Resultados funcionales para lesiones completas del manguito rotador con reparación artroscópica mediante fila simple en pacientes con compensación laboral

Abstract

Introduction: the objective of this study is to assess the functional results, the percentage of re-tears and the time to return to work, in patients with complete tears of the rotator cuff arthroscopically repaired using simple row suture.

Materials and methods: one hundred and seven patients were retrospectively evaluated. Complete acute tears types 1 and 2 of the Davidson and Burkhart classification, in workers, were included. Partial, massive tears (greater than 3 cm), evolving for more than six months, or requiring additional treatments, were excluded. The following scores were used for the assessment of results: the Simple Shoulder Test (SST), the Visual Analog Scale (VAS) and the scale of the American Shoulder and Elbow Surgeons Society (ASES).

Results: with a follow-up of 37.8 months, the following results were obtained: SST scores was 8.2 (68.8 ± 2.9%), VAS used for pain assessment was 93.3%, and the mean ASES was 89%. The percentage of re-tears was 7.5%. The QDASH differed in patients without re-rupture 27 ± 2.5% from the cases of re-rupture 60.2 ± 4.1%.

Conclusion: we considered that the single row suture technique performed arthroscopically is a valid option that allows to obtain good functional results in selected acute rotator cuff injuries of up to 3 cm in worker population.