Current concepts review: revision rotator cuff repair
Failed rotator cuff repair may be caused by surgical complications, diagnostic errors, technical errors, failure to heal, and traumatic failure. Revision rotator cuff repair is made technically more difficult by poor tissue quality, tissue adhesions, and retained suture and suture anchor material. H...
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Veröffentlicht in: | Journal of shoulder and elbow surgery 2012-04, Vol.21 (4), p.431-440 |
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container_title | Journal of shoulder and elbow surgery |
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creator | George, Michael S., MD Khazzam, Michael, MD |
description | Failed rotator cuff repair may be caused by surgical complications, diagnostic errors, technical errors, failure to heal, and traumatic failure. Revision rotator cuff repair is made technically more difficult by poor tissue quality, tissue adhesions, and retained suture and suture anchor material. Historically, open revision rotator cuff repair yields inferior results compared with primary rotator cuff repair; however, more recent studies show 52% to 69% satisfactory results in small-sized or medium-sized tears. Arthroscopic revision rotator cuff repair yields greater than 60% good or excellent results. Poor tissue quality, detachment of the deltoid origin, and multiple previous surgeries are risk factors for poor results in revision rotator cuff repair. |
doi_str_mv | 10.1016/j.jse.2011.11.029 |
format | Article |
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Revision rotator cuff repair is made technically more difficult by poor tissue quality, tissue adhesions, and retained suture and suture anchor material. Historically, open revision rotator cuff repair yields inferior results compared with primary rotator cuff repair; however, more recent studies show 52% to 69% satisfactory results in small-sized or medium-sized tears. Arthroscopic revision rotator cuff repair yields greater than 60% good or excellent results. Poor tissue quality, detachment of the deltoid origin, and multiple previous surgeries are risk factors for poor results in revision rotator cuff repair.</description><identifier>ISSN: 1058-2746</identifier><identifier>EISSN: 1532-6500</identifier><identifier>DOI: 10.1016/j.jse.2011.11.029</identifier><identifier>PMID: 22226536</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Algorithms ; Animals ; arthroscopic rotator cuff repair ; Arthroscopy ; Biological and medical sciences ; causes of rotator cuff failure ; Diseases of the osteoarticular system ; failed rotator cuff ; Foreign-Body Reaction - etiology ; Foreign-Body Reaction - surgery ; Humans ; Magnetic Resonance Imaging ; Medical sciences ; Orthopedics ; Reoperation ; Revision rotator cuff repair ; revision shoulder ; Rotator Cuff - surgery ; Rotator Cuff Injuries ; rotator cuff re-tear ; rotator cuff repair ; rotator cuff tear ; Suture Anchors ; Sutures ; Tissue Adhesions - surgery ; Treatment Failure</subject><ispartof>Journal of shoulder and elbow surgery, 2012-04, Vol.21 (4), p.431-440</ispartof><rights>2012</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012. 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Revision rotator cuff repair is made technically more difficult by poor tissue quality, tissue adhesions, and retained suture and suture anchor material. Historically, open revision rotator cuff repair yields inferior results compared with primary rotator cuff repair; however, more recent studies show 52% to 69% satisfactory results in small-sized or medium-sized tears. Arthroscopic revision rotator cuff repair yields greater than 60% good or excellent results. Poor tissue quality, detachment of the deltoid origin, and multiple previous surgeries are risk factors for poor results in revision rotator cuff repair.</description><subject>Algorithms</subject><subject>Animals</subject><subject>arthroscopic rotator cuff repair</subject><subject>Arthroscopy</subject><subject>Biological and medical sciences</subject><subject>causes of rotator cuff failure</subject><subject>Diseases of the osteoarticular system</subject><subject>failed rotator cuff</subject><subject>Foreign-Body Reaction - etiology</subject><subject>Foreign-Body Reaction - surgery</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Medical sciences</subject><subject>Orthopedics</subject><subject>Reoperation</subject><subject>Revision rotator cuff repair</subject><subject>revision shoulder</subject><subject>Rotator Cuff - surgery</subject><subject>Rotator Cuff Injuries</subject><subject>rotator cuff re-tear</subject><subject>rotator cuff repair</subject><subject>rotator cuff tear</subject><subject>Suture Anchors</subject><subject>Sutures</subject><subject>Tissue Adhesions - surgery</subject><subject>Treatment Failure</subject><issn>1058-2746</issn><issn>1532-6500</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUtLxDAQgIMovn-AF9mLeOo6SZt0oyDI4gsED-o5pOkEUrvNmrTK_nuz7qrgwTAwIXwzE74h5IjCmAIVZ824iThmQOk4BTC5QXYpz1kmOMBmugOfZKwsxA7Zi7EBAFkA2yY7LB3Bc7FL-HQIAbt-ZHxncN7HUcB3hx_nXzk6342C73Xvw8gM1qbXuXbhgGxZ3UY8XOd98nJz_Ty9yx4eb--nVw-ZKfKyz0RhkAlkttJC1Kil5bLMsWY51xZzDdJKKCamriopC6s5SFZVgk4kq1kxKfN9crrqOw_-bcDYq5mLBttWd-iHqCSTlIEoi0TSFWmCjzGgVfPgZjosFAW1lKUalWSppSyVIslKNcfr7kM1w_qn4ttOAk7WgI5Gtzbozrj4y_FS0FKwxF2sOEwukr2gonGYfNYuoOlV7d2_37j8U21a17k08BUXGBs_hC5JVlRFpkA9Lbe6XCqlAAKEzD8BjkabWg</recordid><startdate>20120401</startdate><enddate>20120401</enddate><creator>George, Michael S., MD</creator><creator>Khazzam, Michael, MD</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120401</creationdate><title>Current concepts review: revision rotator cuff repair</title><author>George, Michael S., MD ; Khazzam, Michael, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c437t-64ce26e2fba66dea9f5973ed235afe3a09f9048cdbb994fa5092bb61892d24873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Algorithms</topic><topic>Animals</topic><topic>arthroscopic rotator cuff repair</topic><topic>Arthroscopy</topic><topic>Biological and medical sciences</topic><topic>causes of rotator cuff failure</topic><topic>Diseases of the osteoarticular system</topic><topic>failed rotator cuff</topic><topic>Foreign-Body Reaction - etiology</topic><topic>Foreign-Body Reaction - surgery</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Medical sciences</topic><topic>Orthopedics</topic><topic>Reoperation</topic><topic>Revision rotator cuff repair</topic><topic>revision shoulder</topic><topic>Rotator Cuff - surgery</topic><topic>Rotator Cuff Injuries</topic><topic>rotator cuff re-tear</topic><topic>rotator cuff repair</topic><topic>rotator cuff tear</topic><topic>Suture Anchors</topic><topic>Sutures</topic><topic>Tissue Adhesions - surgery</topic><topic>Treatment Failure</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>George, Michael S., MD</creatorcontrib><creatorcontrib>Khazzam, Michael, MD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of shoulder and elbow surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>George, Michael S., MD</au><au>Khazzam, Michael, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Current concepts review: revision rotator cuff repair</atitle><jtitle>Journal of shoulder and elbow surgery</jtitle><addtitle>J Shoulder Elbow Surg</addtitle><date>2012-04-01</date><risdate>2012</risdate><volume>21</volume><issue>4</issue><spage>431</spage><epage>440</epage><pages>431-440</pages><issn>1058-2746</issn><eissn>1532-6500</eissn><abstract>Failed rotator cuff repair may be caused by surgical complications, diagnostic errors, technical errors, failure to heal, and traumatic failure. Revision rotator cuff repair is made technically more difficult by poor tissue quality, tissue adhesions, and retained suture and suture anchor material. Historically, open revision rotator cuff repair yields inferior results compared with primary rotator cuff repair; however, more recent studies show 52% to 69% satisfactory results in small-sized or medium-sized tears. Arthroscopic revision rotator cuff repair yields greater than 60% good or excellent results. Poor tissue quality, detachment of the deltoid origin, and multiple previous surgeries are risk factors for poor results in revision rotator cuff repair.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>22226536</pmid><doi>10.1016/j.jse.2011.11.029</doi><tpages>10</tpages></addata></record> |
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subjects | Algorithms Animals arthroscopic rotator cuff repair Arthroscopy Biological and medical sciences causes of rotator cuff failure Diseases of the osteoarticular system failed rotator cuff Foreign-Body Reaction - etiology Foreign-Body Reaction - surgery Humans Magnetic Resonance Imaging Medical sciences Orthopedics Reoperation Revision rotator cuff repair revision shoulder Rotator Cuff - surgery Rotator Cuff Injuries rotator cuff re-tear rotator cuff repair rotator cuff tear Suture Anchors Sutures Tissue Adhesions - surgery Treatment Failure |
title | Current concepts review: revision rotator cuff repair |
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