Tag Archive for: Shoulder

Long-Term Outcomes Following Synthetic Patch Augmentation to Treat Rotator Cuff Tears

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Vol 9 | Issue 1 | January-June 2023 | page: 01-04 | Florian Hess, JoEllen Welter, Laurenz Jaberg

DOI: https://doi.org/10.13107/ti.2023.v09.i01.031

Authors: Florian Hess [1], JoEllen Welter [1], Laurenz Jaberg [2]

[1] Department of Orthopaedic Surgery and Traumatology, Cantonal Hospital Frauenfeld, Frauenfeld, Switzerland.

[2] Department of Orthopaedic Surgery, Clinica Ars Medica, Gravesano, Switzerland.

Address of Correspondence

Dr. Florian Hess,

Department of Orthopaedic Surgery and Traumatology Cantonal Hospital Frauenfeld, Frauenfeld, Switzerland.

E-mail: florian.hess@stgag.ch

Abstract

Background: Treatment of massive rotator cuff (RC) tears can result in re-rupture rates up to 94%, and some studies have detected re-ruptures occurring 3.5 years postoperatively. This study aimed to compare long-term clinical outcomes, measured at two time points, after massive RC tears with patch augmentation.

Methods: We performed 58 arthroscopic RC reconstructions augmented with a synthetic polyester patch between 2012 and 2014. 50 patients were available for long-term follow-up one and five years after surgery. We compared clinical outcomes (Constant-Murley score (CS) and subjective shoulder value (SSV)) to assess if the results were sustained over time.

Results: 86% (50/58) of the patients were assessed at the one- and five-year follow-up visits. The median CS one year postoperative reached 84 (interquartile range 76.5-90), and SSV was 95 (IQR 82.5-100). The median CS five years after surgery was 85 (IQR 81.5-91.5) and SSV was 95 (IQR 85-100). The clinical improvement between postoperative years one and five was statistically significant for CS (p=0.0013) and SSV (p<0.0001).

Conclusions: Rotator cuff repair with polyester patch augmentation achieved good clinical outcomes over the long term. Clinical improvement continued over time, with slightly more favorable results measured at the five-year follow-up visits.

Keywords: Massive rotator cuff tears, Augmentation, Patch, Shoulder, Arthroscopy

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How to Cite this article: Hess F, Welter J, Jaberg L | Long-term Outcomes Following Synthetic Patch Augmentation to Treat Rotator Cuff Tears | January-June 2023; 9(1): 01-04 | https://doi.org/10.13107/ti.2023.v09.i01.031

 

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Is the Nomenclature of Massive Rotator Cuff Tear Used Correctly? Systematic Review

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Vol 8 | Issue 1 | January-June 2022 | page: 06-10 | Alper Deveci, Hakan Dur, Erkan Alkan

DOI: 10.13107/ti.2022.v08i01.022

Authors: Alper Deveci [1], Hakan Dur [1], Erkan Alkan [1]

[1] Department of Orthopaedics and Traumatology, Faculty of Medicine, Yuksek Ihtisas University, Ankara, Turkey.

Address of Correspondence

Dr. Alper Deveci,
Department of Orthopaedics and Traumatology, Faculty of Medicine, Yuksek Ihtisas University, Ankara, Turkey.
E-mail: alperdeveci57@gmail.com

Abstract

Background:  The term massive refers to a quantitative measure of the rotator cuff tears. Irreparable rotator cuff tear is indicated by ratings that qualitatively evaluate the repairability of the tendon. These two terms should be considered separately.

Methods: Between 2016 and 2022, publications in the last about 5 years were searched from Pubmed and MEDLINE online databases. The search terms (irreparable OR massive) AND (rotator cuff tear), (repairable OR massive) AND (rotator cuff tear), (massive OR retracted) AND (rotator cuff tear), (irreparable OR retracted) AND (rotator cuff tear) ”were used. For each search term, it was checked whether the title of the search term was mentioned in the title of the article, and whether the title and the content were compatible in the studies in which the searched term was mentioned in the title.

Results: Of the 934 scanned articles, 69 of them were evaluated in terms of study title and material-method compatibility. 22 articles with the term “massive rotator cuff tear” in the title were identified. It was seen that in 11 of these 22 articles (50%), the title and the material method were compatible and in 11 of them (50%) the title and the content were incompatible, and the term “massive” was used instead of the term “irreparable”.

Conclusions: We see that most of the studies on massive tears were actually done to emphasize irreparable tears. Since most of the massive tears are repairable, the quality feature of massive tears, which are in the group that poses a problem, as irreparable rotator cuff tear or massive irreparable rotator cuff tear should be emphasized.

Keywords: Rotator cuff tears, Shoulder, Arthroscopy, Ireparable, Massive

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How to Cite this article: Deveci A, Dur H, Alkan E | Is the Nomenclature of Massive Rotator Cuff Tear Used Correctly? Systematic Review | January-June 2022; 8(1): 06-10.

 

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