Outcomes after arthroscopic repair of rotator cuff tears in the setting of mild to moderate glenohumeral osteoarthritis

doi:10.5312/wjo.v13.i7.631

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World Journal of Orthopedics

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Retrospective Cohort Study

World J Orthop. Jul 18, 2022; 13(7): 631-643
Published online Jul 18, 2022. doi: 10.5312/wjo.v13.i7.631

Table 3 Postoperative complications

		With GHOA				Without GHOA
		Tear size group				Tear size group
	Overall (n = 142)	Case Overall (n = 71)	Small (0-1cm) (n = 21)	Medium (1-3cm) (n = 28)	Large (3-5cm) (n = 22)	Control Overall (n = 71)	Small (0-1cm) (n = 28)	Medium (1-3cm) (n = 30)	Large (3-5cm) (n = 13)
Reoperation post RCR, n (%)
No	125 (88.0)	60 (84.5)	19 (90.5)	23 (82.1)	18 (81.8)	65 (91.5)	26 (92.9)	28 (93.3)	11 (84.6)
Yes	17 (12.0)	11 (15.5)	2 (9.5)	5 (17.9)	4 (18.2)	6 (8.5)	2 (7.1)	2 (6.7)	2 (15.4)
Complications, n (%)
Missing for 1 patient
No	111 (78.2)	53 (74.6)	16 (76.2)	22 (78.6)	15 (68.2)	58 (81.7)	22 (78.6)	24 (80.0)	12 (92.3)
Yes	30 (21.1)	17 (23.9)	4 (19.0)	6 (21.4)	7 (31.8)	13 (18.3)	6 (21.4)	6 (20.0)	1 (7.7)
Wound issues, n (%)
Missing for 131 patients
No	11 (7.7)	9 (12.7)	2 (9.5)	3 (10.7)	4 (18.2)	2 (2.8)	0 (0)	2 (6.7)	0 (0)
Infection, n (%)
Missing for 131 patients
No	11 (7.7)	9 (12.7)	2 (9.5)	3 (10.7)	4 (18.2)	2 (2.8)	0 (0)	2 (6.7)	0 (0)
Stiffness, n (%)
Missing for 126 patients
Yes	8 (5.6)	5 (7.0)	3 (14.3)	1 (3.6)	1 (4.5)	3 (4.2)	1 (3.6)	2 (6.7)	0 (0)
No	8 (5.6)	7 (9.9)	0 (0)	3 (10.7)	4 (18.2)	1 (1.4)	0 (0)	1 (3.3)	0 (0)
Rotator cuff retear, n (%)
Missing for 122 patients
Yes	17 (12.0)	9 (12.7)	0 (0)	4 (14.3)	5 (22.7)	8 (11.3)	3 (10.7)	4 (13.3)	1 (7.7)
No	3 (2.1)	2 (2.8)	2 (9.5)	0 (0)	0 (0)	1 (1.4)	0 (0)	1 (3.3)	0 (0)
Other complication, n (%)
Missing for 128 patients
No	8 (5.6)	4 (5.6)	1 (4.8)	2 (7.1)	1 (4.5)	4 (5.6)	1 (3.6)	2 (6.7)	1 (7.7)
Yes	6 (4.2)	3 (4.2)	1 (4.8)	1 (3.6)	1 (4.5)	3 (4.2)	2 (7.1)	1 (3.3)	0 (0)
Other complication description, n (%)
Pain	1 (0.7)	1 (1.4)	1 (4.8)	0 (0)	0 (0)	0 (0)	0 (0)	0 (0)	0 (0)
Block related neuropraxia	1 (0.7)	1 (1.4)	0 (0)	1 (3.6)	0 (0)	0 (0)	0 (0)	0 (0)	0 (0)
Weakness	1 (0.7)	1 (1.4)	0 (0)	0 (0)	1 (4.5)	0 (0)	0 (0)	0 (0)	0 (0)
Median nerve neuropathy	1 (0.7)	0 (0)	0 (0)	0 (0)	0 (0)	1 (1.4)	1 (3.6)	0 (0)	0 (0)
Greater tuberosity fx	1 (0.7)	0 (0)	0 (0)	0 (0)	0 (0)	1 (1.4)	1 (3.6)	0 (0)	0 (0)
Heterotopic ossification	1 (0.7)	0 (0)	0 (0)	0 (0)	0 (0)	1 (1.4)	0 (0)	1 (3.3)	0 (0)
1^streoperation diagnosis, n (%)
Other	13 (9.2)	9 (12.7)	2 (9.5)	4 (14.3)	3 (13.6)	4 (5.6)	1 (3.6)	1 (3.3)	2 (15.4)
Stiffness	3 (2.1)	2 (2.8)	0 (0)	1 (3.6)	1 (4.5)	1 (1.4)	0 (0)	1 (3.3)	0 (0)
Hardware pain	1 (0.7)	0 (0)	0 (0)	0 (0)	0 (0)	1 (1.4)	1 (3.6)	0 (0)	0 (0)
1^streoperation other diagnosis, n (%)
Rotator cuff arthropathy	4 (2.8)	3 (4.2)	0 (0)	2 (7.1)	1 (4.5)	1 (1.4)	0 (0)	0 (0)	1 (7.7)
Rotator cuff retear	4 (2.8)	3 (4.2)	0 (0)	2 (7.1)	1 (4.5)	1 (1.4)	0 (0)	1 (3.3)	0 (0)
Inflammatory arthritis	1 (0.7)	1 (1.4)	1 (4.8)	0 (0)	0 (0)	0 (0)	0 (0)	0 (0)	0 (0)
Glenohumeral arthritis	1 (0.7)	1 (1.4)	1 (4.8)	0 (0)	0 (0)	0 (0)	0 (0)	0 (0)	0 (0)
Retear RTC, rotator cuffarthropathy	1 (0.7)	1 (1.4)	0 (0)	0 (0)	1 (4.5)	0 (0)	0 (0)	0 (0)	0 (0)
Greater tuberosity fracture	1 (0.7)	0 (0)	0 (0)	0 (0)	0 (0)	1 (1.4)	1 (3.6)	0 (0)	0 (0)
Rotator cuff arthropathy	1 (0.7)	0 (0)	0 (0)	0 (0)	0 (0)	1 (1.4)	0 (0)	0 (0)	1 (7.7)
1^streoperation procedure, n (%)
Conversion to RTSA	8 (5.6)	5 (7.0)	1 (4.8)	2 (7.1)	2 (9.1)	3 (4.2)	1 (3.6)	0 (0)	2 (15.4)
Other	6 (4.2)	3 (4.2)	0 (0)	2 (7.1)	1 (4.5)	3 (4.2)	1 (3.6)	2 (6.7)	0 (0)
Lysis of adhesions	2 (1.4)	2 (2.8)	0 (0)	1 (3.6)	1 (4.5)	0 (0)	0 (0)	0 (0)	0 (0)
Conversion to TSA	1 (0.7)	1 (1.4)	1 (4.8)	0 (0)	0 (0)	0 (0)	0 (0)	0 (0)	0 (0)
1^streoperation other procedure, n (%)
Revision rotator cuff repair	4 (2.8)	3 (4.2)	0 (0)	2 (7.1)	1 (4.5)	1 (1.4)	0 (0)	1 (3.3)	0 (0)
Removal of heterotopicossification	1 (0.7)	0 (0)	0 (0)	0 (0)	0 (0)	1 (1.4)	0 (0)	1 (3.3)	0 (0)
Removal of hardware, RTC debridement	1 (0.7)	0 (0)	0 (0)	0 (0)	0 (0)	1 (1.4)	1 (3.6)	0 (0)	0 (0)
2^ndreoperation post RCR, n (%)
Missing for 1 patient
No	14 (9.9)	10 (14.1)	1 (4.8)	5 (17.9)	4 (18.2)	4 (5.6)	1 (3.6)	2 (6.7)	1 (7.7)
Yes	2 (1.4)	1 (1.4)	1 (4.8)	0 (0)	0 (0)	1 (1.4)	0 (0)	0 (0)	1 (7.7)
2^ndreoperation diagnosis, n (%)
Other	2 (1.4)	1 (1.4)	1 (4.8)	0 (0)	0 (0)	1 (1.4)	0 (0)	0 (0)	1 (7.7)
2^ndreoperation other diagnosis, n (%)
Insufficiency due to subscapularis failure	1 (0.7)	1 (1.4)	1 (4.8)	0 (0)	0 (0)	0 (0)	0 (0)	0 (0)	0 (0)
Instability	1 (0.7)	0 (0)	0 (0)	0 (0)	0 (0)	1 (1.4)	0 (0)	0 (0)	1 (7.7)
2^ndreoperation procedure, n (%)
Other	2 (1.4)	1 (1.4)	1 (4.8)	0 (0)	0 (0)	1 (1.4)	0 (0)	0 (0)	1 (7.7)
Conversion to TSA/RTSA within 2 yr post index DOS, n (%)
No	139 (97.9)	69 (97.2)	20 (95.2)	28 (100.0)	21 (95.5)	70 (98.6)	28 (100.0)	30 (100.0)	12 (92.3)
Yes	3 (2.1)	2 (2.8)	1 (4.8)	0 (0)	1 (4.5)	1 (1.4)	0 (0)	0 (0)	1 (7.7)

GHOA: Glenohumeral osteoarthritis; RCR: Rotator cuff repair; RTSA: Reverse tota shoulder arthroplasty; TSA: Total shoulder arthroplasty.

Citation: Hong IS, Rao AJ, CarlLee TL, Meade JD, Hurwit DJ, Scarola G, Trofa DP, Schiffern SC, Hamid N, Connor PM, Fleischli JE, Saltzman BM. Outcomes after arthroscopic repair of rotator cuff tears in the setting of mild to moderate glenohumeral osteoarthritis. World J Orthop 2022; 13(7): 631-643
URL: https://www.wjgnet.com/2218-5836/full/v13/i7/631.htm
DOI: https://dx.doi.org/10.5312/wjo.v13.i7.631