##plugins.themes.academic_pro.article.main##

Abstract

One of the most prevalent shoulder pathologies in both young and older age groups is rotator cuff tears. This paper aims to conduct a comparative study between mini-open and all arthroscopic rotator cuff full-thickness tear repair in Iraqi patients. Patient and methods: This study was a comparative study between mini-open and all arthroscopic rotator cuff full-thickness tear repair in Iraqi patients, with 42 cases were collected from Anbar - Iraq hospitals between 18th March 2021 to 16th April 2022. This study was conducted to divide patients into comparison mini-open surgery with (22) and arthroscopic surgery with (20) for patients above 35 and under 60 years. The comparative study data of rotator cuff patients were analysed by the SPSS program. Results and discussion: In the present study, which is comparing the results for mini-open as well as all-arthroscopic surgeries for RCTR, it was found that patients who underwent arthroscopic surgery experienced less pain in the immediate postoperative period, improved shoulder flexion, and a lower incidence of complications. Numerous studies comparing the results of all-arthroscopic and mini-open procedures have been done in the past literature, and they all found comparable results. Our study examined the complication rates following arthroscopic compared to open rotator cuff surgery. According to the authors, individuals receiving open surgery were more likely to experience any unfavorable side effects and be readmitted following surgery during 30 days of their first procedure. The patients having open surgery remained older and were more probable to have concomitant illnesses, though. Conclusion: According to the study's findings, individuals with rotator cuff tears who underwent arthroscopic surgery experienced less pain than those who underwent small open surgery, had greater shoulder flexibility and function after surgery, and experienced no post-operative complications. Our findings could help to explain why arthroscopic surgery is so common among surgeons

Keywords

Rotator cuff mini-open surgery and arthroscopic surgery

##plugins.themes.academic_pro.article.details##

How to Cite
Lecturer Dr. Hasan AbdulHadi Mohammed. (2023). Comparative study between Mini open and all arthroscopic rotator cuff full thickness tear repair in Iraqi patients. Texas Journal of Medical Science, 23, 51–56. https://doi.org/10.62480/tjms.2023.vol23.pp51-56

References

  1. Acan AE, Hapa O, Horoz L, Kara A, Havitçioglu H. Effects of a lateral row anchor position on the suture holding strength of a double-row knotless fixation in rotator cuff repair. Eklem Hastalik Cerrahisi. 2018;29 (1):46–51.
  2. Ji X, Bi C, Wang F, Wang Q. Arthroscopic versus mini-open rotator cuff repair: an up-to-date meta-analysis of randomized controlled trials. Arthroscopy: The Journal of Arthroscopic and Related Surgery. 2015;31 (1):118–24.
  3. Basar S, Kanatli U, Citaker S, Bölükbasi S. Does the presence of anterior greater tuberosity cysts change the function in patients with chronic rotator cuff tear? Eklem Hastalik Cerrahisi. 2014;25 (3):141–7.
  4. Morse K, Davis AD, Afra R, Kave EK, Schepsis A, Voloshin I. Arthroscopic versus mini-open rotator cuff repair: a comprehensive review and meta-analysis. Am J Sports Med. 2008;36 (9):1824–28.
  5. Nho SJ, Shindle MK, Sherman SL, Freedman KB, Lyman S, MacGillivray JD. Systematic review of arthroscopic rotator cuff repair and mini-open rotator cuff repair. J Bone Joint Surg Am. 2007 Oct;89 (Suppl 3):127–36.
  6. Sauerbrey AM, Getz CL, Piancastelli M, Ianotti JP, Ramsey ML, Williams GR., Jr Arthroscopic versus mini-open rotator cuff repair: a comparison of clinical outcome. Arthroscopy. 2005;21 (12):1415–20.
  7. Verma NN, Dunn W, Adler RS, Cordasco FA, Allen A, MacGillivray J, et al. All-arthroscopic versus mini-open rotator cuff repair: a retrospective review with minimum 2-year follow-up. Arthroscopy. 2006;22 (6):587–94.
  8. Kasten P, Keil C, Grieser T, Raiss P, Streich N, Loew M. Prospective randomised comparison of arthroscopic versus mini-open rotator cuff repair of the supraspinatus tendon. Int Orthop. 2011;35 (11):1663–70.
  9. Williams G, Kraeutler MJ, Zmistowski B, Fenlin JM. No difference in postoperative pain after arthroscopic versus open rotator cuff repair. Clin Orthop Relat Res. 2014;472 (9):2759–65.
  10. Kang L, Henn RF, Tashjian RZ, Green A. Early outcome of arthroscopic rotator cuff repair: a matched comparison with mini-open rotator cuff repair. Arthroscopy. 2007;23 (6):573–82.
  11. Köse KC, Tezen E, Cebesoy O, Karadeniz E, Guner D, Adiyaman S, et al. Mini-open versus all-arthroscopic rotator cuff repair: comparison of the operative costs and the clinical outcomes. Adv Ther. 2008;25 (3):249–59.
  12. Pearsall AW, 4th, Ibrahim KA, Madanagopal SG. The results of arthroscopic versus mini-open repair for rotator cuff tears at mid-term follow-up. J Orthop Surg Res. 2007;2:24.
  13. Bayle X, Pham TT, Faruch M, Gobet A, Mansat P, Bonnevialle N. No difference in outcome for open versus arthroscopic rotator cuff repair: a prospective comparative trial. Arch Orthop Trauma Surg. 2017;137 (12):1707–12.
  14. Baker DK, Perez JL, Watson SL, McGwin G, Brabston EW, Hudson PW, et al. Arthroscopic versus open rotator cuff repair: which has a better complication and 30-day readmission profile? Arthroscopy. 2017;33 (10):1764–69.
  15. Köse, K.Ç., et al., Mini-open versus all-arthroscopic rotator cuff repair: Comparison of the operative costs and the clinical outcomes. Advances in therapy, 2008. 25 (3): p. 249-259.
  16. Kang, L., et al., Early Outcome of Arthroscopic Rotator Cuff Repair: A Matched Comparison with Mini-Open Rotator Cuff Repair. Arthroscopy: e-Journal of Arthroscopic & Related Surgery, 2007. 23 (6): p. 573-582.e2.
  17. Huang, R., et al., Systematic Review of All-Arthroscopic Versus Mini-Open Repair of Rotator Cuff Tears: A Meta-Analysis. Sci Rep, 2016.: p. 22857.
  18. Minagawa, H., et al., Prevalence of symptomatic and asymptomatic rotator cuff tears in the general population: From mass-screening in one village. Journal of Orthopaedics, 2013. 10 (1): p. 8-12.
  19. Yamamoto, A., et al., Prevalence and risk factors of a rotator cuff tear in the general population. Journal of Shoulder and Elbow Surgery, 2010. 19 (1): p. 116-120.
  20. Lambers Heerspink, F.O., et al., Comparing surgical repair with conservative treatment for degenerative rotator cuff tears: a randomized controlled trial. J Shoulder Elbow Surg, 2015. 24 (8): p. 1274-81.