Erschienen in:
13.02.2018 | Rotator Cuff Repair (M Tao and M Teusink, section editors)
Expectations Following Rotator Cuff Surgery
verfasst von:
Alejandro Novoa-Boldo, Lawrence V. Gulotta
Erschienen in:
Current Reviews in Musculoskeletal Medicine
|
Ausgabe 1/2018
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Abstract
Purpose of Review
To outline the radiographic and clinical outcomes after a rotator cuff surgery in order to set the expectations with the patient before the surgery to obtain a better outcome, taking into account the factors that can affect the outcome and the technique used for the repair.
Recent Findings
The majority of surgeons use arthroscopic repair.
The double-row repair has better biomechanical strength, footprint coverage, and radiographic healing rates.
The principal factors that can affect the outcome of the surgery are the tendon quality, tear size and retraction, fatty infiltration, chronicity of the tear, and concomitant pathologies.
Summary
Arthroscopic rotator cuff repair can decrease pain and increase function allowing patients to improve their quality of life; 90% of patients are happy 6 months after the surgery and maintain stability during 5 years. Greater preoperative expectations would show better outcomes and patient satisfaction after the surgery.