ARTHROSCOPIC TREATMENT OF ROTATOR CUFF TEARS - FACTORS RELATED TO TREATMENT OUTCOME
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Abstract
Objective: To evaluate the outcomes of arthroscopic treatment for rotator cuff tears and to analyze related factors to treatment outcome.
Material and methods: A retrospective descriptive study was conducted on 32 patients with rotator cuff tears who underwent arthroscopic surgery from October 2024 to June 2025 at 108 Military Central Hospital. Study variables included surgical characteristics, treatment outcomes, and factors related to postoperative functional results. Outcomes were assessed at a follow-up of at least 9 months using VAS and UCLA scores.
Results: All patients underwent general anesthesia with endotracheal intubation and were operated in the Beach chair position. Suture bridge repair was the most commonly used technique (78.13%), and 4 anchors were used in 78.13% of cases. Acromioplasty was the most frequent concomitant procedure (65.63%). After surgery, the mean VAS score decreased from 6.68 ± 1.65 to 1.00 ± 1.02, while the mean UCLA score increased from 13.94 ± 5.19 to 30.90 ± 3.43; both differences were statistically significant (p < 0.001). Good and excellent functional outcomes accounted for 81.25% of cases. No major complications such as joint infection, neurovascular injury, or anchor pull-out were recorded. Among the analyzed factors, only the degree of fatty degeneration on MRI was significantly associated with postoperative functional outcome (p = 0.011).
Conclusion: Arthroscopic treatment for rotator cuff tears is an effective and safe method, providing significant pain relief and functional improvement in most patients. Fatty degeneration on MRI was associated with postoperative functional outcome.
Keywords
Rotator cuff tear, arthroscopic surgery, shoulder joint, UCLA, VAS.
Article Details
References
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