Comparative Study between Arthroscopic and Mini Open Repair of Rotator Cuff Tear

Document Type : Original Research Papers

Authors

Orthopedic Surgery Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Abstract

Rotator cuff tears are common amongst the elderly and athletes. Aim of the work : To assess the functional outcome of arthroscopic rotator cuff repair and mini-open rotator cuff repair. Correlation of any improvement of functional scores with all possible variables to predict factors affecting outcome. A systematic review was conducted in adult patients with rotator cuff tears other than massive or irreparable tears to compare clinical outcomes of patients undergoing all-arthroscopic versus mini-open rotator cuff repair. The review was conducted and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines. 15 studies evaluating arthroscopy and mini-open repair for rotator-cuff repair were included in the review . The included evidence was based on comparative studies assessing clinical outcomes or providing sub-group data on outcomes of interest in patients with rotator-cuff tear. ASES was used in 7 studies and showed to be increased post operation in both procedures the mean preoperative score was 36.1 , 34.2  in mini open and arthroscopic groups respectively which increased to 90.7, 88.89 post operative respectively  .Pain was detected by VAS score in 9 studies and mean preoperative score was 6, 6.5 in mini open and arthroscopic groups respectively which decreased to 3, 2.6 post operative respectively. Arthroscopy repair and mini-open repair are associated with similar clinical outcomes. The choice of the operating technique depends upon the tear size and surgeon’s preference.

Keywords

Benha Journal of Applied Sciences
Volume 6, Issue 2
March and April 2021
Pages 83-88

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