Partial arthroscopic repair yielded good outcomes for patients with rotator cuff tears
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ATLANTA — Presented results showed patients undergoing partial arthroscopic repair of massive rotator cuff tears had positive long-term clinical and radiological outcomes with minimal complications and low revision rates.
“In some patients, it’s possible to fix massive rotator cuff tears (mRCTs) totally. But in some patients, it’s not possible, and we have the experience that partial repair can lead to good mid-term results,” Geoffroy Nourissat, MD, PhD, said in his presentation at the American Shoulder and Elbow Surgeons Annual Meeting.
Nourissat and colleagues performed a retrospective observational multicentric study, which analyzed 32 patients who underwent partial arthroscopic repair of a mRCT — defined by the Gerber definition — with a minimum follow-up of 5 years. Outcome measures were analyzed preoperatively to postoperatively and included constant scores, subjective shoulder value (SSV) and acromiohumeral distance.
Overall, no revisions were required for any patient. Mean constant scores “improved significantly” from 37.8 preoperatively to 74.4 postoperatively. Final SSV was 78.9, and acromiohumeral distance decreased from 9.7 preoperatively to 6.4 postoperatively. Nourissat noted that the best results were in patients aged older than 55 years who had an intact subscapularis tendon initially and a supraspinatus at least partially repaired.
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Nourissat G, et al. Paper 12. Presented at: American Shoulder and Elbow Surgeons Annual Meeting; Oct. 6-9, 2022; Atlanta.
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