AOSSM Specialty Day 2023 with ISAKOS - no CME-2. AOSSM-ISAKOS - Session VI

Video Transcription

Video Summary

In this video, Dr. De Hasra discusses the minimum five-year clinical outcomes of arthroscopically repaired massive rotator cuff tears and the effect of age on these outcomes. Massive cuff tears make up around 40% of all cuff tears, and increased age is often associated with negative outcomes. The study aimed to report the five-year outcomes after arthroscopic cuff repair and determine if age impacts the results. The ACES Massive Cuff Tear Study Group recently defined massive cuff tears as two tendons and a retraction to the glenoid or exposure of the grata tuberosity of 67%. The study cohort consisted of 53 patients, most of whom received a double row repair with a tape bridge construct. All clinical scores, such as ACES and QuickDash, significantly improved, and patient satisfaction was high. Patients experienced less pain and were able to resume daily activities, sports, and lifting weights. There were three failures, one due to a traumatic fall and two re-ruptures in patients in their 60s. However, the study found no association between patient age and clinical outcome. The study had limitations, such as limited MRI imaging and a small sample size. The conclusion is that arthroscopic repair leads to improved outcomes for massive cuff tears with a five-year follow-up, regardless of patient age. The speaker thanks their mentors and co-authors and invites viewers to Berlin.

Keywords

arthroscopic repair

massive cuff tears

clinical outcomes

age impact

double row repair