Results of single row versus double row arthroscopic repair in massive rotator cuff tear
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 3
Abstract
Introduction: Rotator cuff disease is a painful condition with a multifactorial aetiology in which severe or chronic impingement of the rotator cuff tendons on the under- surface of the coracoacromial arch is often a significant factor. Although not a life-threatening condition, RC tears may cause significant pain, weakness, and limitation of motion. A shoulder disorder can increase functional dependency in the elderly due to difficulties in completing activities of daily living and in young it causes absenteeism from work, decreased productivity and consequential socioeconomic loss. In recent years, arthroscopy is gaining a steady popularity among Indian orthopaedic surgeons. While more complete arthroscopic or arthroscopic-assisted rotator cuff repairs are done day by day, the literature on this subject is relatively sparse. We undertook the present study to evaluate functional outcome of total arthroscopic repair of rotator cuff tear using UCLA and ASES scores at Government Institute. Aim: This study was carried out to assess the results in terms of functional outcome and patient satisfaction of arthroscopic repair of rotator cuff tear. Materials and Methods: “Results of single row versus double row arthroscopic repair in massive rotator cuff tear” is a prospective cohort study conducted for 30 months from July 2015 to December 2017, on 30 patients admitted and operated for rotator cuff tear at Civil Hospital Ahmedabad affiliated to B J Medical College. The functional outcome was assessed by two scoring systems: UCLA (University of California at Los Angeles) [12, 13, 14] and ASES (American Shoulder and Elbow Surgeon) scores [15] and constant Murley score. Results and Discussion: In our study, we have included only arthroscopically operated rotator cuff tears. Comparison with open, miniopen approaches is thus not possible. We have found 100% success rates in terms of improvement in UCLA, ASES and Constant scores. Mean preop UCLA scores (8.53), Ases (9.91) and Constant (9.83) scores were improved upto UCLA (30.63), ASES (76.98) and Constant (86.9) at end of 12 months follow-up. In our study we have compared results of single row and double row techniques using functional outcome, surgical time and expence. We have compred our results with BMC review conducted by Tudisco et al. Conclusion: In current orthopaedics practice, arthroscopic repair of rotator cuff tear offers excellent results in terms of functional outcome with minimal morbidity.
Authors and Affiliations
Dr. Jay M Patel, Dr. Chirag Chudasama
Keywords
Related Articles
- EP ID EP487536
- DOI 10.22271/ortho.2018.v4.i3c.23
- Views 115
- Downloads 0
Management of complex long bone nonunions using limb reconstruction system
Background: Management of complex nonunions is difficult due to the presence of infection, deformities, shortening and multiple surgeries in the past. Complex nonunions are traditionally managed by Ilizarov fixation. The...
Tuberculous osteoarthritis of the wrist about three observations and review of the literature
Objectives: To determine the therapeutic modalities and to specify the evolution of the treatment of osteo-articular tuberculosis of the wrist. Introduction: Osteoarticular tuberculosis is rare 3 to 5% of all localizatio...
Proximal femoral locking plate: A good alternate in comminuted proximal femoral fractures
Introduction: Intertrochanteric and sub trochanteric fractures account for 50% of all fractures of the proximal femur. Surgical treatment is the preferred method in these fractures to reduce the complications of prolonge...
Evaluation of surgical treatment of inter-condylar humerus fracture with olecranon osteotomy approach
Background: Inter-condylar fracture distal humerus in adults often pose a challenge to orthopaedic surgeons because of the complex anatomy, fracture pattern and limited bone stock of this region. Adequate exposure of the...
Role of locking compression plate (LCP) in periarticular fractures knee
The number of hospitalized patients of peri articular fractures knee joint have been reported to be 32-35% of total trauma patients. The armamentaria of internal fixation devices available for these type of fractures are...