Elsevier

Orthopaedics & Traumatology: Surgery & Research

Review article

Failed rotator cuff repair

Abstruse

After rotator gage repair, few patients require revision surgery, and failure to heal does not ever interpret into clinical failure, although healing is associated with better outcomes. Failure of rotator cuff repair is perceived differently by the patient, by the surgeon, and in terms of social and occupational abilities. The piece of work-up of failed cuff repair differs little from the standard work-upwardly of gage tears. Information must be obtained nearly the circumstances of the first repair procedure, a possible diagnostic inadequacy and/or technical error, and early or delayed trauma such as an aggressive rehabilitation programme. Most gage retears exercise not require surgery, given their good clinical tolerance and stable outcomes over time. Echo cuff repair, when indicated by hurting and/or functional impairment, tin can improve pain and function. The quality of the tissues and time from initial to repeat surgery will influence the outcomes. The ideal candidate for repeat repair is a male person, younger than 70 years of age, who is not seeking bounty, shows more than 90̊ of forrard elevation, and in whom the first repair consisted only in tendon suturing or reattachment. In improver to patient-related factors, the local weather are of paramount importance in the decision to perform repeat surgery, notably repeat suturing. The near favourable scenario is a pocket-size retear with good-quality muscles and tendons and no osteoarthritis. When these criteria are non all nowadays, several options deserve consideration as potentially capable of relieving the pain and, to a lesser extent, the functional impairments. They include the implantation of textile (autograft, allograft, or substitute), a muscle transfer process, or opposite shoulder arthroplasty. Still, the outcomes are poorer than when these options are used as the chief procedure. Prevention is the all-time treatment of gage repair failure and involves careful patient selection and a routine analysis of the treatments that may exist required by concomitant lesions. Biceps tenotomy should be considered on a case-past-example basis. Smoking cessation should be strongly encouraged and whatever metabolic disorders associated with repair failure should exist brought under control.

Keywords

Shoulder

Rotator cuff

Failure

Repair

Retear

Revision surgery

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