Functional outcome of patients undergoing open rotator cuff repair


  • Albin Savio Department of Orthopaedics, Government Medical College, Kottayam, Kerala, India
  • Nishara M. S. Department of Orthopaedics, Government Medical College, Kottayam, Kerala, India



Open rotator cuff repair, Acromioplasty, Constant- Murley score


Background: Rotator cuff tears are a common source of shoulder pain. The incidence of rotator cuff damage increases with age and is most frequently due to degeneration of the tendon rather than injury from sports or trauma. Rotator cuff tear can be treated arthroscopically, arthroscopically assisted (mini-open) or by an open procedure. Because of the technical demands of arthroscopic repair many surgeons consider open repair for the treatment of rotator cuff tears. This study was done to evaluate the functional outcome of shoulder after open rotator cuff repair.

Methods: 26 patients with partial and complete rotator cuff tears underwent open rotator cuff repair and acromioplasty. Cases were followed up at 3 months and 6 months intervals and shoulder function was assessed using Constant-Murley scoring system and compared with the preoperative scores and analyzed using SPSS software.

Results: Mean preoperative constant score was 33.95±7.545 while the mean constant score at 6 months post-surgery was 79.83±8.51 which was highly significant according to paired t test. The difference between preoperative, 3 months and 6 months constant scores of complete and partial tear patients was found to be statistically significant.

Conclusions: There was highly significant increase in Constant-Murley score after 6 months in patients treated by open rotator cuff repair. Open repair still stands as an effective treatment for rotator cuff tears and doing acromioplasty during the procedure adds to better outcome after surgery.

Author Biography

Albin Savio, Department of Orthopaedics, Government Medical College, Kottayam, Kerala, India

Assistant Professor

dept of orthopeadics


Tempelhof S, Rupp S, Seil R. Age related prevalence of rotator cuff tears in asymptomatic shoulders. J Shoulder Elbow Surg. 1999;8:296-9.

Neer CS 2nd. Anterior acromioplasty for the chronic impingement syndrome in the shoulder. J Bone Joint Surg. 1972;54(1):41-50.

Bretzke CA, Crass JR, Craig EV, Feinberg SB. Ultrasonography of the rotator cuff: normal and pathologic anatomy. Invst Radiology. 1985;20(3):311-5.

Codman EA, Ackerson IB. The pathology associated with rupture of the supraspinatus tendon. Ann Surg. 1931;93:348-59.

Galatz LM, Griggs S, Cameron BD, Iannotti JP. Prospective longitudinal analysis of postoperative shoulder function: a ten-year follow-up study of full-thickness rotator cuff tears. J Bone Joint Surg (Am). 2001;83:1052-6.

Sambandam SN, Khanna V, Gul A, Mounaswamy V. Rotator cuff tears: An evidence based approach. World J Orthop. 2015;6(11):902-18.

Vaidyar JM, Kassim S, Shibli S, Safwan UH. Functional outcome of shoulder following mini open repair for rotator cuff injuries. Int J Cur Res Rev. 2015;7(7):40-4.

Conti M, Garofalo R, Rose GD, Massazza G, Vinci E, Randelli M, Castagna A. Post-operative rehabilitation after surgical repair of the rotator cuff. Chir Organi Mov. 2009;93(1):55-63.

Constant CR, Murley AHG. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res. 1987:160-4.

Kim HM, Teefey SA, Zelig A, Galatz LM, Keener JD, Yamaguchi K. Shoulder strength in asymptomatic individuals with intact compared with torn rotator cuffs. J Bone Joint Surg Am. 2009;91:289-96.

Yamaguchi K, Ditsios K, Middleton WD, Hildebolt CF, Galatz LM, Teefey SA. The demographic and morphological features of rotator cuff disease: A comparison of asymptomatic and symptomatic shoulders. J Bone Joint Surg Am. 2006;88:1699-704.

Sher JS, Uribe JW, Posada A, Murphy BJ, Zlatkin MB. Abnormal findings on magnetic resonance images of asymptomatic shoulders. J Bone Joint Surg Am. 1995;77:10-5.

Milgrom C, Schaffler M, Gilbert S, van Holsbeeck M. Rotator-cuff changes in asymptomatic adults: The effect of age, hand dominance and gender. J Bone Joint Surg Br. 1995;77:296-8.

Harryman DT, Mack LA, Wang KY, Jackins SE, Richardson ML, Matsen FA. Repairs of the rotator cuff. Correlation of functional results with integrity of the cuff. J Bone Joint Surg Am. 1991;73(7):982-9.

Zumstein MA, Jost B, Hempel J, Hodler J, Gerber C. The clinical and structural long term results of open repair of massive rotator cuff tears. J Bone Joint Surg Am. 2008;90:2423-31.

Prasad N, Odumala A, Elias F, Jenkins T. Outcome of open rotator cuff repair: an analysis of risk factors. Acta Orthop Belg. 2005;71:662-6.






Original Research Articles