engleski

Is it necessary to do the subacromial decompression for the arthroscopic repair of the rotator cuff ?

Introduction: Subacromial decompression is an integral part of an open repair of the rotator cuff. The use of an arthroscopic device in the subacromial space significantly changed the attitude toward subacromial decompression. Material and methods: In the SH Akromion in a period of 3.5 years we performed 326 arthroscopic repair of the rotator cuff. There were 271 full- thicknes and 55 partial tears.The average age was 58 years (23-81). There were 196 male and 136 women. Subacromial decompression was performed in 125 patients (38%) of which 101 patients with full-thicknes tears (34%) and in 24 patients with partial tears (44%). The indications for the performing of the subacromial decompresion were damage of the lower part of the acromion and coracoacromial ligament seen intraoperatively. Results: The intraoperative complications included the problem of pulled-out anchors from bone and anchor thread rupture. In the early postoperative period there were a few inflammatory reaction around the anterior arthroscopic portal. Six patients had reruptured cuff where there was performed the re-operation. There was not any difference in terms of shoulder function in those patients who underwent subacromial decompression and those for which has not been done this kind of procedure. Conclusion: The authors recommend subacromial decompression only in those patients in whom there is visible damage to the coracoacromial ligament and in whom there is damaged the lower surface of the acromion.

subacromial decompression; rotator cuff reconstruction

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