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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
Minerva Ortopedica e Traumatologica 2005 June;56(3):121-6
Arthroscopic sub-acromial decompression versus balanced arthroscopic repair in the surgical treatment of rotator cuff massive tears
Mariotti U. 1, Motta P. O. 1, Vassoney P. F. 1, Stroppiana F. 2, Caranzano F. 2
1 Unità Operativa di Chirurgia della Spalla CTO, Torino
2 Dipartimento di Ortopedia Clinica Ortopedica Universitaria I CTO, Torino
Aim. Rotator cuff massive tears may be treated with 2 different arthroscopic surgical techniques: the sub-acromial decompression (SAD) and the arthroscopic balanced repair in association with the SAD. The main goal of this paper is to compare the clinical results of these 2 techniques and to evaluate the differences in the functional recovery using the Constant’s score and the Constant’s score modified for sex and age.
Methods. We have studied 96 patients divided into 2 groups according to the surgical technique used (group A: SAD; group B: balanced repair + SAD). In each group we evaluated: number of patients, sex, age at the time of surgery, Constant’s score.
Results. Average age at the time of surgery was 63.48 years. Average Constant’s score: group A=59.38; group B=78.94 (P<0.001); 31.25% of patients in group A and 81.25% in group B show a Constant’s score >70. Using the Constant’s score modified for sex and age (choice due to the non-homogenity of the sample) the mean value is 0.80 in group A and 0.98 in group B (P<0.001).
Conclusion. Although this technique is more complex than the SAD and requires a longer learning curve, our study has shown arthroscopic repair to be the best surgical treatment for rotator cuff massive tears.