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Results of a second attempt at surgical repair of a failed initial rotator-cuff repair.

Publication ,  Journal Article
DeOrio, JK; Cofield, RH
Published in: J Bone Joint Surg Am
April 1984

Twenty-seven patients with twenty-seven involved shoulders underwent a second attempt at repair of an initial rotator-cuff repair that had failed. Factors associated with the failure of the initial repair included a massive or large tendon tear, damage to the deltoid origin at the original surgery, and possibly inadequate postoperative external support. Seven patients required a third operation because of continuing pain or weakness. The remaining twenty patients were followed for a minimum of two years (average, forty-eight months) and seventeen of them were examined at an average of forty-six months (range, twenty-six to 118 months) after surgery. Postoperatively, although seventeen patients (63 per cent) still had moderate or severe pain, sixteen (76 per cent) of the twenty-one patients who were operated on to relieve pain reported that the pain was substantially diminished. Active abduction increased an average of 8 degrees, but only seven shoulders gained more than 30 degrees of active abduction. Nineteen shoulders remained moderately or markedly weak in abduction. Over-all, four patients (17 per cent) had a good result; six (25 per cent), a fair result; and fourteen (58 per cent), a poor result. These results suggest that the surgeon should be quite hesitant to propose a second attempt at rotator cuff repair to a patient, as although pain may be diminished, active movement is unlikely to improve.

Duke Scholars

Published In

J Bone Joint Surg Am

ISSN

0021-9355

Publication Date

April 1984

Volume

66

Issue

4

Start / End Page

563 / 567

Location

United States

Related Subject Headings

  • Time Factors
  • Tendon Injuries
  • Shoulder Injuries
  • Reoperation
  • Postoperative Complications
  • Orthopedics
  • Middle Aged
  • Male
  • Humans
  • Follow-Up Studies
 

Citation

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ICMJE
MLA
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DeOrio, J. K., & Cofield, R. H. (1984). Results of a second attempt at surgical repair of a failed initial rotator-cuff repair. J Bone Joint Surg Am, 66(4), 563–567.
DeOrio, J. K., and R. H. Cofield. “Results of a second attempt at surgical repair of a failed initial rotator-cuff repair.J Bone Joint Surg Am 66, no. 4 (April 1984): 563–67.
DeOrio JK, Cofield RH. Results of a second attempt at surgical repair of a failed initial rotator-cuff repair. J Bone Joint Surg Am. 1984 Apr;66(4):563–7.
DeOrio, J. K., and R. H. Cofield. “Results of a second attempt at surgical repair of a failed initial rotator-cuff repair.J Bone Joint Surg Am, vol. 66, no. 4, Apr. 1984, pp. 563–67.
DeOrio JK, Cofield RH. Results of a second attempt at surgical repair of a failed initial rotator-cuff repair. J Bone Joint Surg Am. 1984 Apr;66(4):563–567.
Journal cover image

Published In

J Bone Joint Surg Am

ISSN

0021-9355

Publication Date

April 1984

Volume

66

Issue

4

Start / End Page

563 / 567

Location

United States

Related Subject Headings

  • Time Factors
  • Tendon Injuries
  • Shoulder Injuries
  • Reoperation
  • Postoperative Complications
  • Orthopedics
  • Middle Aged
  • Male
  • Humans
  • Follow-Up Studies