Role of biomechanical assessment in rotator cuff tear repair: Arthroscopic vs mini-open approach

Background. Rotator cuff tears have long been recognised as a cause of pain and disability. Over the past decades the treatment of rotator cuff tears has evolved from an open procedure to a mini-open procedure to an all-arthroscopic one. The indications and benefits of each of the procedures are still debated. The purpose of this study was to observe the results of “Mini-open repair rotator cuff tear”. Material and methods. This was a prospective study conducted in the postgraduate department of Orthopaedics Government Medical College, Srinagar, from March 2013 to January 2018 with cases followed up for a minimum of 3 years. This study included 50 patients of either sex with non-massive full thickness tears of rotator cuff. Results. The mean UCLA score improved from 10.96 preoperatively to 30.68 at final follow-up. Overall, 88% of the patients achieved excellent or good results and 92% were satisfied. No significant difference was noted in functional outcomes between traumatic and degenerative tears. Size of tear seems to be a determining factor in the functional outcome. Stiffness as a complication occurred in two patients. Conclusion. 1. Mini-open rotator cuff tear repair eliminated symptomatic full thickness rotator cuff tears with significant improvement in functional scores. 2. There were no major complications of the surgical procedure adopted or the fixation method used. 3. Mini-open rotator cuff repair remains a useful technique despite advances in arthroscopy.

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Mini-Open Suture Bridge Repair with Porcine Dermal Patch Augmentation for Massive Rotator Cuff Tear: Surgical Technique and Preliminary Results

Clinics in Orthopedic Surgery ◽

10.4055/cios.2014.6.3.329 ◽

2014 ◽

Vol 6 (3) ◽

pp. 329 ◽

Cited By ~ 19

Author(s):

Chul-Hyun Cho ◽

Sung-Moon Lee ◽

Young-Kuk Lee ◽

Hong-Kwan Shin

Keyword(s):

Rotator Cuff ◽

Surgical Technique ◽

Rotator Cuff Tear ◽

Massive Rotator Cuff Tear ◽

Preliminary Results ◽

Suture Bridge ◽

Cuff Tear ◽

Mini Open ◽

Dermal Patch

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The association between Interleukin-6 rs1800795/rs1800797 polymorphisms and risk of rotator cuff tear in a Chinese population

Bioscience Reports ◽

10.1042/bsr20200193 ◽

2020 ◽

Vol 40 (4) ◽

Cited By ~ 1

Author(s):

Jin Li ◽

Lifeng Jiang ◽

Xindie Zhou ◽

Lidong Wu ◽

Dong Li ◽

...

Keyword(s):

Rotator Cuff ◽

Rotator Cuff Tear ◽

Constant Score ◽

Enzyme Linked Immunosorbent Assay ◽

Mutant Genotype ◽

Cuff Tear ◽

Increased Risk ◽

Polymerase Chain ◽

Tear Size

Abstract Expression of proinflammatory cytokines, such as interleukin (IL)-6 (IL-6) and metalloproteases, are elevated in patients with rotator cuff tear (RCT). In order to investigate the role of IL-6 gene polymorphisms on RCT risk, we genotyped two SNPs on IL-6 gene (rs1800795 and rs1800797) in 138 RCT patients and 137 healthy controls using polymerase chain reaction (PCR) and Sanger sequencing. The IL-6 expression in shoulder joint synovial fluid was determined by using enzyme-linked immunosorbent assay (ELISA) method. The constant score and visual analog scale (VAS) were used to evaluate the clinical outcome of two s (surgicsal vs. conservative) for RCT patients. For rs1800795, individuals with the GG genotype or G allele had significantly higher risk of RCT. Elevated risk of tear size was associated with the GG genotype of the rs1800795 polymorphism. The IL-6 rs1800797 polymorphism was also associated with an increased risk of RCT, especially among female, drinkers, and individuals with B(MI) < 25 kg/m2. The elevated levels of IL-6 gene were observed among the mutant genotype of rs1800795/rs1800797 polymorphism. Surgical group is significantly better than conservative treatment from the perspective of constant score and VAS. Furthermore, CG genotype of rs1800795 polymorphism increased the constant score at 6 months in comparison with CC genotype. In conclusion, our study supports a role of IL-6 rs1800795/rs1800797 polymorphisms on increased RCT risk. The RCT patients with CG genotype of rs1800795 polymorphism have more obvious surgical treatment effects by influencing the IL-6 expression.

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Arginine L-alpha-ketoglutarate, methylsulfonylmethane, hydrolyzed type I collagen and bromelain in rotator cuff tear repair: a prospective randomized study

Current Medical Research and Opinion ◽

10.1185/03007995.2012.737772 ◽

2012 ◽

Vol 28 (11) ◽

pp. 1767-1774 ◽

Cited By ~ 12

Author(s):

S. Gumina ◽

D. Passaretti ◽

M.D. Gurzì ◽

V. Candela

Keyword(s):

Rotator Cuff ◽

Rotator Cuff Tear ◽

Type I Collagen ◽

Randomized Study ◽

Prospective Randomized Study ◽

Type I ◽

Cuff Tear ◽

Rotator Cuff Tear Repair

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Clinical and functional outcomes of a novel transosseous device to treat rotator cuff tears: A minimum 2-year follow-up

Journal of Orthopaedic Surgery ◽

10.1177/2309499019875172 ◽

2019 ◽

Vol 27 (3) ◽

pp. 230949901987517 ◽

Cited By ~ 1

Author(s):

Mehmet Arican ◽

Yalçın Turhan ◽

Zekeriya Okan Karaduman ◽

Tacettin Ayanoğlu

Keyword(s):

Rotator Cuff ◽

Rotator Cuff Tear ◽

Functional Outcomes ◽

Dash Score ◽

Open Approach ◽

Full Thickness ◽

Gold Standard Method ◽

Cuff Tear ◽

The Mean

Purpose: Despite the improvements in the repair equipment techniques of rotator cuff, a gold standard method has not been defined yet and transosseous fixation through deltoid-splitting (mini-open) approach is still regarded as a good option. The primary purpose of this study is to present satisfactory clinical and functional outcomes with a novel transosseous device in full-thickness rotator cuff tear through deltoid-splitting. Materials and Methods: This retrospective study was performed on 70 consecutive patients who underwent surgery by a single surgeon from June 2014 to June 2016 for a full-thickness rotator cuff tear and was managed with a novel transosseous device. Total number of patients, mean age, percentage of male and female patients, mean duration of follow-up, percentage of involvement of the dominant extremity, affected shoulder, and tear size were recorded. Functional and clinical outcomes were assessed baseline and postoperatively at 3 and 6 months and final follow-up using Disabilities of the Arm, Shoulder and Hand (Q-DASH) and Constant-Murley scores. Results: A total of 70 (49 (70%) female, 21 (30%) male) patients whose mean age was 58.66 ± 9.19 (38–77) years were included. The mean surgery time was 35.33 ± 5.34 (28–55) min. The mean follow-up time was 28.31 ± 3.03 (24–36) months. According to the DeOrio and Cofield classification, 15 (21.43%) tears were small, 33 (47.14%) medium, 16 (22.86%) large, and 6 (8.57%) massive. By the final follow-up, the mean Constant-Murley score had significantly improved from 27.67 ± 7.46 (13–41) to 81.25 ± 3.77 (74–87; p = 0.0001) and the Q-DASH score had decreased from 82.34 ± 10.37 (65.91–100) to 10.28 ± 6.88 (0–23.45; p = 0.0001). There were no significant differences in the Constant-Murley or Q-DASH score at baseline–final follow-up between the small, medium, large, and massive tear groups ( p > 0.05). Conclusions: Treatment of full-thickness rotator cuff tear using this novel transosseous device significantly improved functional and clinical scores. However, further long-term prospective randomized multicenter trials involving comparative studies are necessary to confirm these findings.

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