Assessment of Functional Outcome Following Mini Open Transosseus Rotator Cuff Repair for Complete Rotator Cuff Tears of the Shoulder

Abstract

Background:The mini-open surgical approach for rotator cuff repair is most appropriate for small to medium-sized
tears encompassing one tendon tear of the supraspinatus or two tendon tears of the supraspinatus and the upper half
of the infraspinatus.The purpose of this study was to assess the functional outcome ofmini-open transosseous rotator
cuff repair for complete rotator cuff tear of the shoulder.
Materials and Methods:This prospective study was performed on 12 consecutive patients who presented with fullthickness rotator cuff tear involving 1-2 for full-thickness rotator cuff tear. All patients underwent transosseousminiopen cuff repair.The mean age, gender ratio, mean duration of follow-up, affected side of the shoulder, deOrio and
Cofield classification of tear size, Goutallier’s fatty infiltrationwere noted down for all patients.American Shoulder
Elbow Society (ASES) and constant Murley functional score were calculatedat 3rdmonth, 6
thmonthand at1 year
follow up.
Results: A total of 12 patients whose mean age was 56.29± 4.11 The mean Constant-Murley and ASES scores
significantly improved from 45.17± 7.31 and 80.75± 4.56 at 3 months to 87.67± 5.73 and 86.58± 4.81 at 1 year with
a p-value of 0.0001 and 0.005 respectively for male and 56.00± 5.66 years were followed-up for 6 months. Tear size
was graded according to deOrio and Cofield classification and massive tears were excluded, with the maximum of 6
patients having medium tears. Fatty infiltration was also assessed, 50% of patients had Goutallier’sStage 1 and 42%
Stage 2.
Conclusion: The functional outcome after transosseousmini-open rotator cuff repair for complete rotator cuff tear
was good to excellent as per Constant and Murley score and ASES score.