2021 ISAKOS Biennial Congress ePoster
Do Psychosocial Factors Affect Outcomes After Arthroscopic Rotator Cuff Repair?
Maxime Antoni, MD, Brunstatt FRANCE
Clément Dujeux, MD, Caen FRANCE
Charles Thery, MD, Strasbourg FRANCE
Philippe Clavert, MD, PhD, Strasbourg FRANCE
Shoulder and Elbow Surgery Unit - Strasbourg University Hospital, Strasbourg, FRANCE
FDA Status Cleared
Summary
Influence of psychosocial conditions on outcomes after arthroscopic rotator cuff repair
ePosters will be available shortly before Congress
Abstract
Introduction
Few data are available about the influence of psychosocial disorders like depression or anxiety on outcomes after rotator cuff repair, in contrast to other kind of surgical operations on which a negative impact has been demonstrated.
The aim of this study was to evaluate the influence of psychosocial disorders on clinical outcomes and tendon healing after arthroscopic rotator cuff repair.
MATERIALS AND METHOD
Patients operated from a distal supraspinatus tear at our institution between 2012 and 2018 were included retrospectively.
Two groups were constituted depending on the presence of psychosocial disorders (depression, anxiety, …) and compared regarding clinical outcomes (Constant score and shoulder range of motion) at each medical consultation (6 weeks, 3 months, 6 months, 1 year) and tendon healing (on CT-scan or MRI) at 1 year.
No difference was noted between the 2 groups compared regarding age, history of cardiovascular disease, diabetes mellitus, smoking, preoperative Constant score or preoperative shoulder range of motion.
Threshold for statistical significance was set at p=0.05.
Results
219 patients, mean age 54.5 (40-69) years old, were included.
38/219 (17%) patients had an history of psychosocial disorder and 181/219 (83%) did not.
Clinical outcomes (Constant score, anterior elevation and external rotation) were lower in the group of patients with a history of psychosocial disorders at 6 weeks, 3 months, 6 months and 1 year but the difference reached statistical significance only for anterior elevation at 3 months (-13°) (p=0.046).
No difference was found between the 2 groups regarding tendon healing at 1 year (respectively 85.7% in group with psychosocial disorders and 92.9% in group without psychosocial disorders, p=0.181).
No difference was found between the 2 groups regarding the onset of postoperative adhesive capsulitis (respectively 0% in group with psychosocial disorders and 3.4% in group without psychosocial disorders, p=0.59).
Conclusion
A history of psychosocial disorders had a limited influence on clinical outcomes and no influence on tendon healing after arthroscopic distal supraspinatus repair in our experience.