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Influence Of Age On Outcomes After Arthroscopic Rotator Cuff Repair Of Distal Supraspinatus Tear

Influence Of Age On Outcomes After Arthroscopic Rotator Cuff Repair Of Distal Supraspinatus Tear

Maxime Antoni, MD, FRANCE Agostino Ricotta, MD, FRANCE Clément Dujeux, MD, FRANCE Charles Thery, MD, FRANCE Philippe Clavert, MD, PhD, FRANCE

Shoulder and Elbow Surgery Unit - Strasbourg University Hospital, Strasbourg, FRANCE


2021 Congress   ePoster Presentation     Not yet rated

 

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Sports Medicine

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Summary: Influence of age on clinical outcomes and tendon healing after arthroscopic rotator cuff repair of distal supraspinatus tear


Introduction

Patient ageing is associated with a diminution of tendon healing after rotator cuff repair, especially in large and retracted tears. Few data are available for small and distal tears with no or limited fatty infiltration.
The aim of this study was to evaluate the influence of patient age on clinical outcomes and tendon healing after arthroscopic repair of distal supraspinatus tear.

MATERIALS AND METHOD
Patients operated from a distal supraspinatus tear in our institution between 2012 and 2018 were included retrospectively.
Statistical analysis was performed considering age as a quantitative data or a qualitative data
The influence of patient age on clinical outcomes (Constant score and shoulder range of motion) preoperatively, at 6 weeks, 3 months, 6 months, 1 year and on tendon healing (CT-scan or MRI) at 1 year were investigated.
Threshold for statistical significance was set at p=0.05.

Results

219 patients, mean age 54.5 (40-69) years old, were included.

Considering age as a quantitative data, we found:
- a trend to a lower preoperative Constant score in older patients, without reaching statistical significance (p=0.102).
-no correlation between age and postoperative clinical outcomes, except for external rotation which was significantly higher in younger patients at 1 year (p=0.01).
- a trend to a lower tendon healing rate in older patients, without reaching statistical significance (p=0.217).

Considering age as a qualitative data (superior/inferior to 50 years and superior/inferior to 60 years), we found:
-no difference for preoperative Constant score (respectively p=0.085 and p=0.1939)
-no difference for postoperative Constant score at 6 weeks, 3 months, 6 months or 1 year (respectively p=0.4839 and p=0.5036).
-no difference for tendon healing at 1 year (respectively p=0.23 and p=0.84).
-a higher external rotation at 1 year in younger patients (respectively p=0.042 and p=0.03759).

Conclusion

Age had a minor impact on clinical outcomes after arthroscopic repair of distal supraspinatus tear, influencing only external rotation at 1 year in our serie. Tendon healing was not influenced by patient age.


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