Document Detail


An analysis of outcome of arthroscopic versus mini-open rotator cuff repair using subjective and objective scoring tools.
MedLine Citation:
PMID:  19002667     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose is to perform a comparative analysis of mini-open and arthroscopic rotator cuff repairs through the use of subjective and objective scoring tools. We conducted a prospective comparative cohort study that evaluated 123 consecutive patients who underwent rotator cuff repairs (arthroscopic and 31 mini-open repair). Subjective and objective functional assessment was performed preoperatively and postoperatively at 3, 6, 12, 18 and 24 months using the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, the Oxford Shoulder Score (OSS) and the Constant-Murley score. Statistical analysis was performed on the datasets assessing the Pearson correlation coefficients and any significant differences present at each respective time point. At every time point the arthroscopic group scored better than the mini-open group, regardless of the assessment tool employed. The percentage recovery from the baseline measured at 1 year was similar with either treatment option. A significant difference was found between the arthroscopic and mini-open groups for the Constant-Murley, DASH and OSS scoring systems preoperatively (P < 0.05), reflecting a difference in tear severity. Arthroscopic rotator cuff repair is comparable with the mini-open technique with well correlated postoperative rates recovery. Subjective scoring provides an accurate and potentially easier method of postoperative assessment for long-term follow-up of rotator cuff repairs.
Authors:
T Colegate-Stone; R Allom; A Tavakkolizadeh; J Sinha
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2008-11-12
Journal Detail:
Title:  Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA     Volume:  17     ISSN:  1433-7347     ISO Abbreviation:  Knee Surg Sports Traumatol Arthrosc     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-05-29     Completed Date:  2009-08-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9314730     Medline TA:  Knee Surg Sports Traumatol Arthrosc     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  691-4     Citation Subset:  IM    
Affiliation:
Orthopaedic Department, King's College Hospital, Denmark Hill, London, SE5 9RS, UK.
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MeSH Terms
Descriptor/Qualifier:
Arthroscopy / methods*
Disability Evaluation
Female
Follow-Up Studies
Humans
Male
Middle Aged
Orthopedic Procedures / methods*
Recovery of Function*
Rotator Cuff / injuries,  surgery*
Surgical Procedures, Minimally Invasive / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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