The Time for Functional Recovery After Arthroscopic Rotator Cuff Repair: Correlation With Tendon Healing Controlled by Computed Tomography Arthrography

Charousset, Christophe; Grimberg, Jean; Duranthon, L.-D.; Bellaïche, Laurence; Petrover, David; Kalra, Kunal

doi:10.1016/j.arthro.2007.07.023

Cited by 105 publications

(82 citation statements)

References 30 publications

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“…First, postoperative followup was 6 months; we specifically focused on early functional recovery and a 6-month followup was considered adequate. However, Charousset et al [7] reported functional recovery is observed as early as 3 months after surgery and recovery progresses until 12 months postoperatively, when it reaches a plateau. We suggest future studies should have longer followups; such studies will be able to evaluate preoperative factors influencing late functional recovery after 6 months.…”

Section: Discussionmentioning

confidence: 99%

“…ARCR has become an increasingly common treatment, and several studies have reported restoration of function [7,17,30]. Only Charousset et al [7] reported it took 12 months after ARCR to achieve maximum recovery.…”

Section: Discussionmentioning

confidence: 99%

“…Only Charousset et al [7] reported it took 12 months after ARCR to achieve maximum recovery. To confirm that study, we therefore asked: (1) how long it takes to obtain functional recovery after ARCR, and (2) what preoperative factors influence functional recovery time.…”

Section: Discussionmentioning

confidence: 99%

“…Surgical repair of a chronic rotator cuff tear is indicated when nonoperative treatment fails, and the patient otherwise is a reasonable surgical candidate. Low morbidity such as a quick decrease in postoperative pain [5,6,29] and rapid functional recovery within 12 months [1,7] after shoulder arthroscopy have accelerated the development of this technique in the past 20 years.…”

Section: Introductionmentioning

confidence: 99%

“…ARCR is now a well-established surgical technique, and some studies [17,30] have reported functional recovery and tendon healing in patients undergoing ARCR for rotator cuff injuries. Although several studies have reported restoration of shoulder function using the Constant-Murley [9], UCLA [11], and American Shoulder and Elbow Surgeons (ASES) [18] at followup periods of 2 to 14 years [20,35,36], the time required for functional recovery after surgery was reported in only one study [7].…”

Section: Introductionmentioning

confidence: 99%

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Functional Recovery Period after Arthroscopic Rotator Cuff Repair: Is it Predictable Before Surgery?

Manaka

Ito

Matsumoto

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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Background Several studies have reported functional recovery of the shoulder after arthroscopic rotator cuff repair (ARCR). Preoperative estimation of the time required for functional recovery is important for determining surgical indications and for planning timing of the surgery and an appropriate postoperative physical therapy. Questions/purposes We therefore asked: (1) how long it takes to obtain functional recovery after ARCR, and (2) what preoperative factors influence functional recovery time. Patients and Methods We retrospectively evaluated 201 patients who had undergone ARCR. Using the Japanese Orthopaedic Association (JOA) shoulder scoring system, we defined the functional recovery period as the time required to achieve a score greater than 80% in each component. We evaluated the functional recovery periods and assessed preoperative influencing factors such as age, gender, shoulder stiffness, morphologic features of rotator cuff tears, and rotator cuff tear size. Results Sixty-three patients (31%) took less than 3 months, 81 patients (40%) took between 3 and 6 months, and 57 patients (28%) took greater than 6 months to achieve a score greater than 80% in each JOA shoulder assessment component. Younger patients without shoulder stiffness and with smaller rotator cuff tears had shorter functional recovery periods. Conclusions One hundred forty-four patients (72%) obtained functional recovery within 6 months after ARCR. Age, shoulder stiffness, and rotator cuff tear size influenced functional recovery time.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Functional Recovery Period after Arthroscopic Rotator Cuff Repair: Is it Predictable Before Surgery?

Manaka

Ito

Matsumoto

et al. 2011

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

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Full-Thickness Rotator Cuff Tears

Saccomanno¹,

Salvatore²,

Grasso³

et al. 2013

Shoulder Arthroscopy

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Biological Augments in Rotator Cuff Repair

Charousset¹,

Zaoui²

2016

Arthroscopy

Self Cite

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Improvements in arthroscopic repair of rotator cuff (RC) tears and suture anchor technology have concurred to the development of stronger constructs with multiple suture confi gurations, allowing repair of large and massive tears through minimally invasive means. However, although repair instrumentation and techniques have improved, healing rates have not [ 1 ]. A recent meta-analysis has shown that the development and introduction of novel surgical techniques are not related to an improvement of clinical and anatomical results over the investigated period [ 2 ]. In fact, there is a high incidence of failure ranging from 30 to 94 % [ 3 ]. Arthroscopic repair of massive RC tears is associated with less favorable clinical results and the highest retear rate when compared with the repair of smaller tears with structural failure in up to 90 % at 1 and 2 years postoperatively [ 4 -8 ].Retearing correlates with decreased functional outcome after RC repair [ 9 ]. In order to reduce the failure rate after surgery, several experimental in vitro and in vivo biologically based strategies to augment RC repair were developed. Techniques 47.2

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The Time for Functional Recovery After Arthroscopic Rotator Cuff Repair: Correlation With Tendon Healing Controlled by Computed Tomography Arthrography

Cited by 105 publications

References 30 publications

Functional Recovery Period after Arthroscopic Rotator Cuff Repair: Is it Predictable Before Surgery?

Functional Recovery Period after Arthroscopic Rotator Cuff Repair: Is it Predictable Before Surgery?

Full-Thickness Rotator Cuff Tears

Biological Augments in Rotator Cuff Repair

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