Outcome of single-tendon rotator cuff repair in patients aged older than 65 years

Autor: Naeder Helmy, Ali Djahangiri, Andrea Cozzolino, Bernhard Jost, Marco Zanetti, Kaspar Rufibach, Christian Gerber
Přispěvatelé: Djahangiri, Ali, Cozzolino, Andrea, Zanetti, Marco, Helmy, Naeder, Rufibach, Kaspar, Jost, Bernhard, Gerber, Christian, University of Zurich
Rok vydání: 2013
Předmět:
Zdroj: Journal of Shoulder and Elbow Surgery. 22:45-51
ISSN: 1058-2746
DOI: 10.1016/j.jse.2012.03.012
Popis: Background: Rotator cuff repairs in patients aged older than 65 years are reported to have a high failure rate. Furthermore, asymptomatic cuff tearing is frequent in this age group, so the value of tendon repair has been questioned. Our aim was to review the results of cuff repair in these patients and to identify factors predicting outcome. Methods: In this study, 58 patients aged older than 65 years with reparable supraspinatus tears underwent primary open (22 patients) or arthroscopic (36 patients) repair. The leading symptom was pain despite nonoperative treatment for at least 6 months. Tendon healing was assessed on ultrasonography. Results: Forty-four shoulders could be reviewed at a mean follow-up of 57 months (range, 24-112 months). Tendon healing was complete in 31 shoulders (70%). The mean Constant score (CS) improved from 49 points (range, 5-74 points) preoperatively to 78 points (range, 23-100 points) at follow-up (P
Databáze: OpenAIRE