Clinical Outcomes and Sturctural Integrity of Rotor Cuff Tears after Arthroscopic Single Row Repair
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2020, Vol 32, Issue 03
Abstract
Aim: To determine the functional and structural outcomes of rotator cuff tears after arthroscopic single row repair with biodegradable suture anchors. Methods: This descriptive study was conducted in Hand & Upper Limb Surgery centre, CMH-Lahore Medical College, Lahore from 3rd January 2016 to 20th August 2019.All patients with rutator cuff tears fulfilling the inclusion criteria were operated arthroscopically with a single row(SR) technique using biodegradable suture anchors. Post operative functional outcomes were assessed at six months follow up with University of California Los Ageles score(UCLA), American Shoulder and Elbow Surgeon score(ASES) and pain assessment with Visual Analogue Scale(VAS).Post operative structural integrity of the rotator cuff was evaluated with ultrasonoghrapic examination. Pearson’s correlation test and Fisher’s exact test were applied to find the significant association between functional outcomes and different demographic variables. P value < 0.05 was considered significant. Results: A total of 40 patients including 36(90%) male and 4(10%) female were included in our study. Mean age at the time of operation was 46.45±13.79 years (range 24-70 years). Right side was involved in 28 (70%) cases and left in 12(30%) patients. Traumatic and degenerative tears were noted in 28(70%) and 12(30%) patients respectively. Mean follow up peroid was 18.1± 6.17 (range 9-31) months. Functional outcomes at final follow up according to UCLA improved from 23.35±7.47 pre operatively to 33.51±1.1 post operatively while ASES score improved from 43.6±4 preoperatively to 70.45±19.87 post operatively.Pre-operative average shoulder pain on VAS was 5.9±0.69 (range 4-8). At last follow up average shoulder pain was 1.95±0.82 range (1-3) with average improvement of 3.95±1.5. Structural integrity on post operative ultrasonoghrapic examination revealed intact rotator cuff in 36 (80%) cases while 8 (20%) cases had re-tear. Conclusion: Arthroscopic single row rotator cuff repair produced excellent functional and structural outcomes and significant pain reduction in majority of our patients. We therefore, recommend this intervention as a suitable treatment option for small to medium size rotator cuff tears.
Authors and Affiliations
Latif Khan1, Col. Khalid Masood2, Kamran Butt3, Karam Rasool Basra4, Belal Saadat5, Khalid Zulfiqar Qureshi6, Muhammad Kashif Shafi7
Keywords
Related Articles
- EP ID EP741538
- DOI -
- Views 58
- Downloads 0
Selective Spinal Fusion for Lenke Type 5C Adolescent Idiopathic Scoliosis: Short Term Radiographic Follow Up.
Objective: To determine the short term radiological outcomes of Lenke type 5C adolescent idiopathic scoliosis in terms of Cobb angle correction and coronal balance after selective posterior segmental spinal instrumentati...
Efficacy of Steroids Injection for The Treatment of Plantar Fasciitis
To evaluated the effect of the steroid injection in the management of pain with plantar fasciitis patients. Methods: This descriptive case series study enrolled 56 patients with symptomatic plantar fasciitis to treat...
An Audit of Implant Failure in Orthopedic Surgery
To determine the causes of orthopedic implants failure, which is being used in our setup for fixation of different fractures. Materials and Methods: The study was conducted at Orthopedic and Spine surgery unit of Haya...
Osteoarthritis & Obesity Grading: Is There an Association?
To find an association between knee osteoarthritis and obesity grading. Methods: A cross sectional study was conducted in 2016 in the OPD of a tertiary care hospital of Karachi, Pakistan. A total of n=140 patients wer...
Pattern of Spine Trauma Presented to Spine Unit of Tertiary Care Hospital
Objective: To present pattern of spine trauma in terms of etiology, age, gender, level of injury, neurological deficit type of treatment given and complications. Methods: This study was performed at Spine Unit, depar...