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Clin Shoulder Elbow > Volume 19(2); 2016 > Article
Clinics in Shoulder and Elbow 2016;19(2):60-66.
DOI: https://doi.org/10.5397/cise.2016.19.2.60    Published online June 30, 2016.
Comparison of Clinical and Structural Outcomes of Open and Arthroscopic Repair for Massive Rotator Cuff Tear
Nam Su Cho, Sang Won Cha, Hee Seok Shim, Hyung Suk Juh, Yong Girl Rhee
Shoulder & Elbow Clinic, Department of Orthopaedic Surgery, College of Medicine, Kyung Hee University, Seoul, Korea. shoulderrhee@hanmail.net
Received: 4 May 2015   • Revised: 15 July 2015   • Accepted: 16 August 2015
Abstract
BACKGROUND: Management of massive rotator cuff tears can be challenging because of the less satisfactory results and a higher retear rate regardless of the use of open or arthroscopic repair technique.
METHODS
We retrospectively analyzed 102 cases of massive rotator cuff tear treated with either open or arthroscopic repair. Open repair was performed in 38 patients; and arthroscopic repair, in 64 patients. The mean age at the time of surgery was 59.7 years in the open group and 57.6 years in the arthroscopic group.
RESULTS
The Constant score increased from the preoperative mean of 55.9 to 73.2 at the last follow-up in the open repair group and from 53.8 to 67.6 in the arthroscopic repair group (p<0.001 and <0.001, respectively). The University of California at Los Angeles (UCLA) score increased from a preoperative mean of 17.7 to 30.8 at the last follow-up in the open group and from 17.5 to 28.7 in the arthroscopic group (p<0.001 and <0.001, respectively). No statistically significant difference in the Constant and UCLA scores was observed between the two groups at the last follow-up (p=0.128 and 0.087, respectively). Retear was found in 14 patients (36.8%) in the open group and 39 patients (60.9%) in the arthroscopic group (p=0.024).
CONCLUSIONS
Open and arthroscopic repairs of massive rotator cuff tears may provide satisfactory clinical results with no significant difference. However, a significantly lower retear rate was observed for the open repair group compared with the arthroscopic repair group.
Key Words: Shoulder; Rotator cuff; Tendon injuries; Massive; Open; Arthroscopy


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