Shoulder revision repair surgery not as successful two years later, say researchers

March 15, 2014

Long-term outcomes of revision arthroscopic rotator cuff repair surgery is not as successful as in a first-time surgery, according to researchers from the Orthopaedic Research Institute in Sydney, Australia, who are presenting their work today at the American Orthopaedic Society for Sports Medicine's (AOSSM) Specialty Day.

"According to our results, with revision arthroscopic had gained short term (six months post operatively) functional and clinical improvements. However, these gains pretty much disappeared by two years following surgery," said lead researcher, Aminudin Mohamed Shamsudin, MD, M.Medicine (Ortho) from the Orthopaedic Research Institute in Sydney, Australia.

Shamsudin and his team analyzed and followed-up with 360 arthroscopic rotator cuff surgery patients where they compared the functional and clinical outcomes of 310 primary cases with that of 50 revision cases. The revision group patients were older with a mean age of 63 while the primary group patients had a mean age of 60. The primary group also had a larger rotator cuff tear on average. Two years after surgery the primary group reported less pain at rest, during sleep and with overhead activity compared to the revision group. At two years, the primary group also had better forward flexion, abduction, internal rotation and strength compared to the revision group. The re-tear rate for the primary rotator cuff repair was 16 percent at six months and 21 percent at two years. The re-tear rate for the revision rotator cuff repair was 28 percent at six months and 40 percent at two years. The increase in re-tear rate in the revision group at two years was associated with increased pain, impaired overhead function and less overall satisfaction with shoulder function.

"Further studies are needed to identify ways to improve long-term outcomes following revision arthroscopic rotator cuff surgery. However, our results do highlight the long-term success of primary rotator cuff surgery and may help patients understand the realistic expectation of the outcomes of revision arthroscopic rotator cuff surgeries," said Shamsudin.

Explore further: Successful outcomes for most failed rotator cuff repairs

Related Stories

Successful outcomes for most failed rotator cuff repairs

January 29, 2014
(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 ...

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 ...

Research aims to improve repair of rotator cuff injuries

March 10, 2014
Rotator cuff tears are among the most common orthopedic injuries suffered by adults in the United States, due to wear and tear or the effects of age. With a 94 percent failure rate for surgical repairs of large tears in older ...

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.