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Prospective Study of Tendon Healing and Functional Gain After Arthroscopic Repair of Isolated Supraspinatus Tear Publisher Pubmed



Bagheri N1, 2 ; Bonnevialle N3 ; Gallinet D4 ; Barth J5 ; Labattut L6 ; Metais P7 ; Godeneche A8 ; Garret J9 ; Clavert P10 ; Fatrasmeyer I1 ; Collin P1
Authors
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Authors Affiliations
  1. 1. CHP Saint-Gregoire VIVALTO Sante, 6, boulevard de la Boutiere, Saint-Gregoire, 35760, France
  2. 2. Joint Reconstruction Research Centre, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Hopital Pierre-Paul-Riquet, CHRU de Toulouse, place Baylac, Toulouse cedex 09, 31059, France
  4. 4. Centre epaule main Besancon, 16, rue Madeleine-Bres, Besancon, 25000, France
  5. 5. Centre osteo-articulaire des cedres, Parc Sud Galaxie, 5, rue des Tropiques, Echirolles, 38130, France
  6. 6. Service de chirurgie orthopedique et traumatologique, hopital Francois-Mitterrand, CHU de Dijon, 14, rue Gaffarel, BP 77908, Dijon cedex, 21079, France
  7. 7. Elsan hopital prive la Chataigneraie, Beaumont, 63110, France
  8. 8. Centre orthopedique Santy, 24, avenue Paul-Santy, Lyon, 69008, France
  9. 9. Clinique du Parc, 155, boulevard Stalingrad, Lyon, 69006, France
  10. 10. Service de chirurgie du membre superieur, Hautepierre 2, CHRU de Strasbourg, avenue Moliere, Strasbourg, 67200, France
  11. 11. 15, rue Ampere, Rueil Malmaison, 92500, France

Source: Orthopaedics and Traumatology: Surgery and Research Published:2020


Abstract

Introduction: In case of failure of non-operative treatment of isolated supraspinatus tear, tendon surgery can improve shoulder function and alleviate pain. The present study hypothesis was that isolated supraspinatus repair shows good healing, with improved clinical results. Materials and methods: A prospective multicentre study followed up 199 patients (mean age, 57 years) for one year. Inclusion criteria comprised: isolated full-thickness supraspinatus tear, retraction grade < 3, with the same double-row arthroscopic technique. Clinical assessment used Constant score at 6 weeks and 3, 6 and 12 months. Ultrasound control checked tendon repair quality on the Sugaya criteria, types I-II-III being considered as healed. Results: At one year, mean Constant score had increased by 26 points (p < 0.001). Healing rate was 94% (n = 187): Sugaya type I, 46% (n = 92); type II, 41% (n = 81); type III, 7% (n = 14). Mean Constant score was significantly higher in case of healing: 81 vs. 70 points (p = 0.002). Constant score progression was identical in both healing groups throughout follow-up. Univariate analysis showed no correlation between epidemiological or tear-related factors and tendon healing. Conclusion: Arthroscopic repair of isolated small supraspinatus tear provided 94% healing. Clinical results were better when healing was achieved. Level of evidence: I, prospective cohort study. © 2020
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1. Prospective Study of Tendon Healing and Functional Gain After Arthroscopic Repair of Isolated Supraspinatus Tear; [Etude Prospective Sur La Cicatrisation Tendineuse Et Le Gain Fonctionnel Apres Reparation Arthroscopique D'une Rupture Isolee Du Supra-Epineux], Revue de Chirurgie Orthopedique et Traumatologique (2020)
2. Early Versus Late Physiotherapy Following Arthroscopic Repair of Small and Medium Size Rotator Cuff Tear: A Randomized Clinical Trial, International Orthopaedics (2023)
3. Arthroscopic Rotator Cuff Repair: Is Healing Enough?, Orthopaedics and Traumatology: Surgery and Research (2021)
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