caa a22 4500 605460469 CHVBK 20210128100238.0 cr unu---uuuuu 210128e20150201xx s 000 0 eng 10.1007/s00167-012-2317-7 doi (NATIONALLICENCE)springer-10.1007/s00167-012-2317-7 Surgical management of irreparable rotator cuff tears [Elektronische Daten] [Francesco Franceschi, Rocco Papalia, Sebastiano Vasta, Francesco Leonardi, Nicola Maffulli, Vincenzo Denaro] Purpose: In this prospective case control study, the effectiveness of surgical management of irreparable rotator cuff tears in terms of patient's status and quality of life was evaluated in two groups of patients: one group receiving arthroscopic debridement associated with acromioplasty and bursectomy and the other receiving an arthroscopic partial repair of the rotator cuff tear. Methods: Sixty-eight patients (47 males and 21 females) undergoing arthroscopic shoulder surgery for massive irreparable rotator cuff tear were enrolled in our study. Patients were divided into two groups: Group AP (debridement associated with acromioplasty and bursectomy) and Group PR (partial repair). Pre- and post-operative range of motion (ROM), modified-UCLA shoulder score and strength measurement were performed. The RC-QOL was used at the time of the last follow-up to assess patients' perception of their quality of life. Results: The final follow-up was 7.8 (±2.3, range 5-9) years. ROM measures were significantly increased from pre- to post-operative evaluations, with significant intergroup differences (P<0.001). The overall modified-UCLA shoulder score showed a mean pre-operative value of 7.6±2.6 (95% CI 6.7-8.5) for Group AP and 8.6±4.1 (95% CI 7.0-9.9) (n.s.) for Group PR. The post-operative values at the latest follow-up showed a statistically significant improvement in both groups [21.4±3.7 (95% CI 20.1-22.7) for Group AP and 28.8±4.2 (95% CI 27.3-30.2) for Group PR] (P<0.0001), with a significant intergroup difference (P<0.0001). The RC-QOL demonstrated a statistically significant difference between the groups [Group AP: 61.8±6.1(95% CI 59.6-63.9); Group PR: 71.2±9.8 (95% CI 67.7-74.6)] (P<0.0002). Conclusion: Both techniques are effective in reducing patients' symptoms, with higher functional outcomes for partial repair. However, the choice of which technique to undertake should take into account the patients' features concerning the acromio-humeral interval and levels of daily activities. Level of evidence: Therapeutic case-control study, Level III. Springer-Verlag Berlin Heidelberg, 2012 Rotator cuff tear nationallicence Massive tear nationallicence Irreparable tear nationallicence Debridement nationallicence Partial repair nationallicence Franceschi Francesco Department of Orthopaedic and Trauma Surgery, Campus Biomedico University of Rome, Via Alvaro del Portillo 200, Rome, Italy aut Papalia Rocco Department of Orthopaedic and Trauma Surgery, Campus Biomedico University of Rome, Via Alvaro del Portillo 200, Rome, Italy aut Vasta Sebastiano Department of Orthopaedic and Trauma Surgery, Campus Biomedico University of Rome, Via Alvaro del Portillo 200, Rome, Italy aut Leonardi Francesco Department of Orthopaedic and Trauma Surgery, Campus Biomedico University of Rome, Via Alvaro del Portillo 200, Rome, Italy aut Maffulli Nicola Centre for Sports and Exercise Medicine, Barts and The London School of Medicine and Dentistry, Mile End Hospital, 275 Bancroft Road, E1 4DG, London, UK aut Denaro Vincenzo Department of Orthopaedic and Trauma Surgery, Campus Biomedico University of Rome, Via Alvaro del Portillo 200, Rome, Italy aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/2(2015-02-01), 494-501 0942-2056 23:2<494 2015 23 167 https://doi.org/10.1007/s00167-012-2317-7 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-012-2317-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Franceschi Francesco Department of Orthopaedic and Trauma Surgery, Campus Biomedico University of Rome, Via Alvaro del Portillo 200, Rome, Italy aut NATIONALLICENCE 700 1- Papalia Rocco Department of Orthopaedic and Trauma Surgery, Campus Biomedico University of Rome, Via Alvaro del Portillo 200, Rome, Italy aut NATIONALLICENCE 700 1- Vasta Sebastiano Department of Orthopaedic and Trauma Surgery, Campus Biomedico University of Rome, Via Alvaro del Portillo 200, Rome, Italy aut NATIONALLICENCE 700 1- Leonardi Francesco Department of Orthopaedic and Trauma Surgery, Campus Biomedico University of Rome, Via Alvaro del Portillo 200, Rome, Italy aut NATIONALLICENCE 700 1- Maffulli Nicola Centre for Sports and Exercise Medicine, Barts and The London School of Medicine and Dentistry, Mile End Hospital, 275 Bancroft Road, E1 4DG, London, UK aut NATIONALLICENCE 700 1- Denaro Vincenzo Department of Orthopaedic and Trauma Surgery, Campus Biomedico University of Rome, Via Alvaro del Portillo 200, Rome, Italy aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/2(2015-02-01), 494-501 0942-2056 23:2<494 2015 23 167