ARTHROSCOPIC DEBRIDEMENT AND ACROMIOPLASTY VERSUS MINI-OPEN REPAIR IN THE MANAGEMENT OF SIGNIFICANT PARTIAL-THICKNESS TEARS OF THE ROTATOR CUFF

1997 ◽  
Vol 28 (1) ◽  
pp. 79-82 ◽  
Author(s):  
Stephen C. Weber
Author(s):  
Mohammed Shabir Kassim ◽  
Amlan Mohapatra ◽  
Karthikraj Kuberakani

<p class="abstract"><strong>Background:</strong> Shoulder pain is a common presenting complaint. This study is aimed to understand the role of mini-open repair in the treatment of rotator cuff tear and to assess the functional outcome in such patients over a period of two years.</p><p class="abstract"><strong>Methods:</strong> This prospective study was conducted on patients who were operated by mini-open repair for rotator cuff tear at the Department of Orthopedics, AJ Institute of Medical Sciences January 2017 till June 2018. Using a pre-designed case report form, demographic and clinical information was noted for all patients. Functional outcome of the patients was assessed by the Constant and Murley score at post-operative follow up at 3 weeks, 6 weeks, 12 weeks, 6 months, 1 year and 2 years.<strong></strong></p><p class="abstract"><strong>Results:</strong> Partial thickness tear was present in 57% of the pateints and rest had a full thickness tear. Mean Constant and Murley score at the time of presentation was 59.50 which improved during the follow up period and at the final follow up the score was 91.80. The score was not significantly different at one year and second year follow up. The score was consistently higher among patients with partial thickness as compared to those with full thickness, though the difference was significantly different only at 6 month follow up (p=0.007).</p><p class="abstract"><strong>Conclusions:</strong> Significant improvement in range of motion was seen in our patients at 6 months post-operatively. Full range of motion was observed at the end of 1 year and functional outcome did not improve after that.</p>


Medicine ◽  
2017 ◽  
Vol 96 (11) ◽  
pp. e6322 ◽  
Author(s):  
Jin Liu ◽  
Lin Fan ◽  
Yingbo Zhu ◽  
Haotong Yu ◽  
Tianyang Xu ◽  
...  

Orthopedics ◽  
2012 ◽  
Vol 35 (9) ◽  
pp. e1347-e1352 ◽  
Author(s):  
Chul-Hyun Cho ◽  
Kwang-Soon Song ◽  
Gu-Hee Jung ◽  
Young-Kuk Lee ◽  
Hong-Kwan Shin

2006 ◽  
Vol 9 (2) ◽  
pp. 176-180 ◽  
Author(s):  
Soo-Tai Chung ◽  
Hyung-Soo Kim ◽  
Jeong-Hyun Yoo ◽  
Jae-Hyung Park ◽  
Joo-Hak Kim ◽  
...  

2001 ◽  
Vol 10 (1) ◽  
pp. 11-16 ◽  
Author(s):  
Yukihiko Hata ◽  
Satoru Saitoh ◽  
Narumichi Murakami ◽  
Hiroshi Seki ◽  
Yukio Nakatsuchi ◽  
...  

2017 ◽  
Vol 25 (1) ◽  
pp. 230949901668449 ◽  
Author(s):  
Yik Jing Hui ◽  
Alex Quok An Teo ◽  
Siddharth Sharma ◽  
Bryan Hsi Ming Tan ◽  
V Prem Kumar

Objective: While there has been increasing interest in minimally invasive surgery, the expenses incurred by patients undergoing this form of surgery have not been comprehensively studied. The authors compared the costs borne by patients undergoing arthroscopic rotator cuff repair with the standard mini-open repair at a tertiary hospital in an Asian population. Patients and Methods: This was a retrospective cohort study. The authors studied the inpatient hospital bills of patients following rotator cuff tear repair between January 2010 and October 2014 via the hospital electronic medical records system. 148 patients had arthroscopic repair and 78 had mini-open repair. The cost of implants, consumables, and the total cost of hospitalization were analyzed. Operative times and length of stay for both procedures were also studied. Constant scores and American Shoulder Elbow Scores (ASES) were recorded preoperatively and at 1 year postoperatively. Results: Three fellowship-trained surgeons performed arthroscopic repairs and one performed the mini-open repair. The cost of implants and consumables was significantly higher with arthroscopic repair. The duration of surgery was also significantly longer with that technique. There was no difference in length of stay between the two techniques. There was also no difference in Constant scores or ASES scores, both preoperatively and at 1 year postoperatively. Conclusions: The immediate costs of mini-open repair of rotator cuff tears are significantly less than that of arthroscopic repair. Most of the difference arises from the cost of implants and consumables. Equivalent functional outcomes from both techniques suggest that mini-open repair may be more cost-effective.


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