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Published in: Archives of Orthopaedic and Trauma Surgery 10/2004

01-12-2004 | Original Article

Comparison of debridement versus suture in large rotator cuff tears: long-term study of 64 shoulders

Authors: Thomas Motycka, Alexander Lehner, Franz Landsiedl

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 10/2004

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Abstract

Introduction

The goal of this study is to determine whether suturing is superior to non-closure in terms of the subjective long-term outcome in large rotator cuff tears.

Materials and methods

A total of 64 shoulders with rotator cuff tears of at least 3 cm diameter and followed up for a mean period of 5 years and 8 months were retrospectively examined. The patients’ medical history, clinical findings, radiographs and Constant scores were studied. Patients whose tears had been closed with an open suture (n=33) were compared with those whose tears had not been closed (n=31).

Results

Neither the comparison between open suturing and debridement nor that between open and arthroscopic debridement reveal a significant difference with regard to the overall Constant score or the individual parameters.

Conclusion

These results suggest that in the long-term, suturing of large rotator cuff tears is not superior to debridement.
Literature
1.
go back to reference Armstrong JR (1949) Excision of the acromion and treatment of supraspinatus syndrome: a report of 95 excisions. J Bone Joint Surg Br 31:436–442 Armstrong JR (1949) Excision of the acromion and treatment of supraspinatus syndrome: a report of 95 excisions. J Bone Joint Surg Br 31:436–442
2.
go back to reference Berg EE, Ciullo JV, Oglesby JW (1994) Failure of arthroscopic decompression by subacromial heterotopic ossification causing recurrent impingement. Arthroscopy 10:158–161PubMed Berg EE, Ciullo JV, Oglesby JW (1994) Failure of arthroscopic decompression by subacromial heterotopic ossification causing recurrent impingement. Arthroscopy 10:158–161PubMed
3.
go back to reference Berg EE, Ciullo JV (1995) Heterotopic ossification after acromioplasty and distal clavicle resection. J Shoulder Elbow Surg 4:188–193PubMed Berg EE, Ciullo JV (1995) Heterotopic ossification after acromioplasty and distal clavicle resection. J Shoulder Elbow Surg 4:188–193PubMed
4.
go back to reference Bigliani LU, Cordasco FA, McIlveen SJ, Musso ES (1992) Operative repair of massive rotator cuff tears: long-term results. J Shoulder Elbow Surg 1:120–130 Bigliani LU, Cordasco FA, McIlveen SJ, Musso ES (1992) Operative repair of massive rotator cuff tears: long-term results. J Shoulder Elbow Surg 1:120–130
5.
go back to reference Bigliani LU, Morrison DS, April EW (1986) The morphology of the acromion and its relationship to rotator cuff tears. Trans 10:228 Bigliani LU, Morrison DS, April EW (1986) The morphology of the acromion and its relationship to rotator cuff tears. Trans 10:228
6.
go back to reference Burkhart SS, Nottage WM, Ogilvie-Harris DJ, Kohn HS, Pachelli AP (1994) Partial repair of irreparable rotator cuff tears. Arthroscopy 10:363–370PubMed Burkhart SS, Nottage WM, Ogilvie-Harris DJ, Kohn HS, Pachelli AP (1994) Partial repair of irreparable rotator cuff tears. Arthroscopy 10:363–370PubMed
7.
go back to reference Constant CR, Murley AMG (1987) A clinical method of functional assessment of the shoulder. Clin Orthop 214:160–164PubMed Constant CR, Murley AMG (1987) A clinical method of functional assessment of the shoulder. Clin Orthop 214:160–164PubMed
8.
go back to reference Ellman H (1987) Arthroscopic subacromial decompression: analysis of 1–3 year results. Arthroscopy 3:173–181PubMed Ellman H (1987) Arthroscopic subacromial decompression: analysis of 1–3 year results. Arthroscopy 3:173–181PubMed
9.
go back to reference Ellman H, Kay SP, Wirth M (1993) Arthroscopic treatment of full-thickness rotator cuff tears: 2- to 7-year follow-up study. Arthroscopy 9:195–200PubMed Ellman H, Kay SP, Wirth M (1993) Arthroscopic treatment of full-thickness rotator cuff tears: 2- to 7-year follow-up study. Arthroscopy 9:195–200PubMed
10.
go back to reference Ellman H, Kay SP (1991) Arthroscopic subacromial decompression for chronic impingement: 2- to 5-year results. J Bone Joint Surg Br 73:395–398PubMed Ellman H, Kay SP (1991) Arthroscopic subacromial decompression for chronic impingement: 2- to 5-year results. J Bone Joint Surg Br 73:395–398PubMed
11.
go back to reference Esch JC, Ozerkis LR, Halgager JA, Kane N, Lilliott N (1988) Arthroscopic subacromial decompression: results according to the degree of rotator cuff tear. Arthroscopy 4:241–249PubMed Esch JC, Ozerkis LR, Halgager JA, Kane N, Lilliott N (1988) Arthroscopic subacromial decompression: results according to the degree of rotator cuff tear. Arthroscopy 4:241–249PubMed
12.
go back to reference Gartsman G (1990) Arthroscopic acromioplasty for lesions of the rotator cuff J Bone Joint Surg Am 72:169–180 Gartsman G (1990) Arthroscopic acromioplasty for lesions of the rotator cuff J Bone Joint Surg Am 72:169–180
13.
go back to reference Gazielly D, Gleyze P, Montagnon C (1994) Functional and anatomical results after rotator cuff repair. Clin Orthop 304:43–53PubMed Gazielly D, Gleyze P, Montagnon C (1994) Functional and anatomical results after rotator cuff repair. Clin Orthop 304:43–53PubMed
14.
go back to reference Hattrup SJ (1995) Rotator cuff repair. Relevance of patient age. J Shoulder Elbow Surg 4:95–100PubMed Hattrup SJ (1995) Rotator cuff repair. Relevance of patient age. J Shoulder Elbow Surg 4:95–100PubMed
15.
go back to reference Hawkins RJ, Misamre GW, Hobeika PE (1985) Surgery for full thickness rotator cuff tears. J Bone Joint Surg Am 67:1349–1355PubMed Hawkins RJ, Misamre GW, Hobeika PE (1985) Surgery for full thickness rotator cuff tears. J Bone Joint Surg Am 67:1349–1355PubMed
16.
go back to reference Kuster MS, Hales PF, Davis SJ (1998) The effects of arthroscopic acromioplasty on the acromioclavicular joint. J Shoulder Elbow Surg 7:140–143CrossRefPubMed Kuster MS, Hales PF, Davis SJ (1998) The effects of arthroscopic acromioplasty on the acromioclavicular joint. J Shoulder Elbow Surg 7:140–143CrossRefPubMed
17.
go back to reference Levy HJ, Gardner RD, Lemak LJ (1991) Arthroscopic subacromial decompression in the treatment of full-thickness rotator cuff tears. Arthroscopy 7:8–13CrossRefPubMed Levy HJ, Gardner RD, Lemak LJ (1991) Arthroscopic subacromial decompression in the treatment of full-thickness rotator cuff tears. Arthroscopy 7:8–13CrossRefPubMed
18.
go back to reference Motycka T, Kriegleder B, Landsiedl F (2001) Results of open repair of the rotator cuff—a long-time review of 79 shoulders. Arch Orthop Trauma Surg 121:148–151CrossRefPubMed Motycka T, Kriegleder B, Landsiedl F (2001) Results of open repair of the rotator cuff—a long-time review of 79 shoulders. Arch Orthop Trauma Surg 121:148–151CrossRefPubMed
19.
go back to reference Nobuhara K, Hata Y, Komai M (1994) Surgical procedure and results of repair of massive tears of the rotator cuff. Clin Orthop 304:54–59PubMed Nobuhara K, Hata Y, Komai M (1994) Surgical procedure and results of repair of massive tears of the rotator cuff. Clin Orthop 304:54–59PubMed
20.
go back to reference Ogilvie-Harris DJ, Demaziere (1993) Arthroscopic debridement versus open repair for rotator cuff tears. J Bone Joint Surg Br 75:416–420PubMed Ogilvie-Harris DJ, Demaziere (1993) Arthroscopic debridement versus open repair for rotator cuff tears. J Bone Joint Surg Br 75:416–420PubMed
21.
go back to reference Petersson CJ (1983) Resection of the lateral end of the clavicle; a 3- to 30-year follow-up. Acta Orthop Scand 54:904–907PubMed Petersson CJ (1983) Resection of the lateral end of the clavicle; a 3- to 30-year follow-up. Acta Orthop Scand 54:904–907PubMed
22.
go back to reference Post M, Silver R, Sing M (1983) Rotator cuff tears. Diagnosis and treatment. Clin Orthop 173:78–91PubMed Post M, Silver R, Sing M (1983) Rotator cuff tears. Diagnosis and treatment. Clin Orthop 173:78–91PubMed
23.
go back to reference Rockwood CA Jr,Burkhead WZ (1988) Management of patients with massive rotator cuff defects by acromioplasty and rotator cuff debridement. Orthop Trans 12:190–191 Rockwood CA Jr,Burkhead WZ (1988) Management of patients with massive rotator cuff defects by acromioplasty and rotator cuff debridement. Orthop Trans 12:190–191
24.
go back to reference Rockwood CA, Williams GR Jr,Burkhead WZ Jr (1995) Debridement of degenerative, irreparable lesions of the rotator cuff. J Bone Joint Surg Am 77:857–866PubMed Rockwood CA, Williams GR Jr,Burkhead WZ Jr (1995) Debridement of degenerative, irreparable lesions of the rotator cuff. J Bone Joint Surg Am 77:857–866PubMed
25.
go back to reference Simmen BR, Bloch HR, Bischof A, Gschwend N (1992) Long-term results after rotator cuff repair. J Bone Joint Surg Br 74 [SuppI]:17 Simmen BR, Bloch HR, Bischof A, Gschwend N (1992) Long-term results after rotator cuff repair. J Bone Joint Surg Br 74 [SuppI]:17
26.
go back to reference Zvijac JE, Levy HJ, Lemak LK (1994) Arthroscopic subacromial decompression in the treatment of full thickness rotator cuff tears: a 3- to 6-year follow-up. Arthroscopy 10:518–523PubMed Zvijac JE, Levy HJ, Lemak LK (1994) Arthroscopic subacromial decompression in the treatment of full thickness rotator cuff tears: a 3- to 6-year follow-up. Arthroscopy 10:518–523PubMed
Metadata
Title
Comparison of debridement versus suture in large rotator cuff tears: long-term study of 64 shoulders
Authors
Thomas Motycka
Alexander Lehner
Franz Landsiedl
Publication date
01-12-2004
Publisher
Springer-Verlag
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 10/2004
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-004-0737-7

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