Integrity & Functional Outcome after Massive Rotator Cuff Repair in Double Row Repair Manner: A Prospective Study.

Authors

  • M. Sufyan
  • Arslan Ahmed Abro Liaquat National Hospital & Medical College
  • Matiullah Shah
  • Mairaj Khan
  • M. Kazim Rahim Najjad
  • Syed Kamran Ali Shah
  • Hafiza Hifza Bashir

Keywords:

Massive Rotator Cuff Tear, Integrity, Functional outcome

Abstract

Objective: To assess the efficacy of shoulder cuff restoration by means of arthroscopic repair in dual row repair fashion and demonstrate 30 months practical result using a scoring system based on modified American Shoulder & Elbow Score System (ASES)

Materials And Methods: This is a descriptive cross-sectional study and includes 23 patients who underwent repair of massive rotator cuff tears in double row manner arthroscopically. Study was carried out at Liaquat National Hospital during January 2018 June 2019 at orthopedics department. The clinical evaluation was done by the operative surgeon on the patients reported for surgery in outpatient department pre-operatively and then at follow up postoperatively at 6 weeks, 3 months, 6 months ,1 year and final evaluation done on average of 30 months. Preoperative and postoperative functional evaluation done and compared by assessing the function on basis of a scoring system based on modified ASES score

Results: The average functional outcome scores based on Patient Self Assessed Questionnaire improved significantly at the time of the final follow-up (p < 0.01). 12 months postoperatively, repair integrity was assessed by magnetic resonance imaging, which revealed that 16 patients had a type-I repair; 2 patients had a type II repair, while only 1 patient had type III repair. As per this study Re tear rate was 5% for large and massive tears. The shoulders with a type-III repair demonstrated significantly inferior functional outcome in terms of overall scores and strength compared with the other types of repairs (p< 0.01).

Conclusion: In this study, we found arthroscopic double row repair technique is an effective procedure in terms of massive rotator cuff tears repair with very little risk of re-tear and significant improvement in functional activities.

Author Biographies

M. Sufyan

MBBS , FCPS

Consultant Orthopaedics, Assisstant Professor Liaquat National Hospital & Medical College Karachi

Arslan Ahmed Abro, Liaquat National Hospital & Medical College

MBBS , FCPS

Senior Registrar , Liaquat National Hospital & Medical College Karachi 

Matiullah Shah

MBBS , FCPS

Sports & Arthroscopy Fellow Orthopaedic Liaquat National Hospital & Medical College

Mairaj Khan

House Officer Liaquat National Hospital & Medical College Karachi

M. Kazim Rahim Najjad

MBBS, MD, FCPS

Associate Professor 

Liaquat National Hospital & Medical College Karachi

Syed Kamran Ali Shah

MBBS FCPS

Assistant Professor ,Fazaia ruth pfau medical college karachi

Hafiza Hifza Bashir

House Officer 

Liaquat National Hospital & Medical College Karachi

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Published

2023-03-25

How to Cite

M. Sufyan, Abro, A. A., Matiullah Shah, Mairaj Khan, Najjad, M. K. R., Shah, S. K. A., & Hafiza Hifza Bashir. (2023). Integrity & Functional Outcome after Massive Rotator Cuff Repair in Double Row Repair Manner: A Prospective Study. Journal of Pakistan Orthopaedic Association, 35(01), 22–27. Retrieved from https://jpoa.org.pk/index.php/upload/article/view/625

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