THE CLINICAL OUTCOME FROM A RANDOMISED CONTROLLED STUDY OF ROTATOR CUFF REPAIRS REVIEWED AT TWO, SIX AND 12 MONTHS

Authors: T.D. Bunker, K. Baird, O. Levy, R. Emery, I.G. Kelly, W.A. Wallace and the Panacryl group

References: BESS, 2005

Abstract
This study was carried out to investigate the outcome of rotator cuff repair surgery in 14 centres in th UK in a randomised controlled trial. It also looked at a comparison of a long-acting absorbable suture (Panacyrl) and a non-absorbabable suture (Ethibond). All patients were treated with open repair of their rotator cuff tear with modified Mason-Allen sutures used in 83% of cases. One hundred and fifty-nine patients were included in the analysis. patients had Constant scores carried out pre-operatively, six and 12 months as well as ultrasound real time dynamic scans at eight weeks, six and 12 months. Constant pain scores, total constant scores and re-tear rates were measured. There was a significant improvement in the Constant score after rotator cuff repair surgery. However for large tears, the re-tear rate at six months is approximately 50%. Despite this high re-tear rate there was still a good benefit from surgery. Is the improvement in those cases with a re-tear a consequence of the sub-acromial decompression (SAD) and what would have been the outcome with an ASD alone?

Search ShoulderDoc.co.uk

This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information:
verify here.

ShoulderDoc.co.uk satisfies the INTUTE criteria for quality and has been awarded 'editor's choice'.

The material on this website is designed to support, not replace, the relationship that exists between ourselves and our patients. Full Disclaimer