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Rotator Cuff Arthroscopic Repair in Patients Aged 80 Years or Over


Ignacio Tanoira, MD PhD
ARGENTINA

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Rotator Cuff Arthroscopic Repair in Patients Aged 80 Years or Over

Ignacio Tanoira, MD PhD, ARGENTINA Maximiliano Ranalletta, MD, ARGENTINA Luciano Rossi, PhD, ARGENTINA Bernardo A. Bertona-Altieri, MD, ARGENTINA Guillermina Bruchmann, MD, ARGENTINA Javier E. Sanchez-Saba, MD, ARGENTINA

Hospital Italiano de Buenos Aires, Buenos Aires, ARGENTINA

2019 Congress   Paper Abstract   2019 Congress   Not yet rated

 

Anatomic Location

Shoulder Glenohumeral

Anatomic Structure

Tendon

Diagnosis / Condition

Tears

Diagnosis Method

MRI

Sports Medicine

Practice Management Outcome Studies

Treatment / Technique

Arthroscopy Repair / Reconstruction

Tendon

Subescapular Tendon Injury Supraespinoatus Tendon Injury

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Summary: Satisfactory results in arthroscopic rotator cuff repair in over 80 years old patients

Objective

The purpose of the study was to evaluate the functional postoperative outcome in patients aged 80 years or over undergoing arthroscopic rotator cuff repair.

Material And Method

From June 2004 to March 2016, 50 patients aged 80 years or over, with a mean age of 81,6 years (range, 80 to 87), underwent arthroscopic rotator cuff repair. All patients included had history of unsatisfactory conservative treatment. Thirty eight patients had ASA II score and ASA III in the rest of the series. All patients were treated arthroscopically in beach chair position under interscalene plexus block and general anesthesia. Were used a mean 2 bioabsorbables anchor (range, 1 to 3). The mean follow-up period was 8 years (range, 2 to 13 years). The patients were evaluated in the preoperative and postoperative with UCLA score, Constant score, Quik Dash score and visual analogue scale (VAS) for pain, function, quality of life and satisfaction with the operation.

Results

The mean UCLA score improved from 9,9 points preoperatively to 28,6 postoperatively (p<0.05). The Constant score improve 26,5 point preoperatively to 62,3 postoperatively (p<0.05). The mean Quick Dassh score improved from 52,8 points preoperatively to 13,3 postoperatively (p<0.05). from The VAS for pain improved from 8 (range, 5 to 9 points) to 1,3 (p<0.05). There were not postoperative complications in this series.

Conclusions

In this series arthroscopic rotator cuff repair in patients aged eighty years or over demonstrates significant improvement in clinical outcomes and pain relief.