To analyze the clinical and functional outcome in patients undergoing an arthroscopically assisted ‘mini open repair’ of rotator cuff tear

Vol 35 | Issue 2 | May-Aug 2020 | page: 42-46 |  Alok Gupta¹, Rajendra Kumar Beniwal², Saumya Agarwal², Shivank Prakash¹


Authors: Alok Gupta¹, Rajendra Kumar Beniwal², Saumya Agarwal², Shivank Prakash¹

¹Department of orthopaedics, Haryana Multispeciality Hospital, Sonipat, Haryana, India.
¹Department of orthopaedics, Central Institute of Orthopaedics, VMMC and Safdarjung Hospital, New Delhi, India.
¹Department of orthopaedics, Sports Injury Centre, VMMC and Safdarjung Hospital, New Delhi, India.

Address of Correspondence:
Dr. Saumya Agarwal
Central Institute of Orthopaedics, VMMC and Safdarjung Hospital, New Delhi, India.
Email Id- saumyathecalyx.agarwal@gmail.com


Abstract:
Background: A rotator cuff tear is one the most frequent shoulder lesions that require surgical treatment. Methods: 30 patients within the span of 2 years underwent mini open repair for the rotatory cuff tear diagnosed with the help of noninvasive imaging. Pre-operative evaluation of shoulder function was done using the University of California Los Angeles [UCLA] scale. Results: There was sequential improvement in pain, which was significant at 9 to 18 weeks and 18 to 24 weeks interval. There was sequential improvement in the range of motion. The mean score for function was pre-operatively was 5.86. Post-operatively, the mean score was 6.13 at 9 weeks, 7.20 at 18 weeks and 9.60 at 24 weeks. After final UCLA score at 24 weeks sixteen patients (53.33%) were rated as having excellent result, twelve patients (40%) as having good result, and two (6.66%) as having poor result. 28 out of the 30 patients were satisfied with the overall result.
Conclusion: Thus, when comparing mini-open and traditional open methods of rotator cuff repair, it appears that outcomes do not significantly differ. However, the advantages of mini-open repair, which include preservation of the deltoid origin, lower peri-operative morbidity, enhanced cosmesis, shortened rehabilitation, and arthroscopic evaluation of the glenohumeral joint for additional pathology, make it an overall superior method.
Keywords: Rotator cuff tear, Arthroscopy, Shoulder mini open repair


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How to Cite this Article: Gupta A, Beniwal R A, Agarwal S, Prakash S | To analyze the clinical and functional outcome in patients undergoing an arthroscopically assisted ‘mini open repair’ of rotator cuff tear. | Journal of Bone and Joint Diseases | May-Aug 2020; 35(2): 42-46 .


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