A prospective comparative study of mini-open versus arthroscopic repair of supraspinatus tear
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20202684Keywords:
Supraspinatus repair, Arthroscopic, Mini open, UCLA scoreAbstract
Background: Supraspinatus tear is very common and more frequent among older individuals. Before the arthroscopy came into high demand, the open repair of supraspinatus tear was the preferred method of surgery. Recently, the mini-open technique of repair has also gained popularity because of certain factors like better repair strength, requires less expertise and facilitates early active mobilization. Still, the gold standard modality of repair is yet to be determined as both modalities are associated with good clinical outcomes and both have their pros and cons. We decided to compare functional and clinical outcomes of arthroscopic and mini-open repair.
Methods: This was a randomised study with 32 patients in each group, aged between 18 and 60 years and all patients were cases of traumatic tear of Supraspinatus tendon. From January 2016 to March 2018, alternate patients were selected for mini-open and arthroscopic repair who fulfilled our criteria.
Results: Follow up was done after 12 months postoperatively and the results were evaluated using University of California Los Angeles (UCLA) shoulder score. None left the study. In arthroscopic group, out of 32 patients, 28 got excellent or good result whereas in mini open out of 32 patients 27 achieved excellent or good outcome.
Conclusions: Arthroscopic method provides better visualization of shoulder anatomy whereas Mini-open method has better repair strength and is affordable. The necessity of an arthroscopy set up might not be required for supraspinatus repair as both the modalities show similar functional and clinical outcomes, reducing the economic burden on the patients.
Metrics
References
Campbell’s operative orthopaedics; shoulder and elbow injuries: Rotator cuff tears. 2012.
Neal L, Millar MB, Wu X, Tantau R, Silverstone E, George AC, et al. Clin Orthop Relat Res. 2009;467:966-78.
Nho SJ, Yadav H, Shindle MK, Macgillivray JD. Rotator cuff degeneration: etiology and pathogenesis. Am J Sports Med. 2008;36(5):987-93.
Codman EA. Complete rupture of the supraspinatus tendon. Operative treatment with report of two successful cases 1911. J Shoulder Elbow Surg. 2011;20:347-9.
Iyengar JJ, Samagh SP, Schairer W, Singh G, Valone FH, Feeley BT. Current trends in rotator cuff repair: Surgical technique, setting and cost. Arthroscopy. 2014;30:284-8.
Baker DK, Perez JL, Watson SL, Gerald MG, Ponce BA. Arthroscopic vs. Open rotator cuff repair: which has a better impact profile. J Shoulder Elbow Surg. 2010;26:5.
Duralde XAR, Greene T. Mini-open rotator cuff repair via an anterosuperior approach. J Shoulder Elbow Surg. 2008;9(1):715-21.
Shinners TJ, Noordsij PG, Orwin JF. Arthroscopically assisted mini-open rotator cuff repair. Arthroscopy. 2002;18:21-6.
Kim SH, Ha KI, Park JH. Arthroscopic versus mini-open salvagere pair of the rotator cuff tear: outcome analysis at 2 to 6 years’ follow-up. Arthroscopy. 2003;19:746-54.
Burkhart SS, Danaceau SM, Pearce CE. Arthroscopic rotator cuff repair: analysis of results by tear size and by repair technique-margin convergence versus direct tendon-to-bone repair. Arthroscopy. 2001;17:905-12.
Vicenti G, Moretti L, Carrozzo M, Pesce V, Solarino G, Moretti B. Evaluation of long-term postoperative outcomes between mini-open and arthroscopic repair for isolated supraspinatus tears: a retrospective analysis. Musculoskelet Surg. 2018;102(1);21-7.
Youm T, Murray DH, Kubiak EN. Arthroscopic versus mini-open rotator cuff repair: a comparison of clinical outcomes and patient satisfaction. J Shoulder Elbow Surg. 2005;14:455-9.
Sauerbrey AM, Getz CL, Piancastelli M. Arthroscopic versus mini open rotator cuff repair: a comparison of clinical outcome. Arthroscopy. 2005;21:1415-20.
Verma NN, Dunn W, Adler RS. All-arthroscopic versus mini-open rotator cuff repair: a retrospective review with minimum 2 years follow up. Arthroscopy. 2006;22:587-94.
Kang L, Henn RF, Tashjian RZ. Early outcome of arthroscopic rotator cuff repair: a matched comparison with mini-open rotator cuff repair. Arthroscopy. 2007;23:573-82.
Severud EL, Ruotolo C, Abbott DD. All arthroscopic versus mini open rotator cuff repair: a long-term retrospective outcome comparison. Arthroscopy. 2003;19:234-8.
Warner JJ, Tetreault P, Lehtinen J. Arthroscopic versus mini-open rotator cuff repair: a cohort comparison study. Arthroscopy. 2005;21:328-32.
Buess E, Steuber KU, Waibl B. Open versus arthroscopic rotator cuff repair: a comparative view of 96 cases. Arthroscopy. 2005;21:597-604.
Gartsman GM, Brinker MR, Khan M. Early effectiveness of arthroscopic repair for full-thickness tears of the rotator cuff: an outcome analysis. J Bone Joint Surg Am. 1998;80:33-40.
Morse K, Davis AD, Afra R. Arthroscopic versus mini-open rotator cuff repair: a comprehensive review and meta-analysis. Am J Sports Med. 2008;36:1824-8.
Hudak PL, Amadio PC, Bombardier C. Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand). The Upper Extremity Collaborative Group (UECG). Am J Ind Med. 1996;29:602-8.
Chen ZB, Hong GX, Wang FB. Instruction DASH (Disability of Arm Shoulder and Hand). Chinese J Reparative Reconstructive Surg. 2004;18:520-1.
Shan L, Fu D, Chen K. All arthroscopic versus mini-open repair of small to large sized rotator cuff tears: a meta-analysis of clinical outcomes. PLoS One. 2014;9:94421.
Shen C, Tang ZH, Hu JZ. Does immobilization after arthroscopic rotator cuff repair increase tendon healing: a systematic review and meta-analysis. Arch Orthop Trauma Surg. 2014;134:1279-85.
Yamaguchi K, Levine WN, Marra G. Transitioning to arthroscopic rotator cuff repair: the pros and cons. Instr Course Lect. 2003;52:81-92.
Baker CL, Liu SH. Comparison of open and arthroscopically assisted rotator cuff repairs. Am J Sports Med. 1995;23:99-104.
Zwaal VDP, Thomassen BJ, Nieuwenhuijse MJ. Clinical outcome in all-arthroscopic versus mini-open rotator cuff repair in small to medium-sized tears: a randomized controlled trial in 100 patients with1-year follow-up. Arthroscopy. 2013;29:266-73.
Cho CH, Song KS, Jung GH. Early postoperative outcomes between arthroscopic and mini-open repair for rotator cuff tears. Orthopedics. 2012;35:1347-52.
Tauro JC. Arthroscopic rotator cuff repair: Analysis of technique and results at 2 and 3 years follow-up. Arthroscopy. 1998;14:45-51.
Wilson F, Hinov V, Adams G. Arthroscopic repair of full thickness tears of the rotator cuff: 2 to 14 years follow-up. Arthroscopy. 2002;18:136-144.
Murray TS, Lajtai G, Mileski RM, Snyder SJ. Arthro scopic repair of medium to large full-thickness rotator cuff tears: Outcome at 2 to 6 years follow-up. J Shoulder Elbow Surg. 2002;11:19-24.
Bigliani L, Cordasco F, McIlveen S. Operative treatment of massive rotator cuff tears: long-term results. J Shoulder Elbow Surg. 1992;1:120-30.
Cofield RH, Parvizi J, Hoffmeyer PJ, Lanzer WL. Surgical repair of chronic rotator cuff tears. J Bone Joint Surg Am. 2001;83:71-7.
Verma NN, Dunn WR, Altchek DW. All arthroscopic versus mini-open rotator cuff repair: a retrospective review with minimum 2 years follow-up. PLoS One. 2014;9(4):94421.
Downloads
Published
How to Cite
Issue
Section
