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Medium-term outcomes of a cohort of revision rotator cuff repairs.
- Source :
- Journal of Shoulder & Elbow Surgery; Jul2020, Vol. 29 Issue 7, p1346-1352, 7p
- Publication Year :
- 2020
-
Abstract
- There are limited medium- and long-term studies investigating clinical outcomes following revision rotator cuff surgery. The aim of the current study was to analyze the medium-term pain and functional outcomes of a cohort of revision rotator cuff repairs. This was a multicenter, prospective cohort study of revision rotator cuff repairs undertaken between March 2009 and December 2010. Pain, function (Flex-SF), and postoperative data were collected at baseline; 6, 12, and 24 months; and 5 years. A total of 125 revision rotator cuff repairs were included in this study. Average improvement in Flex-SF and pain from baseline to 5 years was 8.5 (P <.001) and 2.1 points, respectively (P <.001). The improvement was not as pronounced as those who underwent primary repair. Significantly lower pain scores were seen in nonsmokers (P <.001) and in those who underwent tenotomy rather than tenodesis (2 vs. 3.5, P <.05) for a damaged long head of biceps. Significantly higher function scores were seen in those with only 1 tendon involved (P <.05). The patient-reported retear rate was 32.6%, and the reoperation rate was 34.7%. Revision rotator cuff repair provides significant improvement in both pain and function at 5 years postoperation, though not as good as primary repair. Superior clinical outcomes are seen in nonsmokers, those with only 1 tendon affected, and those who undergo tenotomy instead of tenodesis for a damaged long head of biceps tendon. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 10582746
- Volume :
- 29
- Issue :
- 7
- Database :
- Supplemental Index
- Journal :
- Journal of Shoulder & Elbow Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 143783247
- Full Text :
- https://doi.org/10.1016/j.jse.2019.12.011