Infections following arthroscopic rotator cuff repair: incidence, risk factors, and prophylaxis

2016 ◽  
Vol 25 (2) ◽  
pp. 595-601 ◽  
Author(s):  
Leo Pauzenberger ◽  
Annemarie Grieb ◽  
Michael Hexel ◽  
Brenda Laky ◽  
Werner Anderl ◽  
...  
Keyword(s):  
Risk Factors ◽  
Rotator Cuff ◽  
Rotator Cuff Repair ◽  
Arthroscopic Rotator Cuff Repair ◽  
Incidence Risk ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair

scholarly journals Pulmonary Embolism after Arthroscopic Rotator Cuff Repair: A Case Report

2014 ◽  
Vol 17 (1) ◽  
pp. 31-35
Author(s):  
Ji Yong Gwark ◽  
Jin Sin Koh ◽  
Hyung Bin Park
Keyword(s):  
Risk Factors ◽  
Pulmonary Embolism ◽  
Case Report ◽  
Rotator Cuff ◽  
Orthopedic Surgery ◽  
Rotator Cuff Repair ◽  
Arthroscopic Rotator Cuff Repair ◽  
Arthroscopic Shoulder Surgery ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair

Pulmonary embolism (PE) is a serious complication that can occur after orthopedic surgery. Most instances of PE in the orthopedic field have occurred after hip or knee arthroplasties or after fracture surgeries. The occurrence of PE related to arthroscopic shoulder surgery is very rare. We report a case of PE that developed after arthroscopic rotator cuff repair, in which the patient did not show preoperatively any remarkable risk factors for PE. We also review the current literature related to this topic.

scholarly journals Risk Factors for Prolonged Narcotic Use Following Arthroscopic Rotator Cuff Repair

2017 ◽  
Vol 5 (7_suppl6) ◽  
pp. 2325967117S0028
Author(s):  
Jourdan M. Cancienne ◽  
Frank Winston Gwathmey ◽  
Brian C. Werner
Keyword(s):  
Risk Factors ◽  
Rotator Cuff ◽  
Rotator Cuff Repair ◽  
Arthroscopic Rotator Cuff Repair ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair

scholarly journals Combination of risk factors affecting retear after arthroscopic rotator cuff repair: a decision tree analysis

2021 ◽  
Vol 30 (1) ◽  
pp. 9-15 ◽  
Author(s):  
Nobuya Harada ◽  
Masafumi Gotoh ◽  
Eiichi Ishitani ◽  
Tatsuyuki Kakuma ◽  
Yuka Yano ◽  
...  
Keyword(s):  
Risk Factors ◽  
Rotator Cuff ◽  
Decision Tree ◽  
Rotator Cuff Repair ◽  
Arthroscopic Rotator Cuff Repair ◽  
Decision Tree Analysis ◽  
Tree Analysis ◽  
Factors Affecting ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair

scholarly journals Analgesic Effect of Low Dose Nefopam Hydrochloride after Arthroscopic Rotator Cuff Repair: A Randomized Controlled Trial

2019 ◽  
Vol 8 (4) ◽  
pp. 553 ◽  
Author(s):  
Hyun Jung Koh ◽  
Jin Joo ◽  
Yang-Soo Kim ◽  
Yu Jung Lee ◽  
Woojoo Yoo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Rotator Cuff ◽  
Rotator Cuff Repair ◽  
Controlled Trial ◽  
Demographic Data ◽  
Opioid Analgesic ◽  
Arthroscopic Rotator Cuff Repair ◽  
Significant Difference ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair

Arthroscopic rotator cuff repair causes acute postoperative hyperalgesia. Multimodal analgesia is preferable to opioid-based intravenous patient-controlled analgesia (IV-PCA) due to postoperative nausea and vomiting (PONV). We evaluated the effect of nefopam as a postoperative non-opioid analgesic after shoulder surgeries. A total of 180 adult patients were enrolled for arthroscopic rotator cuff repair. They were randomly assigned to nefopam (N) or control (C) groups and each group was reclassified according to the interscalene block (B) into NB, CB and NX, CX. Nefopam was applied at a constant dose intravenously during recovery. Pain scores were measured with a Visual Analogue Scale (VAS) before (T0), immediately after (T1), 30 min (T2) and 12 h (T3), 24 h (T4) and 48 h (T5) after surgery. There was no significant difference in demographic data. The overall VAS scores did not differ with regard to nefopam use, except for the NB group at T4 in intention to treat (ITT) analysis (p < 0.05). PONV occurred more frequently in the N group than in the C group (p < 0.05). Neither individual nor all risk factors were associated with PONV occurrence (p > 0.10). In conclusion, nefopam alone did not show a definite decrease in postoperative pain. It instead increased PONV regardless of risk factors.

Factors Predictive of Healing in Large Rotator Cuff Tears: Is It Possible to Predict Retear Preoperatively?

2018 ◽  
Vol 46 (7) ◽  
pp. 1693-1700 ◽  
Author(s):  
Ho Yeon Jeong ◽  
Hwan Jin Kim ◽  
Yoon Sang Jeon ◽  
Yong Girl Rhee
Keyword(s):  
Risk Factors ◽  
Multivariate Analysis ◽  
Rotator Cuff ◽  
Rotator Cuff Repair ◽  
Fatty Infiltration ◽  
Arthroscopic Rotator Cuff Repair ◽  
Rotator Cuff Tears ◽  
Significant Difference ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair

Background: Many studies have identified risk factors that cause retear after rotator cuff repair. However, it is still questionable whether retears can be predicted preoperatively. Purpose: To determine the risk factors related to retear after arthroscopic rotator cuff repair and to evaluate whether it is possible to predict the occurrence of retear preoperatively. Study Design: Case-control study; Level of evidence, 3. Methods: This study enrolled 112 patients who underwent arthroscopic rotator cuff repair with single-row technique for a large-sized tear, defined as a tear with a mediolateral length of 3 to 5 cm. All patients underwent routine magnetic resonance imaging (MRI) at 9 months postoperatively to assess tendon integrity. The sample included 61 patients (54.5%) in the healed group and 51 (45.5%) in the retear group. Results: In multivariate analysis, the independent predictors of retears were supraspinatus muscle atrophy ( P < .001) and fatty infiltration of the infraspinatus ( P = .027), which could be preoperatively measured by MRI. A significant difference was found between the two groups in sex, the acromiohumeral interval, tendon tension, and preoperative or intraoperative mediolateral tear length and musculotendinous junction position in univariate analysis. However, these variables were not independent predictors in multivariate analysis. The cutoff values of occupation ratio of supraspinatus and fatty infiltration of the infraspinatus were 43% and grade 2, respectively. The occupation ratio of supraspinatus <43% and grade ≥2 fatty infiltration of the infraspinatus were the strongest predictors of retear, with an area under the curve of 0.908, sensitivity of 98.0%, and specificity of 83.6% (accuracy = 90.2%). Conclusion: In patients with large rotator cuff tears, it was possible to predict the retear before rotator cuff repair regardless of intraoperative factors. The retear could be predicted most effectively when the occupation ratio of supraspinatus was <43% or the fatty infiltration of infraspinatus was grade ≥2. Predicting retear preoperatively may help surgeons determine proper treatment and predict the postoperative prognosis.

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