Comparative Analysis of Mini Open versus Arthroscopic Repair of Supraspinatus Tears

Abstract

Background and Aim: Among all the rotator cuff tendon injuries, supraspinatus tear is very common and it is mostcommon in older individuals. Before the arthroscopy came into high demand, the open repair of supraspinatustear was the preferred method of surgery. Recently, the miniopen technique of repair has also gained popularitybecause of certain factors like better repair strength, requires less expertise and facilitates early active mobilization.Present stud was performed to compare functional and clinical outcomes of arthroscopic and mini-open repair.Material and Methods: The present analysis is the randomized control study done on the patients diagnosedwith rotator cuff tears and was planned with supraspinatus repair with the use of arthroscopic and mini opentechnique. As per the inclusion and exclusion criteria total of 128 patients were included in the study. The includedpatients were equally divided into two groups: 64 patients who underwent mini-open repair and 64 patientswho underwent arthroscopic repair. Follow up was done after 12 months postoperatively and the results wereevaluated using University of California Los Angeles (UCLA) shoulder score.Results: For arthroscopic repair group, UCLA shoulder score were: 26 patients got excellent result, 30 patients gotgood result and only 8 patients got fair result. In the other group UCLA shoulder score were: 22 patients in whomexcellent results were obtained good results were obtained in 32 patients and in 10 patients we got fair results.Conclusion: The arthroscopic procedure decreased postoperative pain, faster regains normal ROM and quickerreturn to function and in turn early return to work compared to mini-open procedure. The arthroscopic procedurebetter in addressing intra-articular and other associated problems than mini-open technique.