Tear size, general health status and smoking influence functional outcome at 5 years following arthroscopic rotator cuff repair.
| Autor: | Lawson O; Department of Trauma and Orthopaedics, Royal Infirmary of Edinburgh, UK., Nicholson JA; Department of Trauma and Orthopaedics, Royal Infirmary of Edinburgh, UK., Clement ND; Department of Trauma and Orthopaedics, Royal Infirmary of Edinburgh, UK., Rudge W; Department of Trauma and Orthopaedics, Royal Infirmary of Edinburgh, UK., MacDonald DJ; Department of Trauma and Orthopaedics, Royal Infirmary of Edinburgh, UK., McBirnie J; Department of Trauma and Orthopaedics, Royal Infirmary of Edinburgh, UK. |
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| Jazyk: | angličtina |
| Zdroj: | Shoulder & elbow [Shoulder Elbow] 2022 Dec; Vol. 14 (6), pp. 625-634. Date of Electronic Publication: 2021 Oct 04. |
| DOI: | 10.1177/17585732211041637 |
| Abstrakt: | Introduction: There is limited medium-term outcome data regarding the predictors of functional outcome and patient satisfaction after arthroscopic rotator cuff repair. Methods: 287 patients that underwent arthroscopic rotator cuff repair under a high-volume single surgeon were contacted at a minimum of 4 years following surgery. Patient demographics, tear size and co-morbidities were pre-operatively recorded. The Oxford shoulder score, EuroQol 5-dimensional score and patient satisfaction were recorded at final follow-up. Results: 234 (81.5%) patients completed follow-up at a mean of 5.5 (4-9) years. There were 126 males and 108 females with a mean age of 60 (range 25-83) years. The majority of patients ( n = 211, 90%) were satisfied with their final outcome. Multivariate linear regression analysis ( R 2 = 0.64) identified that increasing tear size ( p = 0.04), worsening general health assessed by the EuroQol 5-Dimensional ( p < 0.001), and smoking ( p = 0.049) were associated with a worse Oxford shoulder score. Logistic regression analysis ( R 2 = 0.13) identified that worsening general health assessed by the EuroQol 5-Dimensional ( p < 0.001), and smoking ( p = 0.01) were associated with an increased risk of patient dissatisfaction. Conclusion: General health status and smoking are independent predictors of functional outcome and patient satisfaction at medium-term follow-up following arthroscopic rotator cuff repair. Competing Interests: The authors declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: The senior author (J. McBirnie) has an educational contract with Arthrex and Smith & Nephew. The Department of Orthopaedic Surgery, University of Edinburgh has a Shoulder Fellow funded by Arthrex. (© The Author(s) 2021.) |
| Databáze: | MEDLINE |
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