Our Summary

This study aimed to investigate a new surgical technique for treating large-to-severe tears in the rotator cuff, a group of muscles and tendons that surround the shoulder joint. The procedure involves using the long head of the biceps tendon and incorporating it into the repair process, alongside other techniques such as arthroscopic partial rotator cuff and margin convergence.

The study involved 107 patients (38 males and 69 females), with an average age of 64.9 years, all of whom had large-to-severe tears in the rotator cuff. The new technique was used to repair the tear and the progress of the patients was monitored over a period of approximately three years.

The results showed that the patients experienced significant improvements in pain, shoulder function, and range of motion after the surgery. The distance between the acromion and the humerus, two bones in the shoulder joint, also increased, which is a positive outcome. The rate of re-tear was 20.6%.

In conclusion, this new surgical technique involving the use of the biceps tendon in the repair process yielded satisfactory results for patients with severe rotator cuff tears. The method appears to provide superior stability to the shoulder joint and preserves the distance between key bones in the shoulder.

FAQs

  1. What is the new surgical technique for treating large-to-severe tears in the rotator cuff?
  2. What were the results of the study on the new rotator cuff repair technique?
  3. What is the significance of the distance between the acromion and the humerus in rotator cuff repair?

Doctor’s Tip

A helpful tip a doctor might tell a patient about rotator cuff repair is to follow a structured rehabilitation program post-surgery to ensure optimal recovery and prevent re-injury. This may include physical therapy exercises to strengthen the shoulder muscles and improve range of motion, as well as following any restrictions or guidelines provided by the surgeon. Consistency and dedication to the rehabilitation program are key to achieving successful outcomes after rotator cuff repair surgery.

Suitable For

Patients who are typically recommended for rotator cuff repair are those with large-to-severe tears in the rotator cuff that have not responded well to conservative treatments such as physical therapy, cortisone injections, or rest. These patients may experience significant pain, loss of shoulder function, and limited range of motion. The new surgical technique mentioned in the study may be particularly beneficial for these patients, as it has shown to improve pain, function, and range of motion, as well as provide stability to the shoulder joint. It is important for patients to consult with their orthopedic surgeon to determine if rotator cuff repair is the best course of action for their specific condition.

Timeline

Before the rotator cuff repair, a patient typically experiences symptoms such as shoulder pain, weakness, limited range of motion, and difficulty performing daily activities. They may have tried conservative treatments such as physical therapy, anti-inflammatory medications, and cortisone injections without significant improvement.

After the surgery, the patient will go through a period of recovery and rehabilitation. This includes wearing a sling to protect the shoulder, physical therapy to strengthen the muscles and improve range of motion, and gradually returning to normal activities. It can take several months to a year to fully recover from rotator cuff repair surgery, depending on the severity of the tear and individual healing process.

Ultimately, patients can expect to experience reduced pain, improved shoulder function, and increased range of motion following successful rotator cuff repair surgery. With proper rehabilitation and adherence to post-operative instructions, most patients can regain full use of their shoulder and return to their normal activities.

What to Ask Your Doctor

  1. What are the risks and potential complications associated with rotator cuff repair surgery using the new technique?
  2. What is the expected recovery time and rehabilitation process after undergoing this specific type of rotator cuff repair?
  3. How likely is it that the repaired rotator cuff will re-tear in the future, and what steps can be taken to prevent this?
  4. Are there any specific exercises or physical therapy techniques that should be followed post-surgery to optimize recovery and prevent further injury?
  5. What are the long-term outcomes and success rates associated with this new surgical technique for treating large-to-severe rotator cuff tears?
  6. Are there any specific lifestyle changes or modifications that should be made to support the healing process and minimize the risk of complications?
  7. How does the use of the long head of the biceps tendon in the repair process compare to traditional rotator cuff repair techniques in terms of effectiveness and recovery outcomes?
  8. What is the expected level of pain and discomfort during the recovery period, and what pain management strategies will be provided to alleviate this?
  9. How frequently will follow-up appointments be needed after the surgery to monitor progress and address any concerns or complications that may arise?
  10. Are there any alternative treatment options available for severe rotator cuff tears that should be considered before undergoing surgery with the new technique?

Reference

Authors: Jeong JH, Yoon EJ, Kim BS, Ji JH. Journal: Knee Surg Sports Traumatol Arthrosc. 2022 Jun;30(6):2113-2122. doi: 10.1007/s00167-021-06829-9. Epub 2022 Jan 6. PMID: 34988632