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Patients who have undergone rotator cuff repair experience around 75% functional recovery at 6 months after surgery

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Author(s)
Chul-Hyun Cho Ki-Cheor Bae Du-Han Kim
Keimyung Author(s)
Cho, Chul HyunBae, Ki CheorKim, Du Han
Department
Dept. of Orthopedic Surgery (정형외과학)
Journal Title
Knee Surg Sports Traumatol Arthrosc
Issued Date
2021
Volume
29
Issue
7
Keyword
Rotator cufRotator cuf repairSpeed of recoveryPrognostic factorsShoulder function
Abstract
Purpose:
The purposes of this study were to (1) evaluate changes in recovery patterns [i.e., clinical outcomes, range of motion (ROM)] in the first 12 months following surgery, (2) identify potential prognostic factors of early clinical outcomes after rotator cuff repair (RCR).

Methods:
The study cohort included 344 consecutive patients treated with RCR. Data were collected prospectively and included pre- and perioperative variables. Univariate and multivariate linear regression analyses for various parameters including demographics, pre- and perioperative variables were used to predict shoulder function at 12-month follow-up, as measured by clinical outcomes and ROM.

Results:
Significant improvement in all clinical scores and ROM were noted during serial follow-ups after RCR (all p < 0.001). Multivariate analysis revealed that female sex, older age, more anchors, diabetes mellitus, and preoperative stiffness were independently associated with worse shoulder function 3 months after RCR. Including the 3 months factors, heavy labor, use of the suture-bridge technique, and large tears were also independently associated with worse outcomes 6 months after surgery. Heavy labor, suture-bridge technique, diabetes mellitus, and preoperative stiffness were associated with significantly worse functional outcomes at 12 months after surgery (all p < 0.05).

Conclusion:
Functional recovery based on clinical outcomes (i.e., UCLA, ASES scores) showed approximately 60% of ultimate recovery at 3 months and approximately 75% recovery at 6 months after RCR. Female sex, diabetes mellitus, preoperative stiffness, a larger number of anchors, suture bridge technique, heavy labor, old age and, larger tears were prognostic factors of poor clinical results or ROM in the short-term follow-up intervals. Knowledge of these prognostic factors may lead to improved insight for physicians to predict the pattern of the recovery and patient expectations accordingly.
Keimyung Author(s)(Kor)
조철현
배기철
김두한
Publisher
School of Medicine (의과대학)
Citation
Chul-Hyun Cho et al. (2021). Patients who have undergone rotator cuff repair experience around 75% functional recovery at 6 months after surgery. Knee Surg Sports Traumatol Arthrosc, 29(7), 2220–2227. doi: 10.1007/s00167-020-06019-z
Type
Article
ISSN
1433-7347
Source
https://link.springer.com/article/10.1007/s00167-020-06019-z
DOI
10.1007/s00167-020-06019-z
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/43551
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
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