Increasing age and tear size reduce rotator cuff repair healing rate at 1 year
<h4>Background and purpose</h4> <p>There is a need to understand the reasons why a high proportion of rotator cuff repairs fail to heal. Using data from a large randomized clinical trial, we evaluated age and tear size as risk factors for failure of rotator cuff repair.</p>...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Journal article |
| Language: | English |
| Published: |
Taylor and Francis
2017
|
| Subjects: |
| _version_ | 1797093971269255168 |
|---|---|
| author | Rashid, M Cooper, C Cook, J Cooper, D Dakin, S Snelling, S Carr, A |
| author_facet | Rashid, M Cooper, C Cook, J Cooper, D Dakin, S Snelling, S Carr, A |
| author_sort | Rashid, M |
| collection | OXFORD |
| description | <h4>Background and purpose</h4> <p>There is a need to understand the reasons why a high proportion of rotator cuff repairs fail to heal. Using data from a large randomized clinical trial, we evaluated age and tear size as risk factors for failure of rotator cuff repair.</p> <h4>Patients and methods</h4> <p>Between 2007 and 2014, 65 surgeons from 47 hospitals in the National Health Service (NHS) recruited 447 patients with atraumatic rotator cuff tendon tears to the United Kingdom Rotator Cuff Trial (UKUFF) and 256 underwent rotator cuff repair. Cuff integrity was assessed by imaging in 217 patients, at 12 months post-operation. Logistic regression analysis was used to determine the infl uence of age and intra-operative tear size on healing. Hand dominance, sex, and previous steroid injections were controlled for.</p> <h4>Results</h4> <p>The overall healing rate was 122/217 (56%) at 12 months. Healing rate decreased with increasing tear size (small tears 66%, medium tears 68%, large tears 47%, and massive tears 27% healed). The mean age of patients with a healed repair was 61 years compared with 64 years for those with a non-healed repair. Mean age increased with larger tear sizes (small tears 59 years, medium tears 62 years, large tears 64 years, and massive tears 66 years). Increasing age was an independent factor that negatively infl uenced healing, even after controlling for tear size. Only massive tears were an independent predictor of non-healing, after controlling for age.</p> <h4>Interpretation</h4> <p>Although increasing age and larger tear size are both risks for failure of rotator cuff repair healing, age is the dominant risk factor.</p> |
| first_indexed | 2024-03-07T04:07:42Z |
| format | Journal article |
| id | oxford-uuid:c6c3fe35-4880-4b07-ac13-2996e63e921c |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T04:07:42Z |
| publishDate | 2017 |
| publisher | Taylor and Francis |
| record_format | dspace |
| spelling | oxford-uuid:c6c3fe35-4880-4b07-ac13-2996e63e921c2022-03-27T06:40:19ZIncreasing age and tear size reduce rotator cuff repair healing rate at 1 yearJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:c6c3fe35-4880-4b07-ac13-2996e63e921c*subject*EnglishSymplectic Elements at OxfordTaylor and Francis2017Rashid, MCooper, CCook, JCooper, DDakin, SSnelling, SCarr, A <h4>Background and purpose</h4> <p>There is a need to understand the reasons why a high proportion of rotator cuff repairs fail to heal. Using data from a large randomized clinical trial, we evaluated age and tear size as risk factors for failure of rotator cuff repair.</p> <h4>Patients and methods</h4> <p>Between 2007 and 2014, 65 surgeons from 47 hospitals in the National Health Service (NHS) recruited 447 patients with atraumatic rotator cuff tendon tears to the United Kingdom Rotator Cuff Trial (UKUFF) and 256 underwent rotator cuff repair. Cuff integrity was assessed by imaging in 217 patients, at 12 months post-operation. Logistic regression analysis was used to determine the infl uence of age and intra-operative tear size on healing. Hand dominance, sex, and previous steroid injections were controlled for.</p> <h4>Results</h4> <p>The overall healing rate was 122/217 (56%) at 12 months. Healing rate decreased with increasing tear size (small tears 66%, medium tears 68%, large tears 47%, and massive tears 27% healed). The mean age of patients with a healed repair was 61 years compared with 64 years for those with a non-healed repair. Mean age increased with larger tear sizes (small tears 59 years, medium tears 62 years, large tears 64 years, and massive tears 66 years). Increasing age was an independent factor that negatively infl uenced healing, even after controlling for tear size. Only massive tears were an independent predictor of non-healing, after controlling for age.</p> <h4>Interpretation</h4> <p>Although increasing age and larger tear size are both risks for failure of rotator cuff repair healing, age is the dominant risk factor.</p> |
| spellingShingle | *subject* Rashid, M Cooper, C Cook, J Cooper, D Dakin, S Snelling, S Carr, A Increasing age and tear size reduce rotator cuff repair healing rate at 1 year |
| title | Increasing age and tear size reduce rotator cuff repair healing rate at 1 year |
| title_full | Increasing age and tear size reduce rotator cuff repair healing rate at 1 year |
| title_fullStr | Increasing age and tear size reduce rotator cuff repair healing rate at 1 year |
| title_full_unstemmed | Increasing age and tear size reduce rotator cuff repair healing rate at 1 year |
| title_short | Increasing age and tear size reduce rotator cuff repair healing rate at 1 year |
| title_sort | increasing age and tear size reduce rotator cuff repair healing rate at 1 year |
| topic | *subject* |
| work_keys_str_mv | AT rashidm increasingageandtearsizereducerotatorcuffrepairhealingrateat1year AT cooperc increasingageandtearsizereducerotatorcuffrepairhealingrateat1year AT cookj increasingageandtearsizereducerotatorcuffrepairhealingrateat1year AT cooperd increasingageandtearsizereducerotatorcuffrepairhealingrateat1year AT dakins increasingageandtearsizereducerotatorcuffrepairhealingrateat1year AT snellings increasingageandtearsizereducerotatorcuffrepairhealingrateat1year AT carra increasingageandtearsizereducerotatorcuffrepairhealingrateat1year |