeons to adequately manage patient expectations regarding the need for admission for postoperative pain control.…”

“…This database is a highly accurate source of information regarding postoperative admission, patient demographics, and medical comorbidities and has been validated for many orthopedic procedures to date, including anterior cruciate ligament reconstruction. 12,[14][15][16][17][18][19][20][21][22][23]…”