Successful outcomes for most failed rotator cuff repairs

January 29, 2014
Successful outcomes for most failed rotator cuff repairs

(HealthDay)—More than half of patients with failed rotator cuff repair have successful outcomes, and the presence of retear negatively affects clinical outcomes, according to two studies published in the Jan. 15 issue of The Journal of Bone & Joint Surgery.

Surena Namdari, M.D., from the Washington University School of Medicine in St. Louis, and colleagues describe outcomes for 61 with failure of structural integrity after rotator cuff surgical repair. A total of 54.1 percent of patients had successful outcomes (American Shoulder and Elbow Surgeons [ASES] score ≥80) and 45.9 percent had unsuccessful outcomes (ASES score <80). The researchers found that 53.6 percent of patients in the unsuccessful cohort and 6.1 percent in the successful cohort reported a labor-intensive occupation. Factors associated with unsuccessful repair included labor-intensive occupation (odds ratio [OR], 202.3); preoperative Simple Shoulder Test (SST) score (OR, 0.50); and preoperative external rotation (OR, 0.91).

H. Mike Kim, M.D., from Penn State Milton S. Hershey Medical Center, and colleagues examined satisfaction with the operated shoulder in a cohort of 180 patients who had been treated with rotator cuff repair. The researchers found that 26 percent of the patients had a retear. For patients in all age categories, satisfaction, ASES, and SST scores were significantly poorer in the retear versus the no-retear group (P < 0.05). Among retear patients, all scores were significantly better among those aged 65 years and older (P < 0.05).

"The presence of a retear negatively affected the following rotator cuff repair," Kim and colleagues write.

One or more of the authors from both studies received payments or services from a third party in support of their work.

Explore further: Few retears after partial-, full-thickness rotator cuff repair

More information: Abstract - Namdari
Full Text (subscription or payment may be required)
Abstract - Kim
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Related Stories

Few retears after partial-, full-thickness rotator cuff repair

June 29, 2012
(HealthDay) -- Retear rates after arthroscopic repair of both partial-thickness and full-thickness rotator cuff tears are low, with no difference in the retear rate or postoperative shoulder stiffness rate for tear thickness, ...

New health economics study highlights long-term benefits of rotator cuff surgery

November 20, 2013
Each year, close to 2 million people in the United States visit their doctor for shoulder pain associated with a rotator cuff injury. Approximately one-third of rotator cuff tears will require surgery, with the remaining ...

Shoulder replacement eases pain, improves motion in rheumatoid arthritis patients, study finds

January 13, 2014
Shoulder arthritis is a common problem for rheumatoid arthritis patients: pain and difficulty moving their arms can grow so severe that daily tasks and sleep become difficult. If medication and physical therapy aren't enough, ...

New surgical 'smart patch' for shoulder injury to be tested

January 3, 2014
An innovative 'surgical patch' that promotes rapid regrowth of tendon tissue could transform the success of shoulder repair operations.

Meniscal repair failure about 23 percent after five years

January 9, 2013
(HealthDay)—The long-term rate of failure after meniscal repair is similar for all techniques, with a pooled rate of 23.1 percent, according to a review published in the Dec. 19 issue of The Journal of Bone & Joint Surgery.

Recommended for you

World's first child hand transplant a 'success'

July 19, 2017
The first child in the world to undergo a double hand transplant is now able to write, feed and dress himself, doctors said Tuesday, declaring the ground-breaking operation a success after 18 months.

Knee surgery—have we been doing it wrong?

July 18, 2017
A team of University at Buffalo medical doctors have published a study that challenges a surgical practice used for decades during arthroscopic knee surgery.

New tools help surgeons find liver tumors, not nick blood vessels

July 17, 2017
The liver is a particularly squishy, slippery organ, prone to shifting both deadly tumors and life-preserving blood vessels by inches between the time they're discovered on a CT scan and when the patient is lying on an operating ...

Researchers discover indicator of lung transplant rejection

July 13, 2017
Research by scientists at Dignity Health St. Joseph's Hospital and Medical Center's Norton Thoracic Institute was published in the July 12, 2017 issue of Science Translational Medicine titled "Zbtb7a induction in alveolar ...

New device could make closing surgical incisions a cinch

July 7, 2017
Like many surgeons, Dr. Jason Spector is often faced with the challenge of securely closing the abdominal wall without injuring the intestines. If the process goes awry, there can be serious consequences for patients, including ...

Success with first 20 patients undergoing minimally invasive pancreatic transplant surgery

June 29, 2017
Surgeons at Johns Hopkins Medicine report that their first series of a minimally invasive procedure to treat chronic pancreas disease, known as severe pancreatitis, resulted in shorter hospital stays, less need for opioids ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.