Rotator Cuff Surgery: Outcomes - CC Tai 14/11/2000

Outcome of Surgical Repair

Authors

Packer NC, Calvert PT, Bayley JIL, Kessel L

Title

Operative treatment of chronic ruptures of the rotator cuff of the shoulder

Reference

J Bone Joint Surg Br. 1983 Mar; 65(2): 171-5

Summary

63 operative repairs of chronic tears in 61 patients. FU average 32.7 mths. Overall 66 - 71% improvement in term of pain relief, restoration of movement, ability to return to activities or work, and patient satisfaction. Thus worthwhile operation but should include an adequate decompression of the subacromial space.

Critique

Retrospective study. ?? Definition 'chronic'.

Authors

Bigliani LU , Cordasco FA, Mcilveen SJ, Musso ES

Title

Operative repair of massive rotator cuff tears : long term results

Reference

J Shoulder and Elbow Surg. 1992 1: 120-30

Summary

Anterior acromioplasty and torn cuff repaired in all cases (inc.18% Subsca and 14% biceps transfer). 61 patients with average FU 7 yrs. Overall 85% patients had satisfactory results. Adequate pain relief and the ability to raise the arm above the horizontal plane were achieved in 92% patients. Important : adequate decompression, integrity of deltoid and avoid extensive debridement.

Critique

Prospective trial with favourable long term results.



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