Repair Integrity in Patients Returning for an Unscheduled Visit After Arthroscopic Rotator Cuff Repair Retorn or Not?

被引:2
|
作者
Rizvi, Syed Mohammed Taif [1 ,2 ]
Lam, Patrick [1 ,2 ]
Murrell, George A. C. [1 ,2 ]
机构
[1] Univ New South Wales, St George Hosp Campus, Orthopaed Res Inst, Sydney, NSW, Australia
[2] St George Hosp, Dept Orthopaed Surg, Level 2,3-10 South St, Kogarah, NSW 2217, Australia
来源
关键词
postoperative visit; rotator cuff repair; rotator cuff retear; postoperative pain; arthroscopy; SHOULDER; TEARS; PAIN;
D O I
10.1177/2325967118775061
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: After rotator cuff repair, some patients have ongoing problems significant enough to warrant presentation to a clinic for reassessment. Purpose/Hypothesis: The purpose of this study was to determine whether this cohort of patients was more likely to have a healed rotator cuff. We hypothesized that patients who had an unscheduled postoperative visit were more likely to have a healed rotator cuff than those who did not have an unscheduled postoperative visit. Study Design: Cohort study; Level of evidence, 3. Methods: A total of 321 consecutive patients who underwent arthroscopic rotator cuff repair were evaluated; of these, 50 patients had an unscheduled return to clinic that included an ultrasound assessment of the cuff repair within 4 months postoperatively. Repair integrity was evaluated in all patients at 6 months postoperatively via ultrasonography. Results: The failure-to-heal rate was greater in patients who had an unscheduled assessment (8/50; 16%) than in those who did not (14/275; 5%) (P = .01). The patients most likely to have a repair failure were those who were assessed before 2 weeks and after 12 weeks (7/18; 39%) compared with those who were assessed between 3 and 12 weeks (1/32; 3%) (P = .001). The failure-to-heal rate was very low in patients who had an unscheduled assessment with a tear size smaller than 4 cm 2 (0/34; 0%) compared with those with tear sizes greater than 4 cm(2) (8/16; 50%) (P<.0001, Fisher exact text). Conclusion: Patients who had an unscheduled clinic visit after rotator cuff repair had a 16% chance of a failed healing response, whereas those who did not have an unscheduled visit had a 5% rate of failed healing. The risk of a failed healing was response was greater if the tear was larger than 4 cm(2), if patients presented within 2 weeks following surgery, or if they presented after 12 weeks postsurgery.
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页数:8
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