PMID- 34628088 OWN - NLM STAT- MEDLINE DCOM- 20220310 LR - 20220311 IS - 1877-0568 (Electronic) IS - 1877-0568 (Linking) VI - 107 IP - 8S DP - 2021 Dec TI - Arthroscopic rotator cuff repair: Is healing enough? PG - 103100 LID - S1877-0568(21)00345-5 [pii] LID - 10.1016/j.otsr.2021.103100 [doi] AB - HYPOTHESIS/BACKGROUND: Arthroscopic rotator cuff repair most commonly results in good clinical outcomes, however understanding of predictive factors influencing the final clinical outcome is limited. AIM: The purpose of our study was to evaluate clinical outcomes of patients with healed supraspinatus tendon after arthroscopic rotator cuff repair and to identify its pre- and peri-operative predictive factors of good clinical results. METHODS: A multi-center prospective study followed up 188 patients, who had a healed tendon after an arthroscopic repair of isolated supraspinatus tear. Inclusion criteria were: age under 70 years old, isolated supraspinatus tear, stage 0 or I of fatty infiltration, healed supraspinatus tendon at one year postoperatively and the same arthroscopic double row rotator cuff repair used in all patients. Clinical assessment used Constant Murley Score (CMS) and Subjective Shoulder Value (SSV) preoperatively and at one year postoperatively. Ultrasound (US) control checked tendon repair quality based on Sugaya classification. Types I-II-III were considered as healed. RESULTS: The average age of our cohort was 57.57 (range; 41 to 70) years and the female to male ratio was 1.14 (range; 100 to 87). The average preoperative CMS was 53.75+/-13.50 (mean+/-SD; range; 16 to 83). At final follow up, the average postoperative CMS was 79.95+/-12.05 (mean+/-SD; range; 28 to 100). 12.22% (23/188) of patients, who had a CMS score below 70, had a clinically significant difference compared to the average CMS, due to the fact that the minimal clinically significant difference (MCID) in CMS is 10. A statistical analysis has shown that in patients with lower scores there was only a significant dominance of females (p-value=0.001). No difference was found in regards to age, preoperative CMS, fatty degeneration and other factors. CONCLUSION: Our study showed that despite all patients had a healed repair of supraspinatus, not all of them experienced a good final clinical outcome. The only factor negatively influencing the final clinical outcome was a female gender. No other structural factors seemed to influence the final clinical results. Futures studies should focus more on analyzing which personality traits and other psychosocial factors play an important role in determining the final outcome after arthroscopic rotator cuff repair. LEVEL OF EVIDENCE: III; retrospective cohort study. CI - Copyright (c) 2021 Elsevier Masson SAS. All rights reserved. FAU - Nabergoj, Marko AU - Nabergoj M AD - Valdoltra Orthopaedic Hospital, Ankaran, Slovenia; Faculty of Medicine, University of Ljubljana, Vrazov trg 2, SI 1000 Ljubljana, Slovenia. FAU - Bagheri, Nima AU - Bagheri N AD - Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran. FAU - Bonnevialle, Nicolas AU - Bonnevialle N AD - Hopital Pierre-Paul-Riquet, CHRU de Toulouse, place Baylac, 31059 Toulouse cedex 09, France. FAU - Gallinet, David AU - Gallinet D AD - Centre epaule main Besancon, 16, rue Madeleine-Bres, 25000 Besancon, France. FAU - Barth, Johannes AU - Barth J AD - Centre osteo-articulaire des Cedres, parc Sud Galaxie, 5, rue des Tropiques, 38130 Echirolles, France. FAU - Labattut, Ludovic AU - Labattut L AD - Service de chirurgie orthopedique et traumatologique, hopital Francois-Mitterrand, CHU de Dijon, 14, rue Gaffarel, BP 77908, 21079 Dijon cedex, France. FAU - Metais, Pierre AU - Metais P AD - Elsan Hopital Prive la Chataigneraie, 63110 Beaumont, France. FAU - Godeneche, Arnaud AU - Godeneche A AD - Centre orthopedique Santy, 24, avenue Paul-Santy, 69008 Lyon, France. FAU - Garret, Jerome AU - Garret J AD - Clinique du parc, 155, boulevard Stalingrad, 69006 Lyon, France. FAU - Clavert, Philippe AU - Clavert P AD - Service de chirurgie du membre superieur, Haut Pierre 2, CHRU Strasbourg, avenue Moliere, 67200 Strasbourg, France. FAU - Collin, Philippe AU - Collin P AD - Clinique Victor-Hugo, 5, Bis rue du Dome, 75116 Paris, France. Electronic address: docphcollin@gmail.com. CN - Francophone Arthroscopy Society (SFA) AD - 15, rue Ampere, 92500 Rueil-Malmaison, France. LA - eng PT - Journal Article DEP - 20211007 PL - France TA - Orthop Traumatol Surg Res JT - Orthopaedics & traumatology, surgery & research : OTSR JID - 101494830 SB - IM MH - Adult MH - Aged MH - Arthroscopy/methods MH - Female MH - Humans MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Prospective Studies MH - Retrospective Studies MH - *Rotator Cuff/surgery MH - *Rotator Cuff Injuries/diagnostic imaging/surgery MH - Treatment Outcome OTO - NOTNLM OT - Complication OT - Predictive OT - Psychosocial OT - Results OT - Satisfaction OT - Supraspinatus EDAT- 2021/10/11 06:00 MHDA- 2022/03/11 06:00 CRDT- 2021/10/10 20:53 PHST- 2021/05/20 00:00 [received] PHST- 2021/07/19 00:00 [revised] PHST- 2021/08/02 00:00 [accepted] PHST- 2021/10/11 06:00 [pubmed] PHST- 2022/03/11 06:00 [medline] PHST- 2021/10/10 20:53 [entrez] AID - S1877-0568(21)00345-5 [pii] AID - 10.1016/j.otsr.2021.103100 [doi] PST - ppublish SO - Orthop Traumatol Surg Res. 2021 Dec;107(8S):103100. doi: 10.1016/j.otsr.2021.103100. Epub 2021 Oct 7.