Factors associated with the development of re-tear following arthroscopic rotator cuff repair: A retrospective comparative study

Özçamdallı, Mustafa; uzun, erdal; GUNEY, AHMET; Sekban, Hazım; Misir, Abdulhamit; Kızkapan, Turan bilge

doi:10.5152/j.aott.2021.20091

Factors associated with the development of re-tear following arthroscopic rotator cuff repair: A retrospective comparative study

Erdal UZUN, (Erciyes Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Kayseri, Türkiye)

Abdulhamit MİSİR, (Sağlık Bilimleri Üniversitesi, Gaziosmanpaşa Taksim Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye)

Turan Bilge KIZKAPAN, (Bursa Çekirge Devlet Hastanesi, Ortopedi ve Travmatoloji Kliniği, Bursa, Türkiye)

Mustafa ÖZÇAMDALLI, (Ahi Evran Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Kırşehir, Türkiye)

Hazım SEKBAN, (Sağlık Bilimleri Üniversitesi, Kayseri Şehir Hastanesi, Ortopedi ve Travmatoloji Anabilim Dalı, Kayseri, Türkiye)

Ahmet GÜNEY (Erciyes Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Kayseri, Türkiye)

Acta Orthopaedica et Traumatologica Turcica

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Yıl: 2021 Cilt: 55 Sayı: 3 Sayfa Aralığı: 213 - 219 Metin Dili: İngilizce DOI: 10.5152/j.aott.2021.20091 İndeks Tarihi: 29-09-2021

Factors associated with the development of re-tear following arthroscopic rotator cuff repair: A retrospective comparative study

Öz:

Objective: The aim of this study was to analyze the risk factors for the development of re-tear following Arthroscopic Rotator CuffRepair (aRCR).Methods: This retrospective clinical study included 196 consecutive aRCRs with a minimum 3-year follow-up. Pre- and postoperative clinical and functional outcomes were measured using the Visual Analog Scale (VAS), the American Shoulder andElbow Surgeons Standardized Shoulder Assessment Form (ASES), the University of California at Los Angeles Shoulder RatingScale (UCLA), the Constant–Murley Score (CMS), and the Douleur Neuropathique (DN4) questzionnaire. The Goutallier stagingof fatty infiltration, Occupational Ratio (OR), the Acromiohumeral Interval (AHI), Acromioclavicular Joint (ACJ) arthritis,acromion type, Critical Shoulder Angle (CSA), and tangent sign (tan- sign) were evaluated as radiological parameters.Different subgroup parameters were evaluated after dividing the patients into re-tear (–) and re-tear (+) groups, according toclinical and radiological outcomes as well as patient and intraoperative characteristics.Results: The mean follow-up period was 72.0 ± 15.8 months. The mean age at the time of surgery was 58.4 ± 8.9 years. Asignificant improvement was found in clinical and functional scores in the re-tear (–) group (P < 0.001 for all). However, the retear (+) group had poorer outcome scores than the re-tear (–) group. Twenty patients (10.2%) had re-tear at the last follow-up.There was a significant difference between groups regarding pre-and postoperative clinical scores, with worse scores in the retear (+) group (P < 0.001 for all). Also, pre-and postoperative pseudoparalysis (P = 0.001 for both), acromioclavicular joint arthritis(ACJ) (P = 0.001), intraoperative rotator cuff wear (P = 0.007) or stiffness (P = 0.025), a longer time period between symptom onsetand surgery (P = 0.031), larger tear size (P = 0.010), preoperative shoulder stiffness (P = 0.001), higher duration of postoperativeanalgesia use (P < 0.001), higher degrees of preoperative Occupational Ratio (OR) (P < 0.001), and higher degrees of fattydegeneration (P < 0.001) were found to be associated with re- tear development.Conclusion: Surgeons should consider the preoperative degree of fatty degeneration, clinical and functional scores, presence ofACJ arthritis, intraoperative tendon quality, tear size and chronicity as well as postoperative prolong analgesic requirement, anddevelopment of pseudoparalysis as factors regarding re-tear development risk following aRCR.Level of Evidence: Level IV, Therapeutic Study

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Bibliyografik

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APA	uzun e, Misir A, Kızkapan T, Özçamdallı M, Sekban H, GUNEY A (2021). Factors associated with the development of re-tear following arthroscopic rotator cuff repair: A retrospective comparative study. , 213 - 219. 10.5152/j.aott.2021.20091
Chicago	uzun erdal,Misir Abdulhamit,Kızkapan Turan bilge,Özçamdallı Mustafa,Sekban Hazım,GUNEY AHMET Factors associated with the development of re-tear following arthroscopic rotator cuff repair: A retrospective comparative study. (2021): 213 - 219. 10.5152/j.aott.2021.20091
MLA	uzun erdal,Misir Abdulhamit,Kızkapan Turan bilge,Özçamdallı Mustafa,Sekban Hazım,GUNEY AHMET Factors associated with the development of re-tear following arthroscopic rotator cuff repair: A retrospective comparative study. , 2021, ss.213 - 219. 10.5152/j.aott.2021.20091
AMA	uzun e,Misir A,Kızkapan T,Özçamdallı M,Sekban H,GUNEY A Factors associated with the development of re-tear following arthroscopic rotator cuff repair: A retrospective comparative study. . 2021; 213 - 219. 10.5152/j.aott.2021.20091
Vancouver	uzun e,Misir A,Kızkapan T,Özçamdallı M,Sekban H,GUNEY A Factors associated with the development of re-tear following arthroscopic rotator cuff repair: A retrospective comparative study. . 2021; 213 - 219. 10.5152/j.aott.2021.20091
IEEE	uzun e,Misir A,Kızkapan T,Özçamdallı M,Sekban H,GUNEY A "Factors associated with the development of re-tear following arthroscopic rotator cuff repair: A retrospective comparative study." , ss.213 - 219, 2021. 10.5152/j.aott.2021.20091
ISNAD	uzun, erdal vd. "Factors associated with the development of re-tear following arthroscopic rotator cuff repair: A retrospective comparative study". (2021), 213-219. https://doi.org/10.5152/j.aott.2021.20091

APA	uzun e, Misir A, Kızkapan T, Özçamdallı M, Sekban H, GUNEY A (2021). Factors associated with the development of re-tear following arthroscopic rotator cuff repair: A retrospective comparative study. Acta Orthopaedica et Traumatologica Turcica, 55(3), 213 - 219. 10.5152/j.aott.2021.20091
Chicago	uzun erdal,Misir Abdulhamit,Kızkapan Turan bilge,Özçamdallı Mustafa,Sekban Hazım,GUNEY AHMET Factors associated with the development of re-tear following arthroscopic rotator cuff repair: A retrospective comparative study. Acta Orthopaedica et Traumatologica Turcica 55, no.3 (2021): 213 - 219. 10.5152/j.aott.2021.20091
MLA	uzun erdal,Misir Abdulhamit,Kızkapan Turan bilge,Özçamdallı Mustafa,Sekban Hazım,GUNEY AHMET Factors associated with the development of re-tear following arthroscopic rotator cuff repair: A retrospective comparative study. Acta Orthopaedica et Traumatologica Turcica, vol.55, no.3, 2021, ss.213 - 219. 10.5152/j.aott.2021.20091
AMA	uzun e,Misir A,Kızkapan T,Özçamdallı M,Sekban H,GUNEY A Factors associated with the development of re-tear following arthroscopic rotator cuff repair: A retrospective comparative study. Acta Orthopaedica et Traumatologica Turcica. 2021; 55(3): 213 - 219. 10.5152/j.aott.2021.20091
Vancouver	uzun e,Misir A,Kızkapan T,Özçamdallı M,Sekban H,GUNEY A Factors associated with the development of re-tear following arthroscopic rotator cuff repair: A retrospective comparative study. Acta Orthopaedica et Traumatologica Turcica. 2021; 55(3): 213 - 219. 10.5152/j.aott.2021.20091
IEEE	uzun e,Misir A,Kızkapan T,Özçamdallı M,Sekban H,GUNEY A "Factors associated with the development of re-tear following arthroscopic rotator cuff repair: A retrospective comparative study." Acta Orthopaedica et Traumatologica Turcica, 55, ss.213 - 219, 2021. 10.5152/j.aott.2021.20091
ISNAD	uzun, erdal vd. "Factors associated with the development of re-tear following arthroscopic rotator cuff repair: A retrospective comparative study". Acta Orthopaedica et Traumatologica Turcica 55/3 (2021), 213-219. https://doi.org/10.5152/j.aott.2021.20091