Transitioning to Arthroscopic Rotator Cuff Repair

Yamaguchi, Ken; Levine, William N.; Marra, Guido; Galatz, Leesa M.; Klepps, Steven; Flatow, Evan L.

doi:10.2106/00004623-200301000-00022

Cited by 75 publications

(68 citation statements)

References 33 publications

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“…With the evolution of all-arthroscopic (ASC) techniques there is a strong tendency to perform this procedure arthroscopically [7]. Possible advantages of the ASC technique include less trauma to the deltoid, less risk of axillary nerve palsy and better cosmetic results [5,[8][9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Prospective randomised comparison of arthroscopic versus mini-open rotator cuff repair of the supraspinatus tendon

Kasten

Keil

Grieser

et al. 2011

International Orthopaedics (SICOT)

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Purpose The aim of the study was to evaluate whether arthroscopic (ASC) repair of rotator cuff ruptures causes less postoperative pain and better range of motion (ROM) in the early postoperative period than a mini-open (MO) technique. Methods Inclusion criteria were a rupture of the supraspinatus tendon with retraction with a maximum to the apex of the humeral head and minor fatty degeneration and atrophy of the muscle. Each group (n=17) had similar demographics and preoperative magnetic resonance imaging (MRI) findings (mean age 60.1 years, SD 8.8, range 43-71). The ASC group underwent double-row repair with resorbable anchors; the MO group received a transosseous repair. The postoperative rehabilitation was standardised and equivalent in both groups. Results In the first week fewer nonsteroidal anti-inflammatory drug (NSAID) tablets were needed in the ASC group. Pain scores on the visual analogue scale were similar in the first three weeks; however, from week four to eight the MO group had less pain (p<0.05). After six months, the ConstantMurley score and the ROM improved significantly (p<0.05) in both groups without differences between the groups. Postoperative MRI revealed in three of 16 patients a discontinuity of the tendon in both groups; in the ASC group there were more patients (n=9) with a thinning of the tendon compared to the MO group (n=6). Conclusions There was less use of NSAIDs in the first postoperative week in the ASC group, indirectly indicating less pain, but higher pain scores in the later course (weeks four to eight) compared to the MO group. ROM, MRI findings and the scores were similar after six months, demonstrating that both techniques are equivalent regarding the outcome in this period.

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Section: Introductionmentioning

confidence: 99%

Prospective randomised comparison of arthroscopic versus mini-open rotator cuff repair of the supraspinatus tendon

Kasten

Keil

Grieser

et al. 2011

International Orthopaedics (SICOT)

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“…77 Further modifications were later proposed by Neer in 1972 and included a description of 5 fundamentals of open rotator cuff repair techniques: (1) meticulous repair of the deltoid origin, (2) subacromial decompression, (3) surgical releases as necessary to obtain freely mobile muscle-tendon units, (4) secure transosseus fixation of the tendon to the tuberosity, and (5) closely supervised rehabilitation with early passive motion. 77 Outcome studies of individuals who were treated with an open rotator cuff repair have revealed good to excellent results in both functional improvement (75%-surgical repair, outcomes are dependent on appropriate rehabilitation. Successful postoperative management following rotator cuff repair is dependent on several variables, including surgical intervention method, patient age, Rotator cuff tears lead to debilitating shoulder dysfunction and impairment.…”

mentioning

confidence: 99%

Open, Mini-open, and All-Arthroscopic Rotator Cuff Repair Surgery: Indications and Implications for Rehabilitation

Ghodadra

Provencher²,

Verma³

et al. 2009

J Orthop Sports Phys Ther

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“…However, a major potential disadvantage is the technical difficulty of the procedure. A recent study reporting good functional results after all-arthroscopic repair validated the increasing popularity of the arthroscopic technique by comparing the clinical outcome and patient satisfaction after all-arthroscopic repair and mini-open rotator cuff repair in a series of patients with greater than 2 years of follow-up [7]. This technique has some limitations.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic removal of an intramedullary nail in the humerus

Kim

Rhee

Shin

et al. 2006

Knee Surg Sports Traumatol Arthr

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The most frequent criticism of antegrade humeral nailing is its potentially deleterious effect on shoulder function owing to the trauma to the rotator cuff at the insertion point. This problem may also occur when removing an intramedullary nail from the humerus. In an effort to decrease the trauma to the rotator cuff at the nail insertion site during removal of an intramedullary nail from the humerus and to allow recovery of shoulder function as soon as possible after removal, we performed arthroscopic removal of the intramedullary nail and arthroscopic rotator cuff repair. The advantages of this method include the fact that it is a less invasive approach, which causes minimal disruption of the rotator cuff, requires fewer days in hospital, and allows simultaneous arthroscopic correction of the accompanying lesion.

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Transitioning to Arthroscopic Rotator Cuff Repair

Cited by 75 publications

References 33 publications

Prospective randomised comparison of arthroscopic versus mini-open rotator cuff repair of the supraspinatus tendon

Prospective randomised comparison of arthroscopic versus mini-open rotator cuff repair of the supraspinatus tendon

Open, Mini-open, and All-Arthroscopic Rotator Cuff Repair Surgery: Indications and Implications for Rehabilitation

Arthroscopic removal of an intramedullary nail in the humerus

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