Gender Affects Early Postoperative Outcomes of
Rotator Cuff Repair
- Affiliated Author(s)
- Alternative Author(s)
- Cho, Chul Hyun
- Journal Title
- Clinics in Orthopedic Surgery
- Issued Date
- Background: The literature does not provide consistent information on the impact of patients’ gender on recovery after rotator
cuff repair. The purpose of this study was to determine whether gender affects pain and functional recovery in the early postoperative
period after rotator cuff repair.
Methods: Eighty patients (40 men and 40 women) were prospectively enrolled. Pain intensity and functional recovery were evaluated,
using visual analog scale (VAS) pain score and range of motion on each of the first 5 postoperative days, at 2 and 6 weeks
and at 3, 6, and 12 months after surgery. Perioperative medication-related adverse effects and postoperative complications were
Results: The mean VAS pain score was significantly higher for women than men at 2 weeks after surgery (p = 0.035). For all other
periods, there was no significant difference between men and women in VAS pain scores, although women had higher scores than
men. Mean forward flexion in women was significantly lower than men at 6 weeks after surgery (p = 0.033) and the mean degree
of external rotation in women was significantly lower than men at 6 weeks (p = 0.007) and at 3 months (p = 0.017) after surgery.
There was no significant difference in medication-related adverse effects or postoperative complications.
Conclusions: Women had more pain and slower recovery of shoulder motion than men during the first 3 months after rotator cuff
repair. These findings can serve as guidelines for pain management and rehabilitation after surgery and can help explain postoperative
recovery patterns to patients with scheduled rotator cuff repair.
Keywords: Rotator cuff, Arthroscopic repair, Gender, Pain, Function
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