Published in:
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.