»» Okay. Our next talk is going to be Dr. De Hasra on the Minimum Five-Year Clinical Outcomes of Arthroscopically Repaired Massive Rotator Cuff Tears, Effect of Age on Clinical Outcomes. »» Yes. Dear faculty, dear ladies and gentlemen, it's a great honor for me to present our data on the Minimum Five-Year Clinical Outcome of Arthroscopically Repaired Massive Cuff Tears and the Effect of the Age on the Clinical Outcomes. Massive tears account for approximately 40% of all cuff tears. In the literature, there are various definitions for massive cuff tears. However, an increased age has been reported as a negative predictor and the national inpatient samples have a growing trend towards a primary RTSA at massive cuff tears. The purpose of the study was to report minimum five-year outcomes after arthroscopic cuff repair of massive tears and to determine if age has an effect on the outcomes. The study design. Recently, the ACES Massive Cuff Tear Study Group added a definition for massive cuff tears. They are illustrating that two tendons and a retraction to the glenoid or exposure of the grata tuberosity of 67% is a definition for massive cuff tears. In this study, we applied this criteria. The study cohort. There's a flow diagram illustrating the study cohort. Most notably, the senior surgeon treated 188 cuff tears with two tendons. 114 cuff tears did not classify for the criteria of the ACES, leaving 74 cuff tears which are at the Shumeyer criteria. 17 patients deceased and three had additional surgeries, such as a subscapularis repair, such as AC joint stabilization, and a debridement, not a typical rotator cuff repair, leaving 53 patients available for follow-up and 45 patients could be followed up with. Most notably, most of the patients received a double row repair with a tape bridge construct. The clinical scores. All clinical scores improved significantly. The ACES score from 58 to 96. The QuickDash score from 34 to 6.8. The patient satisfaction was in the median of 10. Next, the pain and the return to activity. All patients had a significant return to activity regarding daily activity, sporting activity, ability to sleep on the affected shoulder, and to lift weights on the affected shoulder. The pain was reduced significantly during recreational activities and daily activities. The survivorship. Three patients had a failure. One patient, a traumatic fall and a re-rupture after 2.4 years, he received a revision repair. Two patients in their 60s had a re-rupture after 6 and 7 years and had a revision cuff repair. The effect of the age. The linear regression did not illustrate any association between patient age and the clinical outcome. The limitations of the study. MRI was only obtained if there was a clinical symptomatic patient. However, ultrasound imaging was obtained after 3 months, 6 months, and 9 months. Due to the strict inclusion criteria, only 53 patients were available for follow-up. However, the authors of the study believe applying the Schumeyer criteria leads to a more pristine patient collective. All surgeries were performed by the senior orthopedic surgeon of the institution. Our conclusion. We had significantly improved clinical scores, decreased pain, increased return to activity for massive cuff tears with a medium midterm follow-up of 5 years irrespective of patient age. I want to thank my mentors and the co-authors and would like to invite you all to Berlin.

arthroscopic repair

massive cuff tears

clinical outcomes

age impact

double row repair