What are the Factors that Impact the Outcomes of Arthroscopic Rotator Cuff Repair?
Journal
Nigerian journal of clinical practice
ISSN: 1119-3077
Titre abrégé: Niger J Clin Pract
Pays: India
ID NLM: 101150032
Informations de publication
Date de publication:
01 Apr 2024
01 Apr 2024
Historique:
received:
02
10
2023
accepted:
28
02
2024
medline:
29
4
2024
pubmed:
29
4
2024
entrez:
28
4
2024
Statut:
ppublish
Résumé
The cuff is a complex structure with many factors affecting it. How much it is affected after repair is still being investigated. The aim of this study was to analyze the functional results of individuals who received arthroscopic rotator cuff repair and assess the various factors that could impact these outcomes. The study included 57 patients with a mean age of 58.8 years (range: 39-71) who underwent arthroscopic rotator cuff repair between 2013 and 2020, with a minimum of 6 months after the operation. Functional and clinical outcomes of the patients were evaluated using preoperative and postoperative scores (QDASH, ASES, and VAS). The study also analyzed how demographic factors, type and duration of the tear, comorbidities such as diabetes mellitus (DM) and hypertension (HT), and other pathologies may have affected the patients' scores. The effect of the operation on the scores in rotator cuff tears was highly significant (P < 0.05). Age, gender, tear size, fatty degeneration, anchor configuration, comorbidities, and additional procedures presented variable values on postoperative scores, but were not statistically significant. The effect of DM and HT on VAS scores was statistically significant (P < 0.05). The results of rotator cuff repair appear to be influenced by several factors, including the sex of the patient, type and duration of tear, comorbidities, and surgical procedures used. Although these factors had an effect on the scores, they were not statistically significant.
Sections du résumé
BACKGROUND
BACKGROUND
The cuff is a complex structure with many factors affecting it. How much it is affected after repair is still being investigated.
AIM
OBJECTIVE
The aim of this study was to analyze the functional results of individuals who received arthroscopic rotator cuff repair and assess the various factors that could impact these outcomes.
METHODS
METHODS
The study included 57 patients with a mean age of 58.8 years (range: 39-71) who underwent arthroscopic rotator cuff repair between 2013 and 2020, with a minimum of 6 months after the operation. Functional and clinical outcomes of the patients were evaluated using preoperative and postoperative scores (QDASH, ASES, and VAS). The study also analyzed how demographic factors, type and duration of the tear, comorbidities such as diabetes mellitus (DM) and hypertension (HT), and other pathologies may have affected the patients' scores.
RESULTS
RESULTS
The effect of the operation on the scores in rotator cuff tears was highly significant (P < 0.05). Age, gender, tear size, fatty degeneration, anchor configuration, comorbidities, and additional procedures presented variable values on postoperative scores, but were not statistically significant. The effect of DM and HT on VAS scores was statistically significant (P < 0.05).
CONCLUSION
CONCLUSIONS
The results of rotator cuff repair appear to be influenced by several factors, including the sex of the patient, type and duration of tear, comorbidities, and surgical procedures used. Although these factors had an effect on the scores, they were not statistically significant.
Identifiants
pubmed: 38679771
doi: 10.4103/njcp.njcp_706_23
pii: 01253091-202404000-00011
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
483-488Informations de copyright
Copyright © 2024 Copyright: © 2024 Nigerian Journal of Clinical Practice.
Références
Liu XN, Yang CJ, Lee GW, Kim SH, Yoon YH, Noh KC. Functional and radiographic outcomes after arthroscopic transosseous suture repair of medium sized rotator cuff tears. Arthroscopy 2018;34:50–7.
Lee BG, Cho NS, Rhee YG. Effect of two rehabilitation protocols on range of motion and healing rates after arthroscopic rotator cuff repair:Aggressive versus limited early passive exercises. Arthroscopy 2012;28:34–42.
Audigé L, Aghlmandi S, Grobet C, Stojanov T, Müller AM, Felsch Q, et al. Prediction of shoulder stiffness after arthroscopic rotator cuff repair. Am J Sports Med 2021;49:3030–9.
Frangiamore S, Dornan GJ, Horan MP, Mannava S, Fritz EM, Hussain ZB, et al. Predictive modeling to determine functional outcomes after arthroscopic rotator cuff repair. Am J Sports Med 2020;48:1559–67.
Shin SJ, Chung J, Lee J, Ko YW. Recovery of muscle strength after intact arthroscopic rotator cuff repair according to preoperative rotator cuff tear size. Am J Sports Med 2016;44:972–80.
Ansah-Twum J, Belk JW, Cannizzaro CK, Potyk AG, Bravman JT, McCarty EC, et al. Knotted transosseous-equivalent technique for rotator cuff repair shows superior biomechanical properties compared with a knotless technique:A systematic review and meta-analysis. Arthroscopy 2022;38:1019–27.
Büker N, Kitiş A, Akkaya S, Akkaya N. Comparison of the results of supervised physiotherapy program and home-based exercise program in patients treated with arthroscopic-assisted mini-open rotator cuff repair. Eklem Hastalik Cerrahisi 2011;22:134–9.
Gutiérrez-Espinoza H, Araya-Quintanilla F, Olguín-Huerta C, Valdés-Orrego I, Sepúlveda-Osses O. Effectiveness of supervised physiotherapy versus home exercise in subjects with rotator cuff disorders treated surgically:A systematic review and meta-analysis. Physiother Res Int 2022;27:e1942.
Bedi A, Fox AJ, Harris PE, Deng XH, Ying L, Warren RF, et al. Diabetes mellitus impairs tendon-bone healing after rotator cuff repair. J Shoulder Elbow Surg 2010;19:978–88.
Milgrom C, Schaffer M, Gilbert S, van Holsbeeck M. Rotator cuff changes in asymptomatic adults. The effect of age, hand dominance and gender. J Bone Joint Surg Br 1995;77:296–8.
Kennedy P, Joshi R, Dhawan A. The effect of psychosocial factors on outcomes in patients with rotator cuff tears:A systematic review. Arthroscopy 2019;35:2698–706.
Kindler LL, Valencia C, Fillingim RB, George SZ. Sex differences in experimental and clinical pain sensitivity for patients with shoulder pain. Eur J Pain 2011;15:118–23.
Rashid MS, Cooper C, Cook J, Cooper D, Dakin SG, Snelling S, et al. Increasing age and tear size reduce rotator cuff repair healing rate at 1 year. Acta Orthop 2017;88:606–11.
Cheng C, Chen B, Xu H, Zhang Z, Xu W. Efficacy of concomitant acromioplasty in the treatment of rotator cuff tears:A systematic review and meta-analysis. PLoS One 2018;13:e0207306.
Neer CS II. Anterior acromioplasty for the chronic impingement syndrome in the shoulder. A preliminary report. J Bone Joint Surg Am 1972, 54:41–50.
Wang J, Ma JX, Zhu SW, Jia HB, Ma XL. Does distal clavicle resection decrease pain or ımprove shoulder function in patients with acromioclavicular joint arthritis and rotator cuff tears? A meta-analysis. Clin Orthop Relat Res 2018;476:2402–14.
Keener JD, Galatz LM, Stobbs-Cucchi G, Patton R, Yamaguchi K. Rehabilitation following arthroscopic rotator cuff repair:A prospective randomized trial of immobilization compared with early motion. J Bone Joint Surg Am 2014;96:11–9.
Acar B, Köse Ö, Aytaç G, Öztürk S, Göksu AK, Tanrıover G, et al. Diabetes mellitus accelerates fatty degeneration of the supraspinatus muscle after tendon tear:An experimental study in rats. Eklem Hastalik Cerrahisi 2018;29:176–83.
Thomas SJ, Sarver JJ, Yannascoli SM, Tucker JJ, Kelly JD 4th, Ahima RS, et al. Effect of isolated hyperglycemia on native mechanical and biologic shoulder joint properties in a rat model. J Orthop Res 2014;32:1464–70.
Czelusniak P, Walczak TGR, Skare TL. Shoulder pain and dysfunction in 150 type 2 diabetes mellitus patients. Arq Bras Endocrinol Metab 2012;56:233–7.
Clement ND, Hallett A, MacDonald D, Howie C, McBirnie J. Does diabetes affect outcome after arthroscopic repair of the rotator cuff?. J Bone Joint Surg Br 2010;98:1112–7.
Gumina S, Arceri V, Carbone S, Albino P, Passaretti D, Campagna V, et al. The association between arterial hypertension and rotator cuff tear:The influence on rotator cuff tear sizes. J Shoulder Elbow Surg 2013;22:229–32.