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Subject Area

Orthopedics

Article Type

Original Study

Abstract

Objectives: To identify the pre and peri-operative factors that affect the functional outcome and healing after rotator cuff repair.

Background: Rotator cuff injury is a frequent cause of shoulder pain and weakness that affect the patient’s daily activities. Complete tears are usually repaired by various surgical techniques.

Methods: A prospective study was done on 60 shoulders (56 patients) with arthroscopic rotator cuff repair by either single row anchor repair or arthroscopic trans-osseous repair during the period from January 2017 to January 2019 and were reviewed. The potential perioperative predictors affecting the functional outcome after the repair were determined before the surgery.

Results: All patients achieved significant improvements in the preoperative American Shoulder and Elbow Surgeons (ASES) score and range of motion (ROM). The average ROM increased from preoperative forward flexion of 85.3° to 158.7°, external rotation from 41.3° to 72.7°, and internal rotation from 42.7° to 64°. The mean ASES score improved from 55.1 before surgery to 92.1 after surgery. Several factors were significant predictors of the postoperative ASES score such as: male patient (P value = 0.004), manual workers (P value > 0.001), associated sub-acromial decompression (P value = 0.008) and biceps tenodesis (P value > 0.001).

Conclusion: The functional outcome improved after surgery. Several predictors factors were linked to favorable outcome.

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