ISAKOS: 2019 Congress in Cancun, Mexico
ISAKOS

2019 ISAKOS Biennial Congress ePoster #2030

 

Serum Lipid Abnormalities Associated with Preoperative Rotator Cuff Tear Size and with Retear after Arthroscopic Repair

Hyung-Bin Park, MD, PhD, Prof., Changwon, Gyeongnam KOREA, REPUBLIC OF
Gyeongsang National University Changwon Hospital, Changwon, Gyeongnam, KOREA, REPUBLIC OF

FDA Status Not Applicable

Summary

Preoperative hypo-HDLemia has a significant association with tear size and retear after ARCR in large to massive size PSRCT.

Abstract

Purpose

The purpose of this study was to determine whether any dyslipidemia is associated either with preoperative tear size or with postoperative retear.

Methods

We retrospectively evaluated 185 patients (185 shoulders) who had undergone ARCR for degenerative full-thickness RCT between January 2011 and February 2017. We enrolled 106 male and 79 female patients, with a mean age of 60.7 ± 7.3 years. All patients were followed up for at least one year; postoperative cuff integrity was evaluated with ultrasonography. We determined the associated preoperative factors for tear size and for rotator cuff integrity after ARCR, using logistic regression analysis. P value was set at 0.05.

Results

Age (OR, 2.4; 95% CI, 1.5-3.8), diabetes (OR, 2.2; 95% CI, 1-4.5), and hypo-HDLemia (OR, 1.9; 95% CI, 1-3.7) were significantly associated with preoperative tear size (P < .04). Diabetes (OR, 3.9; 95% CI, 1.6-9.4), critical shoulder angle (OR, 1.4; 95% CI, 1.1-1.7), and tear size (OR, 2.1; 95% CI, 1.3-3.5) were significantly associated with overall retear after ARCR (P < .01). Diabetes (OR, 4.7; 95% CI, 1.6-15.7), hypo-HDLemia (OR, 2.8; 95% CI, 1-7.8), and hyper-non-HDLemia (OR, 3.1; 95% CI, 1.1-12) had significant associations with retear after ARCR in patients with large to massive preoperative tear size (P < .04).

Conclusion

Preoperative hypo-HDLemia has a significant association with tear size and with retear after ARCR in large- to massive-sized RCT.


Key Words: Rotator tear size, retear, hypo-HDLemia, Arthroscopy