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Arthroscopic vs mini-open rotator cuff repair. A quality of life impairment study

International Orthopaedics volume 34, pages 389–394 (2010)Cite this article

Abstract

We compared the clinical and quality of life related outcome of rotator cuff repair performed using either a mini-open or an arthroscopic technique for rotator cuff tears of less than 3 cm. The records of 64 patients who underwent rotator cuff repair between September 2003 and September 2005 were evaluated. Thirty-two patients underwent a mini-open rotator cuff repair, and 32 patients underwent an arthroscopic rotator cuff repair. The mean follow-up period was 31 months in the mini-open group and 30.6 months in the arthroscopic group (P > 0.05). The UCLA rating system, range of motion examination and the self-administered SF-36 used for postoperative evaluation showed a statistically significant improvement from the preoperative to the final score for both groups (P < 0.05). No statistically significant difference in the total UCLA scores was found when comparing the two repair techniques (P > 0.05). This study suggests that there is no difference in terms of subjective and objective outcomes between the two surgical procedures studied if patients have rotator cuff tears of less than 3 cm.

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References

  1. MacDermid JC, Holtby R, Razmjou H, Bryant D (2006) All-arthroscopic versus mini-open repair of small or moderate-sized rotator cuff tears: a protocol for a randomized trial [NCT00128076]. BMC Musculoskelet Disord 7:25. doi:10.1186/1471-2474-7-25

    Article  PubMed  Google Scholar 

  2. Mohtadi NG, Hollinshead RM, Sasyniuk TM, Fletcher JA, Chan DS, Li FX (2008) A randomized clinical trial comparing open to arthroscopic acromioplasty with mini-open rotator cuff repair for full-thickness rotator cuff tears: disease-specific quality of life outcome at an average 2-year follow-up. Am J Sports Med 36:1043–1051

    Article  PubMed  Google Scholar 

  3. Codman EA (1984) The shoulder: rupture of the supraspinatus tendon and other lesions in or about the subacromial bursa, reprint ed. Robert E Krieger, Malabar, FL

  4. Bigliani LU, Cordasco FA, McIlveen SJ, Musso ES (1992) Operative treatment of failed repairs of the rotator cuff. J Bone Joint Surg Am 74:1505–1515

    CAS  PubMed  Google Scholar 

  5. Motycka T, Kriegleder B, Landsiedl F (2001) Results of open repair of the rotator cuff–a long-term review of 79 shoulders. Arch Orthop Trauma Surg 121:148–151

    Article  CAS  PubMed  Google Scholar 

  6. Ellman H, Hanker G, Bayer M (1986) Repair of the rotator cuff. End-result study of factors influencing reconstruction. J Bone Joint Surg Am 68:1136–1144

    CAS  PubMed  Google Scholar 

  7. American Academy of Orthopaedic Surgeons (1965) Joint motion: method of measuring and recording. Elsevier, Chicago, IL

  8. Ware JE Jr (1987) Standards for validating health measures: definition and content. J Chronic Dis 40:473–480

    Article  PubMed  Google Scholar 

  9. Ware JE Jr, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30:473–483

    Article  PubMed  Google Scholar 

  10. Baysal D, Balyk R, Otto D, Luciak-Corea C, Beaupre L (2005) Functional outcome and health-related quality of life after surgical repair of full-thickness rotator cuff tear using a mini-open technique. Am J Sports Med 33:1346–1355

    Article  PubMed  Google Scholar 

  11. Frost A, Zafar MS, Maffulli N (2009) Tenotomy versus tenodesis in the management of pathologic lesions of the tendon of the long head of the biceps brachii. Am J Sports Med 37:828–833

    Article  PubMed  Google Scholar 

  12. Kang L, Henn RF, Tashjian RZ, Green A (2007) Early outcome of arthroscopic rotator cuff repair: a matched comparison with mini-open rotator cuff repair. Arthroscopy 23:573–582

    PubMed  Google Scholar 

  13. Pearsall AW 4th, Ibrahim KA, Madanagopal SG (2007) The results of arthroscopic versus mini-open repair for rotator cuff tears at mid-term follow-up. J Orthop Surg 2:24. doi:10.1186/1749-799X-2-24

    Article  Google Scholar 

  14. Gartsman GM, Brinker MR, Khan M (1998) Early effectiveness of arthroscopic repair for full-thickness tears of the rotator cuff: an outcome analysis. J Bone Joint Surg Am 80:33–40

    Article  CAS  PubMed  Google Scholar 

  15. Beaton D, Richards RR (1998) Assessing the reliability and responsiveness of 5 shoulder questionnaires. J Shoulder Elbow Surg 7:565–572

    Article  CAS  PubMed  Google Scholar 

  16. Gay RE, Amadio PC, Johnson JC (2003) Comparative responsiveness of the disabilities of the arm, shoulder, and hand, the carpal tunnel questionnaire, and the SF-36 to clinical change after carpal tunnel release. J Hand Surg [Am] 28:250–254

    Article  Google Scholar 

  17. MacDermid JC, Ramos J, Drosdowech D, Faber K, Patterson S (2004) The impact of rotator cuff pathology on isometric and isokinetic strength, function, and quality of life. J Shoulder Elbow Surg 13:593–598

    Article  PubMed  Google Scholar 

  18. McKee MD, Yoo DJ (2000) The effect of surgery for rotator cuff disease on general health status. Results of a prospective trial. J Bone Joint Surg Am 82-A:970–979

    CAS  PubMed  Google Scholar 

  19. Henn RF 3rd, Kang L, Tashjian RZ, Green A (2008) Patients with workers’ compensation claims have worse outcomes after rotator cuff repair. J Bone Joint Surg Am 90:2105–2113

    Article  PubMed  Google Scholar 

  20. Goradia VK, Mullen DJ, Boucher HR, Parks BG, O’Donnell JB (2001) Cyclic loading of rotator cuff repairs: A comparison of bioabsorbable tacks with metal suture anchors and transosseous sutures. Arthroscopy 17:360–364

    CAS  PubMed  Google Scholar 

  21. Craft DV, Moseley JB, Cawley PW, Noble PC (1996) Fixation strength of rotator cuff repairs with suture anchors and the transosseous suture technique. J Shoulder Elbow Surg 5:32–40

    Article  CAS  PubMed  Google Scholar 

  22. Kim SH, Ha KI, Park JH, Kang JS, Oh SK, Oh I (2003) Arthroscopic versus mini-open salvage repair of the rotator cuff tear: outcome analysis at 2 to 6 years’ follow-up. Arthroscopy 19:746–754

    PubMed  Google Scholar 

  23. Tauro JC (1998) Arthroscopic rotator cuff repair: analysis of technique and results at 2- and 3-year follow-up. Arthroscopy 14:45–51

    CAS  PubMed  Google Scholar 

  24. Warner JJ, Tetreault P, Lehtinen J, Zurakowski D (2005) Arthroscopic versus mini-open rotator cuff repair: a cohort comparison study. Arthroscopy 21:328–332

    PubMed  Article  Google Scholar 

  25. Cordasco FA, Backer M, Craig EV, Klein D, Warren RF (2002) The partial-thickness rotator cuff tear: is acromioplasty without repair sufficient? Am J Sports Med 30:257–260

    PubMed  Google Scholar 

  26. De Baere T, Dubuc JE, Joris D, Delloye C (2004) Results of arthroscopic acromioplasty for chronic rotator cuff lesion. Acta Orthop Belg 70:520–524

    PubMed  Google Scholar 

  27. Norlin R, Adolfsson L (2008) Small full-thickness tears do well ten to thirteen years after arthroscopic subacromial decompression. J Shoulder Elbow Surg 17:12S–16S

    Article  PubMed  Google Scholar 

  28. Budoff JE, Nirschl RP, Guidi EJ (1998) Debridement of partial-thickness tears of the rotator cuff without acromioplasty. Long-term follow-up and review of the literature. J Bone Joint Surg Am 80:733–748

    CAS  PubMed  Google Scholar 

  29. Goldberg BA, Lippitt SB, Matsen FA 3rd (2001) Improvement in comfort and function after cuff repair without acromioplasty. Clin Orthop Relat Res 390:142–150

    Google Scholar 

  30. McCallister WV, Parsons IM, Titelman RM, Matsen FA 3rd (2005) Open rotator cuff repair without acromioplasty. J Bone Joint Surg Am 87:1278–1283

    Article  PubMed  Google Scholar 

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Affiliations

  1. Unit of Arthroscopy and Sports Trauma Surgery, Hesperia Hospital, Via Arquà 80/b, Modena, Italy

    Leonardo Osti

  2. Department of Orthopaedic and Trauma Surgery, Campus Biomedico University of Rome, Via Alvaro del Portillo 200, Rome, Italy

    Rocco Papalia & Enzo Denaro

  3. Unit of Orthopaedic and Trauma Surgery, Lugo Hospital, Viale Dante 10, 48022, Lugo, Ravenna, Italy

    Massimo Paganelli

  4. Centre for Sports and Exercise Medicine, Barts and The London School of Medicine and Dentistry, Mile End Hospital, 275 Bancroft Road, London, E1 4DG, England

    Nicola Maffulli

Authors
  1. Leonardo Osti
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  2. Rocco Papalia
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  3. Massimo Paganelli
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  4. Enzo Denaro
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  5. Nicola Maffulli
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Correspondence to Nicola Maffulli.

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Osti, L., Papalia, R., Paganelli, M. et al. Arthroscopic vs mini-open rotator cuff repair. A quality of life impairment study. International Orthopaedics (SICOT) 34, 389–394 (2010). https://doi.org/10.1007/s00264-009-0796-z

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  • DOI: https://doi.org/10.1007/s00264-009-0796-z

Keywords

  • Rotator Cuff
  • Rotator Cuff Tear
  • Suture Anchor
  • Rotator Cuff Repair
  • Arthroscopic Repair