Results of limited open rotator cuff repair with partial acromioplasty for rotator cuff tears with subacromial impingement syndrome
Haldun Orhun1, Volkan Gürkan1, Muhsin Dursun1, Emre Orhun2, Burak Şener2
1Dr. Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi 1. Ortopedi ve Travmatoloji Kliniği, İstanbul;
2İstanbul Hastanesi El, Mikrocerrahi ve Üst Ekstremite Hastalıkları Merkezi, İstanbul
Keywords: Arthroscopy; debridement; rotator cuff/injuries; shoulder joint; subacromial impingement syndrome.
Objectives: Short term results of partial acromioplasty and rotator cuff repair with a limited open surgical technique were evaluated in patients with rotator cuff tears.
Patients and methods: Forty-eight patients (16 males, 32 females; mean age 52 years; range 29 to 70 years) with rotator cuff rupture were recruited to the study between January 2001 and December 2006. A limited open rotator cuff repair along with partial acromioplasty (via rasper) was applied in all cases. The Constant-Murley shoulder score was used before and after surgery.
Results: Mean duration of follow-up was 38 months (range 14 to 70 months). Pre- and postoperative Constant- Murley scores averaged 44 (range 36 to 51) and 88 (range 75 to 96) respectively. Anchoring sutures were displaced in one subject (2%) and tendon insufficiency recurred, another two cases (4%) had impingement from secondary granulation tissue that developed due to sutures in the tendon repair site.
Conclusion: We believe that minimal acromioplasty via a limited open surgical approach is an applicable technique with good results in the treatment of rotator cuff tears with subacromial impingement syndrome.