Rotator cuff repair in patients over 70 years of age
Bone Joint J 2013;95-B:199–205.
P. M. Robinson, MBChB(Hons), BMedSci, MRCS(Eng), Specialty Registrar Trauma and Orthopaedics
J. Wilson, MRCSEd, MSc, Specialty Registrar Trauma and Orthopaedics
S. Dalal, FRCSEd(Tr & Orth), Consultant Orthopaedic Surgeon
R. A. Parker, BSc, MSc, Medical Statistician
P. Norburn, MBChB, MRCP, FRCR, Consultant Radiologist and
B. R. Roy, MSc (Bioeng),FRCS(Tr & Orth), DMI, Consultant Orthopaedic Surgeon
This study reports the clinical and sonographic outcome of arthroscopic rotator cuff repair in patients aged ≥ 70 years and aimed to determine factors associated with re-tear. A total of 69 consecutive repairs were performed in 68 patients with a mean age of 77 years (70 to 86). Constant-Murley scores were collected pre-operatively and at one year post-operatively. The integrity of the repair was assessed using ultrasound. Re-tear was detected in 20 of 62 patients (32%) assessed with ultrasound. Age at operation was significantly associated with re-tear free survival (p = 0.016). The mean pre-operative Constant score was 23 (sd 14), which increased to 58 (sd 20) at one year post-operatively (paired t-test, p < 0.001). Male gender was significantly associated with a higher score at one year (p = 0.019).
We conclude that arthroscopic rotator cuff repair in patients aged ≥ 70 years is a successful procedure. The gender and age of the patient are important factors to consider when planning management.