Integrity & Functional Outcome after Massive Rotator Cuff Repair in Double Row Repair Manner: A Prospective Study.
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2023, Vol 35, Issue 01
Abstract
Objective: To assess the efficacy of shoulder cuff restoration by means of arthroscopic repair in dual row repair fashion and demonstrate 30 months practical result using a scoring system based on modified American Shoulder & Elbow Score System (ASES) Materials And Methods: This is a descriptive cross-sectional study and includes 23 patients who underwent repair of massive rotator cuff tears in double row manner arthroscopically. Study was carried out at Liaquat National Hospital during January 2018 June 2019 at orthopedics department. The clinical evaluation was done by the operative surgeon on the patients reported for surgery in outpatient department pre-operatively and then at follow up postoperatively at 6 weeks, 3 months, 6 months ,1 year and final evaluation done on average of 30 months. Preoperative and postoperative functional evaluation done and compared by assessing the function on basis of a scoring system based on modified ASES score Results: The average functional outcome scores based on Patient Self Assessed Questionnaire improved significantly at the time of the final follow-up (p < 0.01). 12 months postoperatively, repair integrity was assessed by magnetic resonance imaging, which revealed that 16 patients had a type-I repair; 2 patients had a type II repair, while only 1 patient had type III repair. As per this study Re tear rate was 5% for large and massive tears. The shoulders with a type-III repair demonstrated significantly inferior functional outcome in terms of overall scores and strength compared with the other types of repairs (p< 0.01). Conclusion: In this study, we found arthroscopic double row repair technique is an effective procedure in terms of massive rotator cuff tears repair with very little risk of re-tear and significant improvement in functional activities.
Authors and Affiliations
Arsalan Ahmed Abro1, Muhammad Sufyan2, Matiullah Shah3, Muhammad Mairaj Khan4, Kazim Rahim Najjad5, Syed Kamran Ali Shah6, Hifza Bashir7
Keywords
Related Articles
- EP ID EP740915
- DOI -
- Views 21
- Downloads 0
Outcome of Mid 1/3rd Clavicular Fracture After Open Reduction and Internal Fixation
To assess functional outcome after open reduction and internal fixation of clavicaular fractures Methods: This is a prospective cohort study of ORIF (Open reduction and internal fixation) of middle 1/3rdclavicular fra...
Embracing Cultural Sensitivity in Pediatric Orthopedic Care in Pakistan
The healthcare landscape in Pakistan is as complex as its rich cultural tapestry. For pediatric orthopedic conditions, cultural beliefs and practices significantly influence medical decisions. This editorial emphasizes...
Is Medial Approach better than posterior approach for open Reduction & Internal Fixation of Supracondylar Fractures of Humerus in Children?
Objectives: The aim of this study is to find that whether the medial surgical approach is beneficial to patients in term of radiological and functional outcome as compared to posterior approach for open reduction & inter...
Outcome of Segment Transport by Ilizarov Fixation in Case of Bone Loss in Tibia
Objective: To assess the functional and radiological outcome of segmental transport by Ilizarov fixation in case of bone loss in tibia. Methods: This descriptive study was conducted at King Abdullah Teaching Hospital,...
Vitamin D deficiency in Pakistani Population
To see the serum vitamin D levels in general population in the province of Punjab. Study design: Observational study. Place and Duration of Study: Multi centre study conducted at Shaik Zayed Hospital/College, Rahim...