Rotator cuff repair in patients over 70 years of age: early outcomes and risk factors associated with re-tear

P M Robinson, J Wilson, S Dalal, R A Parker, P Norburn, B R Roy

Research output: Contribution to journalArticlepeer-review

Abstract

This study reports the clinical and sonographic outcome of arthroscopic rotator cuff repair in patients aged ≥ 70 years and aimed to determine factors associated with re-tear. A total of 69 consecutive repairs were performed in 68 patients with a mean age of 77 years (70 to 86). Constant-Murley scores were collected pre-operatively and at one year post-operatively. The integrity of the repair was assessed using ultrasound. Re-tear was detected in 20 of 62 patients (32%) assessed with ultrasound. Age at operation was significantly associated with re-tear free survival (p = 0.016). The mean pre-operative Constant score was 23 (sd 14), which increased to 58 (sd 20) at one year post-operatively (paired t-test, p < 0.001). Male gender was significantly associated with a higher score at one year (p = 0.019). We conclude that arthroscopic rotator cuff repair in patients aged ≥ 70 years is a successful procedure. The gender and age of the patient are important factors to consider when planning management.

Original languageEnglish
Pages (from-to)199-205
Number of pages7
JournalBone and Joint Journal
Volume95-B
Issue number2
DOIs
Publication statusPublished - 1 Feb 2013

Keywords

  • Aged
  • Aged, 80 and over
  • Arthroscopy
  • Female
  • Humans
  • Male
  • Orthopedic Procedures
  • Proportional Hazards Models
  • Recurrence
  • Risk Factors
  • Rotator Cuff
  • Rupture
  • Survival Analysis
  • Tendon Injuries
  • Treatment Outcome

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