Summary: Arthroscopic repair of PTRCT and FTRCT followed by a suture bridge repair technique has provided similar outcomes in Oxford and WORC scores at final follow-up. However, these two different entities should be rehabilitated differently as the PTRCT has shown higher grade of stiffness at week 12 and lower re-tear rates than FTRCT at final follow-up. Therefore, with less risk of re-tear rate, starting

Introduction

The purpose of this study was to compare the functional outcome and retear rate of arthroscopic repair of partial-thickness rotator cuff tear (PTRCT) compared with full-thickness rotator cuff tear (FTRCT) performing the same suture-bridge repair technique.

Methods

A total of 304 patients with FTRCT (242) and PTRCT (62) that required an arthroscopic rotator cuff repair between 2012 and 2020 with completed serial ultrasound examinations at weeks 6, 12 and 26 postoperatively were included. The time point for examination of cuff integrity was six months, chosen on the basis of in vivo animal studies of rotator cuff repair healing process. Functional clinical scores were assessed by Constant score, Western Ontario Rotator Cuff Index (WORC) and Oxford score. Details were retrieved from the Socrates Orthopaedic Outcomes Software database. Surgical procedures were performed by the same experienced senior surgeon (MH). All patients had undergone a suture bridge repair technique.

Results

Statistically significant difference was observed between the mean age of patients (63 years ± 8.29 for FTRCT group and 57 years ± 10.01 for PTRCT p=.001). No differences in the grade of tendinopathy were observed between both groups. Clinical outcomes were significantly improved following arthroscopic repair in both groups, preoperatively scores vs scores at week 26 of all three scores (p=<.001). No differences between preoperatively Total Oxford Score were observed between both groups. Although Oxford usual pain was statistically significantly higher in the PTRCT group (2.82 ±0.8 vs 2.64 ± 0.9 p=<0.05). No differences between total Oxford Score at week 26 were observed between both groups. However, Oxford worst pain at week 26 was statistically significant higher in the PTRCT group (1.38 ±0.79 vs 1.05 ± 0.82 p=<0.05). No differences between preoperatively Constant score were observed between both groups. The Constant score at week 26 reflected statistically significant differences with higher score for FTRCT group (66.58 ±16.34 vs 64.45 ± 17.55 p=<0.05). No differences in WORC scores preoperatively and at week 26 were observed between both groups. However, preoperatively WORC score vs WORC score at week 12 improved in the FTRCT group from 1118 (range 20-2030) to 972 (range 0-1980) and there were no
significant differences in the PTRC group (P=<0.05). Retear rates at weeks 12 and 26 were statistically significantly higher in FTRCT group than in PTRCT group. (17.77% vs 3.23% p=<0.05 at final follow-up)

Conclusion

These results suggested that patients with PTRCT are usually younger, FTRCT and PTRCT have similar preoperatively functional scores but paradoxically, our study showed that PTRCT tends to be more painful than FTRCT. Arthroscopic repair of PTRCT and FTRCT followed by a suture bridge repair technique has provided similar outcomes in Oxford and WORC scores at final follow-up. However, these two different entities should be rehabilitated differently as the PTRCT has shown a higher grade of stiffness at week 12 and lower re-tear rates than FTRCT at final follow-up. Therefore, with less risk of re-tear rate, starting at 4-week following surgery might be a reasonable time-point to begin with an early physiotherapy protocol for PTRCT.

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Effect of Polydeoxyribonucleotide and Polynucleotide on Healing and Fatty Degeneration of Rotator Cuff in Hypercholesterolemic Rat model ePoster Presentation Jung-Taek Hwang, MD, PhD, KOREA, REPUBLIC OF
Histopathology Of Long Head Of Biceps Tendon Removed During Tenodesis Demonstrates Degenerative Histopathology and Not Inflammatory Changes ePoster Presentation Maciej J K Simon, MD, PhD, GERMANY Jane Yeoh, MD, FRCSC, CANADA Michael Nimmo, MD, FRCPC, CANADA William Regan, MD FRCSc, CANADA
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Minimal Clinically Important Difference (MCID) of the Oxford Shoulder Score for Arthroscopic Rotator Cuff Repair at 5 Years Post-Operatively ePoster Presentation Merrill Lee, MBBS, MRCS(Edin), SINGAPORE Khai Cheong Wong, MBChB, MRCS (Eng), SINGAPORE Gek Hsiang Lim, MSc, SINGAPORE Benjamin Fu Hong Ang, MBBS, MRCS, MMed(Orth), FRCS(Orth), SINGAPORE Jerry Chen, MBBS, MRCS(Edin), MMed(Orth), SINGAPORE Paul Chee Cheng Chang, MBBS,FRCS, SINGAPORE Denny T. T. Lie, MBBS, FRCS, FAMS, SINGAPORE
Cuff Plus Procedure for the Treatment of Large to Massive Rotator Cuff Tears ePoster Presentation Francesco De Filippo, MD, ITALY Marcello Motta, MD, ITALY Marco Adriani, MD, ITALY Emanuele Maggini, MD, ITALY Maristella Francesca Saccomanno, MD, PhD, ITALY Giuseppe Milano, Prof., ITALY
Thresholds For Preoperative Opioid Use In Arthroscopic Rotator Cuff Repair That Negatively Influence Postoperative Clinical Outcomes ePoster Presentation Michael Andrew Fox, MD, UNITED STATES Justin James Greiner, MD, UNITED STATES Noel Carlos, MS, UNITED STATES Zachary J Herman, MD, UNITED STATES Nicholas P Drain, MD, UNITED STATES Shaquille Charles, MSc, UNITED STATES Bryson P. Lesniak, MD, UNITED STATES Albert Lin, MD, UNITED STATES
Does Rotator Cuff Tear Morphology Affect Clinical Outcomes Post-Surgical Repair In Large To Massive Tears? ePoster Presentation Mark H.X. Yeo, MBBS, SINGAPORE Shawn Js Seah, MBBS, SINGAPORE Merrill Lee, MBBS, MRCS(Edin), SINGAPORE Denny T. T. Lie, MBBS, FRCS, FAMS, SINGAPORE
Disparities In Access To Operative Management Of Rotator Cuff Tears: A Nationwide Sampling ePoster Presentation Zachary Logan LaPorte, BA, UNITED STATES Nathan J Cherian, MD, UNITED STATES Christopher T Eberlin, BS, UNITED STATES Michael Peter Kucharik, BS, UNITED STATES Kieran Sinclair Dowley, BA, UNITED STATES Kaveh A. Torabian, MS, UNITED STATES Michael C Dean, BA, UNITED STATES Stephen M Gillinov, AB, UNITED STATES Scott D Martin, MD, UNITED STATES
The Effect On Healing Rate of the Addition Of A Bioinductive Implant To A Rotator Cuff Repair. The Results Of A Randomized Controlled Trial in 124 Subjects. ePoster Presentation Miguel Angel Ruiz Iban, MD, PhD, SPAIN Jose Luis Avila Lafuente, MD, SPAIN Miguel Garcia Navlet, MD, SPAIN Raquel Ruiz Díaz, MD, SPAIN Santos Moros, MD, SPAIN Calos Vaquero Comino, MD, SPAIN Gabriel Del Monte Bello, MD, SPAIN Maria Luisa Rosas, MD, SPAIN Ignacio Rus De Rus Aznar, MD, PhD, SPAIN Paul Sierra, MD, SPAIN Jorge Diaz Diaz Heredia, MD, PhD, SPAIN

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Outcome Comparison Between Arthroscopic Repair of Full-Thickness Rotator Cuff Tear and Partial-Thickness Rotator Cuff Tear

Outcome Comparison Between Arthroscopic Repair of Full-Thickness Rotator Cuff Tear and Partial-Thickness Rotator Cuff Tear

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Methods

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Conclusion

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Outcome Comparison Between Arthroscopic Repair of Full-Thickness Rotator Cuff Tear and Partial-Thickness Rotator Cuff Tear

Outcome Comparison Between Arthroscopic Repair of Full-Thickness Rotator Cuff Tear and Partial-Thickness Rotator Cuff Tear

Introduction

Methods

Results

Conclusion

More 2023 ISAKOS Congress Content