COMPARATIVE ANALYSIS ON THE RESULT FOR ARTHROSCOPIC ROTATOR CUFF SUTURE BETWEEN SMOKING AND NON-SMOKING PATIENTS

Overview

Journal Rev Bras Ortop

Specialty Orthopedics

Date 2016 Mar 31

PMID 27027006

Citations 7

Authors

Alexandre Almeida

Marcio Rangel Valin

Rodrigo Zampieri

Nayvaldo Couto de Almeida

Gilberto Roveda

Ana Paula Agostini

Affiliations

Soon will be listed here.

Abstract

Objective: To comparatively analyze the results from arthroscopic rotator cuff suture between smoking and non-smoking patients.

Methods: A group of 286 patients who underwent arthroscopic suturing of primary rotator cuff injuries between June 12, 2002, and May 14, 2008, was analyzed. The patients included in the study were evaluated using the UCLA scale, with a minimum follow-up of 12 months and average of 56.52 months. The variables studied were age, sex, side operated, dominance, profile of cigarette use and UCLA index.

Results: This study evaluated a total of 205 patients. Mean age (p = 0.289) and sex (p = 0.124) were analyzed statistically between the smoking and non-smoking patients and the two groups were considered to be similar. The average UCLA score for the non-smoking patients (143) was 34 (32 to 35). The average UCLA score for the smoking patients (51) was 33 (29 to 35). There was no statistically significant difference in UCLA score (p = 0.123) between the smoking and non-smoking patients. For the purposes of statistical analysis, we grouped the small and medium tears (107) and compared these with the large and extensive tears (80), between smokers and non-smokers. There was no statistically significant difference using the Mann-Whitney test regarding the small and medium tears (p = 818). There was a statistically significant difference using the Mann-Whitney test regarding the large and extended tears, between the smoking and non-smoking patients, such that the non-smokers showed better UCLA scores (p = 0.038).

Conclusion: The results from arthroscopic suturing of large and extensive rotator cuff injuries are inferior among smoking patients.

Citing Articles

Surgical Management of Massive Irreparable Posterosuperior Rotator Cuff Tears: Arthroscopic-Assisted Lower Trapezius Transfer.

Wagner E, Elhassan B Curr Rev Musculoskelet Med. 2020; 13(5):592-604.

PMID: 32661919 PMC: 7474727. DOI: 10.1007/s12178-020-09657-5.

Comparative Study between Multi-slice Computed Tomographic Arthrography and Arthroscopy in the Evaluation of Rotator Cuff Tears.

Gomez-Vieira L, Gomez-Cordero N, Geambastiani P, Matos M Rev Bras Ortop (Sao Paulo). 2019; 54(5):579-586.

PMID: 31736525 PMC: 6855923. DOI: 10.1016/j.rbo.2017.12.020.

Effect of Cigarette Smoking on Patient-Reported Outcomes in Hip Arthroscopic Surgery: A Matched-Pair Controlled Study With a Minimum 2-Year Follow-up.

Lall A, Hammarstedt J, Gupta A, Laseter J, Mohr M, Perets I Orthop J Sports Med. 2019; 7(1):2325967118822837.

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Outcome assessment in the treatment of rotator cuff tear: what is utilized in Brazil?.

Assuncao J, Malavolta E, Domingues V, Conforto Gracitelli M, Amado Ferreira Neto A Rev Bras Ortop. 2017; 52(5):561-568.

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What is the role of systemic conditions and options for manipulation of bone formation and bone resorption in rotator cuff tendon healing and repair?.

Lee S, Gumucio J, Mendias C, Bedi A Tech Shoulder Elb Surg. 2017; 18(3):113-120.

PMID: 28966557 PMC: 5615853. DOI: 10.1097/BTE.0000000000000121.

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