Our Summary

The aim of this research paper was to look at the success and complications of using a technique called ‘scaffolding’ in the surgical repair of serious shoulder injuries. These injuries, known as ‘rotator cuff’ injuries, can sometimes re-tear after surgery, so different methods have been suggested to try and prevent this.

The researchers reviewed existing studies on using scaffolds in this type of surgery. Scaffolds are like a supportive mesh that can help the injury heal. They looked at articles from four major medical research databases, which were published between 1950 and January 2018. They found 10 studies that met their criteria and analysed the results.

The average age of the patients in these studies was just under 62 years, and the size of the injury ranged from small to very large. In about 11% of cases, the surgery was being done because a previous repair had failed.

They found that after an average of 2 years, about 18% of the repaired shoulders had re-torn. They also noted that about 10% of patients had some kind of complication.

In conclusion, the researchers suggest that using a scaffold in rotator cuff repair surgery can be effective and safe, particularly for larger injuries. This technique may improve the clinical outcome for these patients.

FAQs

  1. What is the ‘scaffolding’ technique in the surgical repair of rotator cuff injuries?
  2. What was the outcome of the studies reviewed on using scaffolds in rotator cuff repair surgery?
  3. How effective is using a scaffold in rotator cuff repair surgery, especially for larger injuries?

Doctor’s Tip

A helpful tip a doctor might tell a patient about rotator cuff repair is to follow their post-operative rehabilitation plan carefully. This may include physical therapy exercises to help strengthen the shoulder and improve range of motion. Compliance with the rehabilitation plan can help optimize the success of the surgery and reduce the risk of re-injury. Additionally, maintaining a healthy lifestyle with regular exercise and proper nutrition can also support the healing process.

Suitable For

Patients who are typically recommended for rotator cuff repair surgery are those who have a serious shoulder injury, specifically a rotator cuff injury. These injuries can range from small tears to very large tears, and may result in significant pain, weakness, and limited range of motion in the affected shoulder.

Additionally, patients who have already undergone a previous rotator cuff repair that has failed may also be recommended for surgery. These patients may benefit from using a scaffold during the repair process to help prevent re-tears and improve the overall success of the surgery.

Overall, patients who are experiencing persistent pain, weakness, and limited range of motion in their shoulder due to a rotator cuff injury may be good candidates for rotator cuff repair surgery, especially if other conservative treatments have not been successful. It is important for patients to discuss their individual case with a healthcare provider to determine the best course of treatment for their specific injury.

Timeline

Before surgery, a patient may experience persistent shoulder pain, weakness, limited range of motion, and difficulty performing daily activities. They may undergo imaging tests such as MRI to diagnose the rotator cuff injury.

After surgery, the patient will go through a period of post-operative rehabilitation, which typically includes physical therapy to regain strength and range of motion in the shoulder. The patient may also experience pain and discomfort in the immediate post-operative period.

Over time, the patient should experience improved shoulder function and reduced pain as the rotator cuff heals and strengthens. However, there is a risk of re-tear of the repaired rotator cuff, which may require further treatment or surgery.

Overall, the timeline for a patient before and after rotator cuff repair involves diagnosis, surgery, post-operative rehabilitation, and monitoring for long-term outcomes such as re-tear and complications. Rehabilitation and follow-up care are important for optimizing the success of the surgery and ensuring the best possible outcome for the patient.

What to Ask Your Doctor

Some questions a patient should ask their doctor about rotator cuff repair surgery include:

  1. What is the success rate of using a scaffold in rotator cuff repair surgery?
  2. What are the potential complications associated with using a scaffold in this type of surgery?
  3. How long is the recovery process after rotator cuff repair surgery with a scaffold?
  4. Are there any specific rehabilitation exercises or precautions I should take after the surgery?
  5. How soon can I expect to return to normal activities or sports after the surgery?
  6. Are there any factors that may increase the risk of re-tearing the rotator cuff after surgery?
  7. What alternative treatment options are available if using a scaffold is not recommended for my specific injury?
  8. How experienced is the surgical team in performing rotator cuff repair surgery with a scaffold?
  9. What is the expected outcome in terms of pain relief and range of motion after the surgery?
  10. Are there any long-term considerations or follow-up appointments I should be aware of after the surgery?

Reference

Authors: D’Ambrosi R, Ragone V, Comaschi G, Usuelli FG, Ursino N. Journal: Cell Tissue Bank. 2019 Mar;20(1):1-10. doi: 10.1007/s10561-019-09750-1. Epub 2019 Jan 23. PMID: 30673902