engleski

Arthroscopic rotator cuff repair in Akromion Hospital

Purpose of the study: Rotator cuff tears are common lesion of the shoulder. We evaluated two groups of patients who underwent arthroscopic rotator cuff repair for partial supraspinatus tear and full-thickness tears with or without acromioplasty. Methods: Arthroscopic rotator cuff repair was performed in 422 patients from 2008 to 2012. Arthroscopic rotator cuff repair - with or without acromioplasty – was done in 350 (83%) patients with full-thickness tears ; 197 women, 225 men, mean age 61 years (23-81 years). The average follow-up was 36 months. Acromioplasty in combination with rotator cuff repair was done in 158 patients (37%). Partial rotator cuff tears were treated by arthroscopic repair in 72 patients ; 33 women, 39 men, mean age 36 years (32-79 years) with or without acromioplasty. The average follow-up was 36 months. Partial thickness supraspinatus tears were classified intraoperatively according to Habermeyer. Twenty-four patients underwent acromioplasty in combination with suture anchor technique repair. Results: There were no intraoperative complications. One patient with partial tear had a mild inflammatory reaction around the anterior portal in the early postoperative period. One patient had a supraspinatus tendon retear, and he underwent a second tendon reconstruction procedure. Five patients with full-thickness tears had retears and they underwent for arthroscopic revision. Conclusion: Arthroscopic rotator cuff repair improved outcomes with regard to pain and shoulder function. Patient with partial supraspinatus tears had better functional results. Acromioplasty has no influence on the final functional result.

Rotator cuff repair; arthroscopy; shoulder

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