Re-tears after rotator cuff repair: Current concepts review

Mandaleson, Avanthi

doi:10.1016/j.jcot.2021.05.019

Cited by 16 publications

(12 citation statements)

References 60 publications

(73 reference statements)

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“…The goal of conservative management is to restore range of motion and strengthen the residual intact rotator cuff, deltoid, and periscapular muscles. 10 This is achieved through rest, therapy, ice, anti-inflammatory medications, and possibly corticosteroid injections. Although the natural history of an untreated retear is progression of fatty degeneration and muscle atrophy, older and lower demand patients are often satisfied with their shoulder function and will not require surgical intervention.…”

Section: Non-operative Managementmentioning

confidence: 99%

“…51 However, the tendon is not long enough to reach the humeral head and thus must be lengthened with addition of an allograft (Achilles) or autograft (IT band). 10,19,51 Most patients who undergo lower trapezius transfer with Achilles allograft report significantly improved pain, range of motion, and outcome scores at mean follow-up between 14 and 47 months. [52][53][54] Over half of the patients in each of these studies had previously undergone rotator cuff repair; however, direct comparisons between primary and revision cuff surgeries were not performed.…”

Section: Tendon Transfersmentioning

confidence: 99%

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My Approach to Failed Rotator Cuff Repair

Chan,

Remedios,

Wong

2023

Sports Medicine and Arthroscopy Review

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Failed rotator cuff repairs pose several challenges due to the high incidence rate, complexity, and range of symptoms. We propose an overview for assessing and treating failed rotator cuff repairs. For active young patients, attempt revision repair with patch augmentation if possible. When anatomic revision is not viable, but muscle is retained, consider partial repair with interposition bridging. Isolated, irreparable supraspinatus tears may benefit from superior capsule reconstruction. Tendon transfer is suitable for patients with significant atrophy and multiple irreparable cuff tears. Low-demand elderly patients or those with substantial glenohumeral arthritis may consider reverse total shoulder arthroplasty if conservative management fails. There are a variety of reported outcomes in the literature but long-term studies with larger cohorts are needed to improve the management of failed rotator cuff repair.

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Section: Non-operative Managementmentioning

confidence: 99%

Section: Tendon Transfersmentioning

confidence: 99%

My Approach to Failed Rotator Cuff Repair

Chan,

Remedios,

Wong

2023

Sports Medicine and Arthroscopy Review

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“…Despite the advancements in procedures for repair, re-tear of the repaired tendon is one of the most common complications encountered post-operatively [ 10 ]. Re-tear rates range between 13% and 94% of cases [ 11 ]. Some studies have suggested that patients who have a re-tear following repair surgery frequently still have a significant recovery in comparison with their preoperative state.…”

Section: Introductionmentioning

confidence: 99%

Re-Tear Rates Following Rotator Cuff Repair Surgery

Routledge¹,

Saber²,

Pennington³

et al. 2023

Cureus

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Re-tears following rotator cuff repair surgery are a common occurrence. Previous studies have identified several factors that have been shown to increase the risk of re-tears. The purpose of this study was to evaluate the rate of re-tear following primary rotator cuff repair and to identify the factors that may contribute to this rate. MethodThe authors performed a retrospective review, looking at rotator cuff repair surgeries performed between May 2017 and July 2019 performed in a hospital by three specialist surgeons. All methods of repair were included. All patients' medical data, including imaging and operation records, were reviewed. ResultsA total of 148 patients were identified. Ninety-three males and 55 females with a mean age of 58 years (range 33-79 years). Thirty-four patients (23%) had post-operative imaging with either magnetic resonance imaging or ultrasound, where it was found that 20 (14%) had a confirmed re-tear. Of these patients, nine went on to have further repair surgery. The average age of the re-tear patients was 59 (age range 39-73) and 55% were female. The majority of the re-tears were from chronic rotator cuff injuries. This paper did not identify any correlation between smoking status or diabetes mellitus and re-tear rates. ConclusionsThis study indicates that re-tear after rotator cuff repair surgery is a common complication. The majority of studies find increasing age to be the biggest risk factor; however, this was not the case in our study which found females in their 50s to have the highest rate of re-tear. Additional research is required to understand what factors can contribute towards rotator cuff re-rupture rates.

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“…Furthermore, failed repair and re-tear following RCT repair are major concerns for orthopedic surgeons. Retear rate after RCT repair has been reported to range up to 40% for small-to-medium tears and up to 94% for large and chronic tears [16][17][18]. Despite a large amount of literature on the management of RCTs and with the advancements in the technologies for RCT repair, surgical indications are not standardized.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Safety, Efficacy, and Functional Outcomes After Rotator Cuff Repair Using Ceptre® Titanium Screw Anchor: A Retrospective Study

Panchal¹,

Moharana²,

Angrish³

et al. 2023

Cureus

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BackgroundRotator cuff tears (RCTs) are the most common cause of shoulder disability. RCT is characterized by progressive wear and tear of the tendon tissue over time. The incidence of cuff tears ranges from 5% to 39%. With increasing advancements in the surgical sector, an upward trend has been observed in repair surgeries where torn tendons are repaired arthroscopically by inserting surgical implants. With this background, this study aimed to assess the safety, efficacy, and functional outcomes after RCT repair using Ceptre® titanium screw anchor implants. MethodologyThis retrospective, observational, single-center, clinical study was conducted at Epic Hospital in Gujarat, India. Patients who underwent rotator cuff repair surgery between January 2019 and July 2022 were recruited and followed up in December 2022. Baseline characteristics and surgical and post-surgical details were collected from patient medical reports and post-surgery progress data were documented through telephonic follow-up. The functional outcomes and efficacy of the implant were assessed using the American Shoulder and Elbow Surgeons (ASES) form, Shoulder Pain and Disability Index (SPADI) score, Simple Shoulder Test (SST), and Single Assessment Numeric Evaluation (SANE) score. ResultsThe mean age of the recruited patients was 59.74 ± 8.91 years. Among the recruited patients, 64% were females and 36% were males. About 85% of patients had a right shoulder injury and 15% of patients (n = 6/39) had a left shoulder injury. Further, 64% (n = 25/39) of patients had supraspinatus tears, whereas 36% (n = 14) of patients had both supraspinatus and infraspinatus tears. The mean ASES, SPADI, SST, and SANE scores were observed to be 81.

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Re-tears after rotator cuff repair: Current concepts review

Cited by 16 publications

References 60 publications

My Approach to Failed Rotator Cuff Repair

My Approach to Failed Rotator Cuff Repair

Re-Tear Rates Following Rotator Cuff Repair Surgery

Assessment of Safety, Efficacy, and Functional Outcomes After Rotator Cuff Repair Using Ceptre® Titanium Screw Anchor: A Retrospective Study

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