Volume 64, Issue 4 (1 2006)                   Tehran Univ Med J 2006, 64(4): 78-86 | Back to browse issues page

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M.R. Giti, S. Fotoohi, M. Farzan. Outcome of surgical treatment and the prognostic factors in full-thickness rotator cuff tear. Tehran Univ Med J 2006; 64 (4) :78-86
URL: http://tumj.tums.ac.ir/article-1-963-en.html
Abstract:   (6066 Views)

Background: Rotator cuff tendon tear injury is one of the most frequently seen orthopaedic conditions, and surgical repair of rotator cuff tears is a common procedure. The purpose of the present study was to determine the results of full-thickness rotator cuff repair and to look for predictors of outcomes.

Methods: we studied 27 patients (17 men and 10 women with a mean age of 57.7 years) who underwent open rotator cuff repair surgery for full-thickness tear between 2001 and 2005 at the Imam Khomeini Hospital and were subsequently followed-up for 6 and 12 months after surgery. The shoulder function was assessed by Constant classification and factors potentially associated with outcomes were

Results: The mean of preoperative Constant score (CS) was 45.8 ± 14.1 after 12 months, 6 patients (22.2%) had good results and 21 patients (77.8%) had excellent result according to CS. Pain relief was generally satisfactory. Using multiple regression analysis, treatment was significantly correlated preoperative CS and acromio-humeral interval (AHI) however, no correlation was found between the result of the treatment and pretreatment atrophy, tear size, acromial morphology, preoperative symptom duration and age.

Conclusion: In this study, a standard rotator cuff repair technique reduced pain severity and was associated with good results, however larger studies are necessary to define the long-term outcome of this procedure.

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