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Surgical Outcome Following Arthroscopic Rotator Cuff Tear Repair in a Low-Income Population: Quality of Life Improvement

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Surgical Outcome Following Arthroscopic Rotator Cuff Tear Repair in a Low-Income Population: Quality of Life Improvement

Mohamed Amine Gharbi , MD, TUNISIA Houssem Eddine Chahed, MD, TUNISIA Moatassem Belleh Jelassi, MD, TUNISIA Rami Triki, TUNISIA Anis Tebourbi, MD, TUNISIA Ramzi Bouzidi, PhD, TUNISIA Khelil Ezzaouia, PhD, TUNISIA Mouadh Nefiss, MD, TUNISIA

Mongi Slim Marsa University Hospital Center, Tunis, Tunis, TUNISIA

2023 Congress ePoster Presentation 2023 Congress Not yet rated

Anatomic Location

Shoulder Rotator Cuff

Diagnosis / Condition

Tears

Treatment / Technique

Arthroscopy Repair / Reconstruction Sutures / Knots / Anchors

Patient Populations

Elderly

Diagnosis Method

MRI

Summary: Surgical outcome following arthroscopic rotator cuff tear repair in a low-income population showed an improvement in health-related quality of life with decreasing pain and increasing functional ability from 3 months postoperatively especially in patients with shorter symptoms duration before surgery

Background

Health-related quality of life in patients who underwent rotator cuff tear (RCT) repair surgeries has been emphasised recently. Yet, there is no data on arthroscopic RCT repair outcomes from developing regions.

Objective

Our aim of our study was to determine the changes in quality-of-life following arthroscopic RCT repair in a low-income population.

Methods

This is a retrospective case series. 54 shoulders of 50 patients subjected to arthroscopic repair of a RCT with a minimum of 1 year’s follow-up were evaluated. RCT were classified as partial or full-thickness lesions. Patients were asked about monthly family income and completed the visual analog scale (VAS) pain score, the UCLA Scale, the American Shoulder and Elbow Surgeons' Scale (ASES), and the World Health Organisation Quality-of-life Scale Abbreviated Version (WHOQOL-BREF) before surgery, and at 3, 6, and 12 months after surgery.

Results

The mean age of patients was 58 years-old, there were 32 (64%) women and 18 (36%) men. Over 95% declared < 1000 US$ monthly family income. 35 patients (70%) underwent surgery on their dominant arm and 15 (30%) underwent surgery on their nondominant arm. The mean duration of symptoms was 20 months (range, 2– 60 months). All procedures were performed by a single surgeon. The mean WHOQOL-BREF score increased from 59.8 before surgery to 66.2 at 12 months after surgery. The mean VAS pain score decreased from 6.8 before surgery to 1.6 ± 1.4 at 12 months after surgery. The mean UCLA scores increased from 11.5 before surgery to 30.2 at 12 months after surgery, and the mean ASES scores increased from 41.3 before surgery to 85.3 at 12 months after surgery. Only shorter symptoms duration before surgery was statistically associated with better functional results.

Conclusion

Surgical outcome following arthroscopic RCT repair in a low-income population showed an improvement in health-related quality of life with decreasing pain and increasing functional ability from 3 months after surgery. Our findings suggest that successful rotator cuff repair may improve quality of life.

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Marrow-Derived Augmentation for Primary Rotator Cuff Repair: Systematic Review and Meta-Analysis ePoster Presentation Stephen Le Breton, BS, UNITED STATES Julaine Forlizzi , MD, UNITED STATES Olivia Bono, BS, UNITED STATES Albert Mousad, BS, UNITED STATES Sophie Kush , BS, UNITED STATES Alaia Christensen, BS, MD, UNITED STATES Arun Ramappa, MD, UNITED STATES Glen Ross, MD, UNITED STATES Sarav Shah, MD, UNITED STATES
Does Rotator Cuff Tear Morphology Affect Clinical Outcomes Post-Surgical Repair In Large To Massive Tears? ePoster Presentation Mark H.X. Yeo, MBBS, SINGAPORE Shawn Js Seah, MBBS, SINGAPORE Merrill Lee, MBBS, MRCS(Edin), SINGAPORE Denny T. T. Lie, MBBS, FRCS, FAMS, SINGAPORE
Superior Capsule Reconstruction with Long Head of the Biceps Tendon for Massive Irreparable Rotator Cuff Tears ePoster Presentation Marco Adriani, MD, ITALY Marcello Motta, MD, ITALY Francesco DeFilippo, MD, ITALY Alessandro Colosio, MD, ITALY Maristella Francesca Saccomanno, MD, PhD, ITALY Giuseppe Milano, Prof., ITALY
Arthroscopic Margin Convergence Rotator Cuff Repair Without Suture Anchors – Outcome and Prognostic Factors ePoster Presentation S. Ali Ghasemi, MD, UNITED STATES Adam Lencer, BS, UNITED STATES Arthur R Bartolozzi, MD, UNITED STATES
Structured Exercise Therapy Improves Shoulder Function and Patient Reported Outcomes Without Increasing Tear Size for Individuals With Isolated Supraspinatus Tear ePoster Presentation Luke Mattar, BS, UNITED STATES Camille Johnson, M.S., UNITED STATES Tom Gale, MS, UNITED STATES Adam Popchak, DPT, PhD, UNITED STATES William Anderst, PhD, UNITED STATES Volker Musahl, MD, Prof., UNITED STATES James J. Irrgang, PT, PhD, FAPTA, UNITED STATES Richard E Debski, PhD, UNITED STATES
The Functional Outcome Of Arthroscopic Subscapularis Tendon Repair Through Anterolateral Viewing Portal Using Lasso-Loop Technique ePoster Presentation Prince Shanavas Khan, D' ORTHO, M.S. ORTHO, INDIA Arun Mundakkal, M.B.B.S, INDIA
The Influence of Different Rotator Cuff Tears in Relation to Glenoid Depth on Glenohumeral Stability - A Robotic Biomechanical Analysis ePoster Presentation Sebastian Oenning, MD, GERMANY Mats Jonas Wiethölter, MD, GERMANY Jens Wermers, MD, GERMANY Alina Köhler, MD, GERMANY Sebastian Oenning, MD, GERMANY Michael J. Raschke, MD, Prof., GERMANY J. Christoph Katthagen, MD, GERMANY
Which Images Are Most Useful For Measuring Acromiohumeral Distance To Predict Rotator Cuff Integrity After Arthroscopic Rotator Cuff Repair? ePoster Presentation Yoshitsugu Takeda, MD, PhD, JAPAN Naoto Suzue, MD, PhD, JAPAN
Superiore Capsular Reconstruction Using the Long Head Of Biceps Tendon With Good Clinical and Radiographical Outcome ePoster Presentation Andreas Voss, MD, GERMANY Laura Hauer, Student , GERMANY Laura Weber, Student , GERMANY Stefan Greiner, MD, Prof., GERMANY
Impact of Patient Resilience on Rotator Cuff Repair Post-Operative Outcomes ePoster Presentation Ryan W. Paul, BS, UNITED STATES Michael P Campbell, MD, UNITED STATES Sydney Streicher, BA, UNITED STATES Matthew P Wallingford, BS, UNITED STATES Taylor D'Amore, MD, UNITED STATES Sean Bryan, MD, UNITED STATES Fotios P. Tjoumakaris, MD, UNITED STATES Kevin Freedman, MD, UNITED STATES
Long-term Clinical Outcomes and Imaging Evaluation More than 10 years after Arthroscopic otator cuff repair ePoster Presentation Hironori Kakoi, MD, JAPAN Hideyasu Kaieda, JAPAN Yasunari Fujii, MD, JAPAN

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Surgical Outcome Following Arthroscopic Rotator Cuff Tear Repair in a Low-Income Population: Quality of Life Improvement

Surgical Outcome Following Arthroscopic Rotator Cuff Tear Repair in a Low-Income Population: Quality of Life Improvement

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Objective

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Results

Conclusion

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Surgical Outcome Following Arthroscopic Rotator Cuff Tear Repair in a Low-Income Population: Quality of Life Improvement

Surgical Outcome Following Arthroscopic Rotator Cuff Tear Repair in a Low-Income Population: Quality of Life Improvement

Background

Objective

Methods

Results

Conclusion

More 2023 ISAKOS Congress Content