Evaluation of Long-term Postoperative Outcomes Between Mini-open and Arthroscopic Repair for Isolated Supraspinatus Tears: a Retrospective Analysis

Overview

Journal Musculoskelet Surg

Date 2018 Oct 22

PMID 30343477

Citations 4

Authors

G Vicenti

L Moretti

M Carrozzo

V Pesce

G Solarino

B Moretti

Affiliations

Soon will be listed here.

Abstract

Background: Despite arthroscopic repair of the rotator cuff is an increasingly popular procedure, the mini-open (MO) repair still remains a viable and appreciated technique. The purpose of the study was to analyze the long-term clinical outcomes of patients with isolated supraspinatus tear undergoing MO or arthroscopic surgery (AS) repair.

Patients And Methods: Forty-six patients underwent supraspinatus repair with anchors: 24 with MO technique and 22 with AS procedure. They were evaluated postoperatively at 3, 6, 12 months and 2 years.

Results: The mean surgery time, the mean hospital stay and the average costs were shorter in the MO patients respect to the AS group. Despite an initial better Disabilities of Arm, Shoulder and Hand and Constant Murley Score in the first 6 months of follow-up in the AS group, no differences were detected at 24 months.

Conclusion: This study suggests that isolated supraspinatus tears can be treated with a MO or arthroscopic repair procedure with similar clinical outcome in the long-term postoperative period. The mean surgery time and the average costs are less in the MO group respect to the AS group.

Citing Articles

Rotator Cuff Repair by All-Arthroscopic Versus Mini-Open Technique: A Comparison of Clinical and Functional Outcome.

Daga S, Baid M, Sarkar P, Das A, Hemant Shah R, Dhandapani K Cureus. 2024; 16(10):e71546.

PMID: 39544574 PMC: 11563191. DOI: 10.7759/cureus.71546.

Comparison of clinical outcomes and repair integrity after arthroscopic versus mini-open rotator cuff repair: An observational study.

Tosyali H, Kaya H, Hancioglu S, Tamsel I, Orguc S, Tekustun F Medicine (Baltimore). 2024; 103(22):e38181.

PMID: 39259080 PMC: 11142816. DOI: 10.1097/MD.0000000000038181.

Role of biomechanical assessment in rotator cuff tear repair: Arthroscopic mini-open approach.

Solarino G, Bortone I, Vicenti G, Bizzoca D, Coviello M, Maccagnano G World J Orthop. 2022; 12(12):991-1000.

PMID: 35036341 PMC: 8696602. DOI: 10.5312/wjo.v12.i12.991.

Update on all-arthroscopic vs. mini-open rotator cuff repair: A systematic review and meta-analysis.

Sakha S, Erdogan S, Shanmugaraj A, Betsch M, Leroux T, Khan M J Orthop. 2021; 24:254-263.

PMID: 33867750 PMC: 8040116. DOI: 10.1016/j.jor.2021.03.009.

References

Verdano M, Pellegrini A, Scita G, Costantino C, Ceccarelli F . Arthroscopic treatment for cuff tear: strength recovery at 12 months of follow-up. Musculoskelet Surg. 2013; 97(1):51-6. DOI: 10.1007/s12306-013-0241-8. View

Patte D . Classification of rotator cuff lesions. Clin Orthop Relat Res. 1990; (254):81-6. View

Ghodadra N, Provencher M, Verma N, Wilk K, Romeo A . Open, mini-open, and all-arthroscopic rotator cuff repair surgery: indications and implications for rehabilitation. J Orthop Sports Phys Ther. 2009; 39(2):81-9. DOI: 10.2519/jospt.2009.2918. View

Liu J, Fan L, Zhu Y, Yu H, Xu T, Li G . Comparison of clinical outcomes in all-arthroscopic versus mini-open repair of rotator cuff tears: A randomized clinical trial. Medicine (Baltimore). 2017; 96(11):e6322. PMC: 5369905. DOI: 10.1097/MD.0000000000006322. View

Churchill R, Ghorai J . Total cost and operating room time comparison of rotator cuff repair techniques at low, intermediate, and high volume centers: mini-open versus all-arthroscopic. J Shoulder Elbow Surg. 2010; 19(5):716-21. DOI: 10.1016/j.jse.2009.10.011. View

Donohue N, Prisco A, Grindel S . Pre-operative corticosteroid injections improve functional outcomes in patients undergoing arthroscopic repair of high-grade partial-thickness rotator cuff tears. Muscles Ligaments Tendons J. 2017; 7(1):34-39. PMC: 5505593. DOI: 10.11138/mltj/2017.7.1.034. View

Constant C, Murley A . A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res. 1987; (214):160-4. View

Cho C, Song K, Jung G, Lee Y, Shin H . Early postoperative outcomes between arthroscopic and mini-open repair for rotator cuff tears. Orthopedics. 2012; 35(9):e1347-52. DOI: 10.3928/01477447-20120822-20. View

Huang R, Wang S, Wang Y, Qin X, Sun Y . Systematic Review of All-Arthroscopic Versus Mini-Open Repair of Rotator Cuff Tears: A Meta-Analysis. Sci Rep. 2016; 6:22857. PMC: 4780011. DOI: 10.1038/srep22857. View

10.

van der Zwaal P, Thomassen B, Nieuwenhuijse M, Lindenburg R, Swen J, van Arkel E . Clinical outcome in all-arthroscopic versus mini-open rotator cuff repair in small to medium-sized tears: a randomized controlled trial in 100 patients with 1-year follow-up. Arthroscopy. 2012; 29(2):266-73. DOI: 10.1016/j.arthro.2012.08.022. View

11.

Morse K, Davis A, Afra R, Krall Kaye E, Schepsis A, Voloshin I . Arthroscopic versus mini-open rotator cuff repair: a comprehensive review and meta-analysis. Am J Sports Med. 2008; 36(9):1824-8. DOI: 10.1177/0363546508322903. View

12.

Baudi P, Rasia Dani E, Campochiaro G, Rebuzzi M, Serafini F, Catani F . The rotator cuff tear repair with a new arthroscopic transosseous system: the Sharc-FT(®). Musculoskelet Surg. 2013; 97 Suppl 1:57-61. DOI: 10.1007/s12306-013-0254-3. View

13.

Verma N, Dunn W, Adler R, Cordasco F, Allen A, MacGillivray J . All-arthroscopic versus mini-open rotator cuff repair: a retrospective review with minimum 2-year follow-up. Arthroscopy. 2006; 22(6):587-94. DOI: 10.1016/j.arthro.2006.01.019. View

14.

Pearsall 4th A, Ibrahim K, Madanagopal S . The results of arthroscopic versus mini-open repair for rotator cuff tears at mid-term follow-up. J Orthop Surg Res. 2007; 2:24. PMC: 2216003. DOI: 10.1186/1749-799X-2-24. View

15.

Hui Y, Teo A, Sharma S, Tan B, Kumar V . Immediate costs of mini-open versus arthroscopic rotator cuff repair in an Asian population. J Orthop Surg (Hong Kong). 2017; 25(1):2309499016684496. DOI: 10.1177/2309499016684496. View

16.

Ji X, Bi C, Wang F, Wang Q . Arthroscopic versus mini-open rotator cuff repair: an up-to-date meta-analysis of randomized controlled trials. Arthroscopy. 2014; 31(1):118-24. DOI: 10.1016/j.arthro.2014.08.017. View

17.

Oliva F, Piccirilli E, Bossa M, Giai Via A, Colombo A, Chillemi C . I.S.Mu.L.T - Rotator Cuff Tears Guidelines. Muscles Ligaments Tendons J. 2016; 5(4):227-63. PMC: 4762635. DOI: 10.11138/mltj/2015.5.4.227. View

18.

Hudak P, Amadio P, Bombardier C . Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand) [corrected]. The Upper Extremity Collaborative Group (UECG). Am J Ind Med. 1996; 29(6):602-8. DOI: 10.1002/(SICI)1097-0274(199606)29:6<602::AID-AJIM4>3.0.CO;2-L. View

19.

Arrigoni P, Fossati C, Zottarelli L, Ragone V, Randelli P . Functional repair in massive immobile rotator cuff tears leads to satisfactory quality of living: results at 3-year follow-up. Musculoskelet Surg. 2013; 97 Suppl 1:73-7. DOI: 10.1007/s12306-013-0252-5. View

20.

Kasten P, Keil C, Grieser T, Raiss P, Streich N, Loew M . Prospective randomised comparison of arthroscopic versus mini-open rotator cuff repair of the supraspinatus tendon. Int Orthop. 2011; 35(11):1663-70. PMC: 3193969. DOI: 10.1007/s00264-011-1262-2. View