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13.02.2018 | Rotator Cuff Repair (M Tao and M Teusink, section editors) | Ausgabe 1/2018

Current Reviews in Musculoskeletal Medicine 1/2018

Expectations Following Rotator Cuff Surgery

Zeitschrift:
Current Reviews in Musculoskeletal Medicine > Ausgabe 1/2018
Autoren:
Alejandro Novoa-Boldo, Lawrence V. Gulotta
Wichtige Hinweise
This article is part of the Topical Collection on Rotator Cuff Repair

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.

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