Outcome and Structural Integrity of Rotator Cuff after Arthroscopic Treatment of Large and Massive Tears with Double Row Technique: A 2-Year Followup

Purpose. The purpose of this study was to evaluate the functional outcome and the tendon healing after arthroscopic double row rotator cuff repair of large and massive rotator cuff tears. Methods. 82 patients with a full-thickness large and massive rotator cuff tear underwent arthroscopic repair wit...

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Main Authors: Ignacio Carbonel, Angel A. Martínez, Elisa Aldea, Jorge Ripalda, Antonio Herrera
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Advances in Orthopedics
Online Access:http://dx.doi.org/10.1155/2013/914148
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author Ignacio Carbonel
Angel A. Martínez
Elisa Aldea
Jorge Ripalda
Antonio Herrera
author_facet Ignacio Carbonel
Angel A. Martínez
Elisa Aldea
Jorge Ripalda
Antonio Herrera
author_sort Ignacio Carbonel
collection DOAJ
description Purpose. The purpose of this study was to evaluate the functional outcome and the tendon healing after arthroscopic double row rotator cuff repair of large and massive rotator cuff tears. Methods. 82 patients with a full-thickness large and massive rotator cuff tear underwent arthroscopic repair with double row technique. Results were evaluated by use of the UCLA, ASES, and Constant questionnaires, the Shoulder Strength Index (SSI), and range of motion. Follow-up time was 2 years. Magnetic resonance imaging (MRI) studies were performed on each shoulder preoperatively and 2 years after repair. Results. 100% of the patients were followed up. UCLA, ASES, and Constant questionnaires showed significant improvement compared with preoperatively (P<0.001). Range of motion and SSI in flexion, abduction, and internal and external rotation also showed significant improvement (P<0.001). MRI studies showed 24 cases of tear after repair (29%). Only 8 cases were a full-thickness tear. Conclusions. At two years of followup, in large and massive rotator cuff tears, an arthroscopic double row rotator cuff repair technique produces an excellent functional outcome and structural integrity.
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series Advances in Orthopedics
spelling doaj-art-6dfa71fcb2e94dd7900b82e5e76842cb2025-02-03T06:12:07ZengWileyAdvances in Orthopedics2090-34642090-34722013-01-01201310.1155/2013/914148914148Outcome and Structural Integrity of Rotator Cuff after Arthroscopic Treatment of Large and Massive Tears with Double Row Technique: A 2-Year FollowupIgnacio Carbonel0Angel A. Martínez1Elisa Aldea2Jorge Ripalda3Antonio Herrera4Shoulder and Elbow Unit, Department of Orthopaedic and Trauma Surgery, Miguel Servet University Hospital, Zaragoza, SpainShoulder and Elbow Unit, Department of Orthopaedic and Trauma Surgery, Miguel Servet University Hospital, Zaragoza, SpainEmergency Department, Royo Villanova Hospital, Zaragoza, SpainShoulder and Elbow Unit, Department of Orthopaedic and Trauma Surgery, Miguel Servet University Hospital, Zaragoza, SpainDepartment of Orthopaedic and Trauma Surgery, Miguel Servet University Hospital and Department of Orthopaedic Surgery, School of Medicine, University of Zaragoza, Zaragoza, SpainPurpose. The purpose of this study was to evaluate the functional outcome and the tendon healing after arthroscopic double row rotator cuff repair of large and massive rotator cuff tears. Methods. 82 patients with a full-thickness large and massive rotator cuff tear underwent arthroscopic repair with double row technique. Results were evaluated by use of the UCLA, ASES, and Constant questionnaires, the Shoulder Strength Index (SSI), and range of motion. Follow-up time was 2 years. Magnetic resonance imaging (MRI) studies were performed on each shoulder preoperatively and 2 years after repair. Results. 100% of the patients were followed up. UCLA, ASES, and Constant questionnaires showed significant improvement compared with preoperatively (P<0.001). Range of motion and SSI in flexion, abduction, and internal and external rotation also showed significant improvement (P<0.001). MRI studies showed 24 cases of tear after repair (29%). Only 8 cases were a full-thickness tear. Conclusions. At two years of followup, in large and massive rotator cuff tears, an arthroscopic double row rotator cuff repair technique produces an excellent functional outcome and structural integrity.http://dx.doi.org/10.1155/2013/914148
spellingShingle Ignacio Carbonel
Angel A. Martínez
Elisa Aldea
Jorge Ripalda
Antonio Herrera
Outcome and Structural Integrity of Rotator Cuff after Arthroscopic Treatment of Large and Massive Tears with Double Row Technique: A 2-Year Followup
Advances in Orthopedics
title Outcome and Structural Integrity of Rotator Cuff after Arthroscopic Treatment of Large and Massive Tears with Double Row Technique: A 2-Year Followup
title_full Outcome and Structural Integrity of Rotator Cuff after Arthroscopic Treatment of Large and Massive Tears with Double Row Technique: A 2-Year Followup
title_fullStr Outcome and Structural Integrity of Rotator Cuff after Arthroscopic Treatment of Large and Massive Tears with Double Row Technique: A 2-Year Followup
title_full_unstemmed Outcome and Structural Integrity of Rotator Cuff after Arthroscopic Treatment of Large and Massive Tears with Double Row Technique: A 2-Year Followup
title_short Outcome and Structural Integrity of Rotator Cuff after Arthroscopic Treatment of Large and Massive Tears with Double Row Technique: A 2-Year Followup
title_sort outcome and structural integrity of rotator cuff after arthroscopic treatment of large and massive tears with double row technique a 2 year followup
url http://dx.doi.org/10.1155/2013/914148
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