Is early mobilization necessary in isolated rotator cuff repair? Results of a prospective series of 1,200 cases
Objectives: Non-healing of rotator cuff tears is estimated to be between 5 and 20%. Rehabilitation protocols vary. Some advocate early rehabilitation. The aim of the study was to verify whether rapid recovery of mobility was not associated with a higher rate of non-healing. Methods: We conducted a s...
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Veröffentlicht in: | Orthopaedic journal of sports medicine 2022-03, Vol.10 (3_suppl) |
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Hauptverfasser: | , , |
Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | Objectives:
Non-healing of rotator cuff tears is estimated to be between 5 and 20%. Rehabilitation protocols vary. Some advocate early rehabilitation. The aim of the study was to verify whether rapid recovery of mobility was not associated with a higher rate of non-healing.
Methods:
We conducted a single-center prospective study. The primary inclusion criterion was first-line arthroscopic repair of an isolated complete cuff tear without retraction (Patte 1) or fatty degeneration (Goutallier - less than 2). It was the same surgeon, the same surgical technique (double row) and the same rehabilitation protocol (self-mobilization, hands together). Patients were seen again by an evaluator other than the surgeon. We analyzed passive elevation and external rotation (ER1) mobility and pain at 6 weeks, 3 months, and 6 months, active mobilities at 3 months and 6 months, and the Constant score at 6 months. Tendon healing was assessed at six months by ultrasound according to Sugaya’s classification (grouping 1/2/3 healed and 4/5 unhealed).
Results:
1,200 patients were included, 101 were excluded (lost to follow-up or missing data at one of the reviews). The healing rate was 85.7%. We noted a statistically significant difference between the healed and unhealed groups for passive elevation at 6 weeks (128° vs 142° p |
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ISSN: | 2325-9671 2325-9671 |
DOI: | 10.1177/2325967121S00363 |