A Institutional Based Observational Study to Investigate the Clinical and Cost Outcomes of Arthroscopic and Open Procedures in Patients with Degenerative Full-Thickness Rotator Cuff Tears
Keywords:ASES Score, Rotator Cuff Tears, Repair, Mini-Plates, Arthroscopy.
Background: Rotator cuff tears have long been recognized as a cause of pain and disability. Over the past decades the treatment of rotator cuff tears has evolved from an open procedure to a mini-open procedure to an all-arthroscopic one. However, there is no consensus on whether one technique offers superior outcomes. The aim of this study to investigated the clinical and cost outcomes of arthroscopic and open procedures in patients with degenerative full-thickness rotator cuff tears. Materials & methods: This was a prospective study conducted in the department of Orthopaedics Patna Medical College & Hospital, Bihar, India from January 2018 to January 2021 with cases followed up for a minimum of 3 years. This study included 40 patients of either sex with non-massive full thickness tears of rotator cuff. The outcome of quality of life is measured through The American Shoulder and Elbow Surgeons Shoulder Score (ASES) after 3 years of follow-up by questionnaires. Results: The average age of the patient for rotator cuff tear is 56.5 year in mini open repair and 57.2 years in arthroscopic repair groups, which was statistical non-significant (P>0.05). The preoperative and postoperative modified ASES scores were not significantly different between groups (P >0.05 and P >0.05, respectively). In addition, the individual scores for pain, satisfaction, and function showed significant improvement for both groups. Conclusion: This study confirms that short-term results for arthroscopic and mini-open rotator cuff repair are similar and supports continued use of arthroscopic repair techniques.
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Copyright (c) 2021 Pappu Kumar, Sheetanshu Shekhar, Parimal Bhaskar, Priya Ranjan, Vijay Kumar
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