Functional Outcome in Patients Undergoing Arthroscopic Single Row Repair of Rotator Cuff Tears

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Authors

  • Nitin Wagh
     Associate Professor, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422003, Maharashtra ,IN
  • Adit Maniar
     Former PG Resident, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422003, Maharashtra ,IN
  • Akshay Fuse
     Former PG Resident, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422003, Maharashtra ,IN
  • Aditya Apte
     Former PG Resident, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422003, Maharashtra ,IN
  • Shantanu Bharadwaj
     Former PG Resident, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422003, Maharashtra ,IN

DOI:

https://doi.org/10.18311/mvpjms/2020/v7i1/22845

Keywords:

Arthroscopic, Outcome, Rotator Cuff, Single Row

Abstract

Introduction: Rotator cuff tears is a severely debilitating condition widely prevelant amongst the elderly age group. Timely adequate repair is of utmost importance. Aims and Objectives: To study the functional outcome of arthroscopic single row repair for rotator cuff tears. Materials and Methodology: We enrolled 30 patients of rotator cuff tears. Each patient underwent arthrosocpic single row repair in the lateral position with concomitant sub acromial decompression. Post operative protocol included immobilisation for 6 weeks followed by active assisted range of motion at 6 weeks and strengthening exercises at 3 months. We assessed the patient pre operatively and post operatively at 6 weeks, 3 months and 6 months using Constant Score and Visual analog scale for pain. Results: There was significant improvement at every follow up with mean Constant Score increasing from pre operative to post operative stage at 6 months. According to individual relative Constant Score patients went from a mean of poor to good outcome. Visual analog scale for pain changed from a meanscore of severe to mild at 6 months post operatively. Conclusion: Arthroscopic single row repair is a simple, minimally invasive, cost effective procedure with good functional outcomes and pain relief.

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Published

2021-03-10

Issue

Volume 7, Issue 1, January - June 2020

Section

Original Research Article

 

References

Sher JS, Uribe JW, Posada A, Murphy BJ, Zlatkin MB. Abnormal findings on magnetic resonance images of asymptomatic shoulders. J Bone Joint Surg Am. 1995 Jan; 77(1):10–5. PMid: 7822341. https://doi.org/10.2106/00004623-199501000-00002

Tempelhof S, Rupp S, Seil R. Age-related prevalence of rotator cuff tears in asymptomatic shoulders. J Shoulder Elbow Surg. 1999 Jul-Aug; 8(4):296–9. https://doi.org/10.1016/S1058-2746(99)90148-9

Lehman C, Cuomo F, Kummer FJ, Zuckerman JD. The incidence of full thickness rotator cuff tears in a large cadaveric population. Bull Hosp Jt Dis.1995; 54(1):30–1.

Dahm DL. Controversy remains regarding the optimal technique for arthroscopic rotator cuff repair: Commentary on an article by Peter L.C. Lapner, MD, FRCSC, et al.: "A multicenter randomized controlled trial comparing single row with double-row fixation in arthroscopic rotator cuff repair". J Bone Joint Surg Am. 2012 Jul 18; 94(14):e106. PMid: 22810413. https://doi.org/10.2106/JBJS.L.00525

Yian EH, et al. The Constant Score in normal shoulders. J Shoulder Elbow surg. 2005 Mar-Apr; 14(2):128–33. PMid: 15789004. https://doi.org/10.1016/j.jse.2004.07.003

Fialka C, Oberleitner G, Stampfl P, Brannath W, Hexel M, Vécsei V. Modification of the Constant-Murley shoulder score-introduction of the individual relative. Constant Score Individual shoulder assessment. Injury. 2005 Oct; 36(10):1159–65. PMid: 16214462. https://doi.org/10.1016/j.injury.2004.12.023

Fabre T, Piton C, Leclouerec G, Gervais-Delion F, Durandeau A. Entrapment of the suprascapular nerve.

J Bone Joint Surg Br. 1999 May; 81(3):414–9. https://doi.org/10.1302/0301-620X.81B3.0810414

Bodian CA, Freedman G, Hossain S, Eisenkraft JB, Beilin Y. The visual analog scale for pain: Clinical significance in postoperative patients. Anesthesiology. 2001 Dec; 95(6):1356–61. PMid: 11748392. https://doi.org/10.1097/00000542-200112000-00013

Sauerbrey AM, Getz CL, Piancastelli M, Iannotti JP, Ramsey ML, Williams GR Jr. Arthroscopic versus mini-open rotator cuff repair: A comparison of clinical outcome. Arthroscopy. 2005 Dec; 21(12):1415–20. PMid: 16376228. https://doi.org/10.1016/j.arthro.2005.09.008

Verma NN, Dunn W, Adler RS, Cordasco FA, Allen A, MacGillivray J, Craig E, Warren RF, Altchek DW. Allarthroscopic versus mini-open rotator cuff repair: A retrospective review with minimum 2-year follow-up.

Arthroscopy. 2006 Jun; 22(6):587–94. PMid: 16762695. https://doi.org/10.1016/j.arthro.2006.01.019

Gazielly DF, Gleyze P, Montagnon C. Functional and anatomical results after rotator cuff repair. Clin Orthop Relat Res. 1994 Jul; (304):43–53. https://doi.org/10.1097/00003086-199407000-00009

Jost B, Pfirrmann CW, Gerber C, Switzerland Z. Clinical outcome after structural failure of rotator cuff repairs. J Bone Joint Surg Am. 2000 Mar; 82(3):304–14. PMid: 10724223. https://doi.org/10.2106/00004623-20000300000002

Goutallier D, Postel JM, Bernageau J, Lavau L, Voisin MC. Fatty muscle degeneration in cuff ruptures. Pre- and postoperative evaluation by CT scan. Clin Orthop Relat Res. 1994 Jul; (304):78–83. https://doi.org/10.1097/00003086199407000-00014

Lorbach O, Bachelier F, Vees J, Kohn D, Pape D. Cyclic loading of rotator cuff reconstructions: Single-row repair with modified suture configurations versus double-row repair. Am J Sports Med. 2008 Aug; 36(8):1504–10. PMid: 18296541. https://doi.org/10.1177/0363546508314424

Xu C, Zhao J, Li D. Meta-analysis comparing single-row and double-row repair techniques in the arthroscopic treatment of rotator cuff tears. J Shoulder Elbow Surg. 2014 Feb; 23(2):182–8. PMid: 24183478. https://doi.org/10.1016/j.jse.2013.08.005

Dahm DL. Controversy remains regarding the optimal technique for arthroscopic rotator cuff repair: Commentary on an article by Peter L.C. Lapner, MD, FRCSC, et al. "A multicenter randomized controlled trial comparing singlerow with double-row fixation in arthroscopic rotator cuff repair". J Bone Joint Surg Am. 2012 Jul 18; 94(14):e106. PMid: 22810413. https://doi.org/10.2106/JBJS.L.00525

Chen M, Xu W, Dong Q, Huang Q, Xie Z, Mao Y. Outcomes of single-row versus double-row arthroscopic rotator cuff repair: A systematic review and meta-analysis of current evidence. Arthroscopy. 2013 Aug; 29(8):1437–49. PMid: 23711754. https://doi.org/10.1016/j.arthro.2013.03.076

Prasathaporn N, Kuptniratsaikul S, Kongrukgreatiyos K. Single-row repair versus double-row repair of fullthickness rotator cuff tears. Arthroscopy. 2011 Jul; 27(7):978–85. PMid: 21693349. https://doi.org/10.1016/j.arthro.2011.01.014

Millett PJ, Warth RJ, Dornan GJ, Lee JT, Spiegl UJ. Clinical and structural outcomes after arthroscopic single-row versus double-row rotator cuff repair: A systematic review and meta-analysis of level I randomized clinical trials. J Shoulder Elbow Surg. 2014 Apr; 23(4):586–97. PMid: 24411671. https://doi.org/10.1016/j.jse.2013.10.006

Sheibani-Rad S, Giveans MR, Arnoczky SP, Bedi A. Arthroscopic single-row versus double-row rotator cuff repair: A meta-analysis of the randomized clinical trials. Arthroscopy. 2013 Feb; 29(2):343–8. PMid: 23369480. https://doi.org/10.1016/j.arthro.2012.11.019

Jin-Young Parl, et al. Comparisons of the clinical outcomes of single- and double-row repairs in rotator cuff tears. American Journal of Sports Medicine.2008 Jul; 36(7):1310–6. PMid: 18413680. https://doi.org/10.1177/0363546508315039

Robertson TA. et al. Predictors of early complications after rotator cuff repair. Techniques in Shoulder and Elbow Surgery. 2016; 17(2):88–92. https://doi.org/10.1097/BTE.0000000000000082