Rotator Cuff

Arthroscopic Rotator Cuff Repair at Our Institutions: 2007-2008

 

Total Number of Arthroscopic Rotator Cuff repair surgeries performed by Dr. Jon J.P. Warner at Mass. GeneralHospital = 186 

Total Number of Arthroscopic Rotator Cuff repair surgeries performed by Dr. Laurence D. Higgins at Brigham and WomensHospital = 200 

Total Arthroscopic Rotator Cuff Repair Surgeries = 386

 

 Breakdown of Rotator Cuff Tendon Repairs:

 

87   =  Revision Cases (23%)

102 = Massive Tears (26%)

 

353 involved Supraspinatus Tendon (91%)

143 involved Infraspinatus Tendon (37%)

64   involved Subscapularis Tendon (17%)

 

11   involved Teres Minor Tendon (3%)

 

      CRITICAL REVIEW OF OUTCOME OF SURGERY (2003-2005)

 

-      Arthroscopic Rotator Cuff Repairs performed at MGH & BWH during this time period

-      Presented as American Shoulder and Elbow Society Abstract but unpublished data.

-     131 patients (77 men/54 women)

-      Average follow-up= 1 year

-      25 injuries were work-related

-      Tear sizes:

-          3 or 4 tendons torn: 9 patients

-          2 tendons torn: 69 patients

-          1 tendon torn: 52 patients

                                  

How satisfied were our patients?
 

         

 

 

 

      

          

 

 

 

 

 

 

   

 

Patient Satisfaction:

-Are you happy and would have the surgery again?   

 95.5% answered    YES!

-Are you satisfied with how your shoulder functions?

 98.6% answered    YES!

Complications:

 

- Infection = 0%

Stiffness = 0%

Nerve injury = 0%

 Other Clinical Experience 

Lafosse and coworkers studied 105 patients in 2006 (Published in J. Bone & Joint Surgery)

-    Patient Satisfation: Almost all patients were happy with outcome

-    Average Improvement in Constant Score (Out of 100 points):

-Before Surgery Constant Score (average) = 43 points

-After Surgery Constant Score = 80 points

 

-    Percentage of tendon tears with complete healing on MRI after surgery = 89%