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RESEARCH ARTICLE
Year : 2018  |  Volume : 3  |  Issue : 1  |  Page : 1-6

Functional outcomes and health-related quality of life after open repair of rotator cuff tears: a prospective cohort study


1 Department of Orthopedics and Trauma Surgery, UMAE “Dr. Victorio de la Fuente Narváez” IMSS-UNAM. Ciudad de México, México
2 Health Education and Research Division, UMAE “Dr. Victorio de la Fuente Narváez” IMSS, Delegación Gustavo A. Madero, México

Correspondence Address:
Joel Galindo-Avalos
Department of Orthopedics and Trauma Surgery, UMAE “Dr. Victorio de la Fuente Narváez” IMSS-UNAM. Ciudad de México
México
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2542-4157.227045

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Background and objectives: Rotator cuff tears are a common cause of shoulder pain, that can diminish a patient’s functionality and quality of life. The objective of this study was to assess the effectiveness of open repair of rotator cuff tears by evaluating functional outcomes and health-related quality of life. Design: A prospective cohort study. Methods: We evaluated the functional outcome and health-related quality of life (HRQoL) of 120 patients with rotator cuff tears, aged 40 to 65 years, repaired by an open technique applying two questionnaires, the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES) and a shortened form (12 items) of the Short Form 36 Health Survey version 2 (SF12v2) preoperatively, and at 3, 6 and 12 months postoperatively. Functional outcomes were categorized as Excellent (88–100), Good (75–87), Fair (62–74) or Bad (61 or less) depending on the ASES score. The HRQoL was divided into its physical and mental components (physical component summary (PCS) and mental component summary (MCS), respectively) by using QualityMetric Health Outcomes™ version 4.5, and was categorized as under the norm, at the norm, or above the norm. We also evaluated if a relationship existed between sex, side, tear size, or tear pattern, with the functional outcome or the HRQoL. Results: We found a statistically significant difference between the preoperative ASES and PCS scores with the 6- and 12-month follow-up results and between preoperative MCS score with the 12-month follow-up result (P < 0.05). We found no correlation between functional outcome and HRQoL; or between sex, side, tear size, or tear pattern, with the functional outcome and HRQoL (P > 0.05). Conclusion: Open repair of rotator cuff tears remains a valid and effective option, despite the current trend of arthroscopic repair, obtaining satisfactory results at around 6 months after surgery. Trial registration: This study was registered at SIRELCIS, with the identifier R-2011-3401-43 CLIS 3401.


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