Rotator cuff repair. Long-term results - 01/01/03
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Résumé |
Objectives. - To evaluate the results of rotator cuff repair and to look for preoperative and/or intraoperative predictors of long-term outcomes.
Patients and methods. - All patients who underwent open rotator cuff repair surgery for a full-thickness tear between 1990 and 1996 and who were subsequently followed-up for at least 4 years were contacted. The surgical technique and postoperative rehabilitation program were standardized. We recorded factors potentially associated with outcomes (age, sex, dominant hand, pain, symptom duration, and active range-of-motion limitation).
Results. - Of the 56 patients identified, 26 men and 24 women with a mean age of 58.52 years were included in the study. Mean symptom duration was 12 months (range, 3-48 months). Before surgery, mean active range of motion of the shoulder was 144.6° for forward elevation, 135.2° for abduction, and 39.4° for lateral rotation with the elbow at the side. The size of the tear measured during surgery was 1-5 cm. Mean time to recovery of shoulder power (75% of the value before the tear) as assessed by the patients was 10 months. After a mean follow-up of 6 years, a significant reduction in pain was noted (from 2.18/3 to 0.98/3; P < 0.001), although two-thirds of the patients reported occasional pain. Six patients were dissatisfied. Range of motion had improved in one-fourth of the patients. Constant's score after surgery was 65/100. Persistent difficulty in taking objects down from high shelves was noted. None of the preoperative or intraoperative factors studied predicted the long-term outcomes.
Conclusion. - In this series of patients, rotator cuff repair reduced pain severity. Nearly a year was needed to achieve the final result. Only a minority of patients experienced an improvement in range of motion.
Mots clés : Shoulder ; Rotator cuff ; Abduction ; Strength.
Plan
Vol 70 - N° 4
P. 271-275 - août 2003 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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