Evaluation of the results of arthroscopic double row rotator cuff repair of isolated lesions
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 1
Abstract
Background: Rotator cuff tears are one of the most common soft tissue injuries. The incidence of full thickness tears of the rotators cuff ranges from 5% to 40% of all cuff tears, and increasing in frequency with age. The double row (DR) rotator cuff (RC) repair technique has been developed to optimize healing biology at RC tendon insertion, by increasing pressurized contact area and mean foot print pressure. Patients and Methods: From 2012 to 2014 forty patients with full thickness rotator cuff tear were selected to undergo arthroscopic DR RC repair. All patients were examined clinically and neurologically after history taking. Plain radiography and MRI were done for all patients. All the operations were done under general anesthesia and in beech chair position. Evaluation of the results of this study based on, the University of California, Los Angeles (UCLA) score and Range of motion (ROM). Secondary outcome measures included a Visual Analogue Scale (VAS) for pain. Results: At the end of two years follow up, the average UCLA score was improved from 12 preoperative to 29.8 postoperative. The average abduction was improved from 90 degrees preoperative to 145 degrees postoperative. Secondary outcome measures showed that average Visual Analogue Scale for pain was 2.8.And Visual Analogue Scale for patients satisfaction was 8.8 at the end of follow up. Conclusion: Arthroscopic double row rotator cuff repair is a procedure with good post-operative functional outcome and low complications rate based on a short term follow-up.
Authors and Affiliations
Ali Towfik Elalfy, Riad Mansour Megahed
Keywords
Related Articles
- EP ID EP502025
- DOI 10.22271/ortho.2017.v3.i1l.121
- Views 109
- Downloads 0
A prospective study on outcome of distal radius fracture treated with external fixation in a tertiary care hospital
Background and objective: Fractures of the distal radius account for 10 to 12% of all the fractures. Fall on outstretched hand being most common cause. Failure to achieve and maintain near anatomic restoration can lead t...
Fixation of choice for diagonally fractures of medial malleolus of ankle
Background: Fixation of alternative for diagonally fractures of medial malleolus was invariably been as debate a most of the days the fragment is simple too little to attain placement of two screw heads. Absolute stabili...
Functional outcome of proximal humerus fracture treated with philos plate
Proximal humerus fractures are the third most common nonvertebral osteoporotic fracture after proximal femur and colles fractures, accounting for >10% of fractures, above the age of 65 years. Wide arrays of techniques ha...
Preoperative assessment and postoperative outcome of total hip replacement in adults with AVN
Introduction: Total hip replacement has been proven to be the treatment of choice for patients with intolerable pain and limitation of movement due to avascular necrosis since many years. The success of total hip replace...
Study of effectiveness of interlocking nail in management of fracture shaft humerus
Background & Objectives: Operative management of humeral shaftfractures can be with plate osteosynthesis or with intramedullary nailing. As the intramedullary nails can be introduced in a closed manner, they preserve the...