Comparative Study between Arthroscopic and Mini Open Rotator Cuff Repair

Abstract

AbstractBackground: Tears of the rotator cuff are among the most frequently encountered causes of pain and dysfunction in the shoulder. The mechanism of injury may be traumatic or degenerative. Operative treatment includes open, mini open, arthroscopic techniques. We hypothesized a comparative study between mini open and arthroscopic rotator cuff repair.Aim of Work: To assess the functional outcome of arthro-scopic rotator cuff repair and mini-open rotator cuff repair with ASES scores.Methods: A prospective analysis of 30 patients with rotator cuff tears were evaluated before and after repair of the cuff tear by the arthroscopic repair technique (Group A) and the mini-open repair technique (Group B). The first case was managed in September 2014 and the last in June, 2016. All the cases were managed in El-Kasr Al-Ainy and Police-Hospital Agouza. The follow-up period was 6 months. The patients were evaluated using the American Shoulder & Elbow Society score (ASES), both pre-operatively and post-operatively.Results: After follow-up at 3 months ASES total score (100 points) >90 was no patients for mini-open group and for arthroscopic group was 3 patients (20%) after 6 months was 12 patients (80%) for mini-open and 13 patients (86.6%).Conclusion: Mini-open and arthroscopic rotator cuff repair both improved the function of patients, who failed non-operative treatment, but there is no statistical or clinically important difference in function between the two surgical approaches according to ASES score at 6 months post-operatively but arthroscopic earlier improvement in pain and functional out come.