Assessment of functional outcome among patients undergoing open rotator cuff repair at tertiary care hospital

Abstract

Background: Shoulder pain is the commonest presenting complaint among patients having rotator cuff tear. Progressive and degenerative changes are important contributing factors in etiopathogenesis of rotator cuff injury. The degenerative changes increase with increase in age and are an important contributing factor to rotator cuff injury among old aged people. Material & Methods: The present cross sectional  study was conducted at department of Department of orthopedics in a private medical college. The study duration was from  September 2018 to September 2019. The study group comprised of 50 patients (age 32 to 65 years), with partial and full thickness rotator cuff tear who were undergoing surgery for open rotator cuff repair. Results : Study included 50 patients with an  average age of 46.7 years with 26 patients (52 %) male and 24 patients (48 %) female patients with the average BMI 26.4 kg/m2. On the basis of side and degree of rotator cuff tear, 31 patients (62 %) had right sided rotator cuff tear. Out of them 19 (61.3%) had complete right sided rotator cuff tear and 12 (38.7%) had partial right sided rotator cuff tear. 19 patients (38 %) had left sided rotator cuff tear, out of them 10 (52.6%) had complete left sided rotator cuff tear and 09 (47.4%) had partial left sided rotator cuff tear. Mean pre-op constant score was 35.31 ± 7.83 with highest score of 49.1 and lowest score of 19.7. Mean constant score at 3 months follow-up was 61.42 ± 7.98 with range from 43.7 to 78.6. Mean constant score at 6 months post-surgery follow-up was 76.48 ± 8.24 with least score of 58.9 and highest score of 92.4. On applying test of significance in pre-op Constant-Murley score and post-op Constant Murley score after 6 months post-surgery follow-up by paired sample t test, it was found to be significant association with t value of 31.352 and p value of <0.05.  Conclusion:  To conclude the majority of the study participants -with rotator cuff was significant  increment in Constant Murley score following a half year in patients treated by open rotator cuff repair with statistically significant result.