Arthroscopic repair of posterosuperior massive rotator cuff tears provides good clinical outcomes despite high re-tear rate in the mid-term

Juan Ameztoy Gallego; Cristina Delgado; Elena Calvo; Pablo Sanchez-Urgelles; Emílio Calvo

doi:10.1016/j.jseint.2026.101713

April 1, 2026JSES InternationalOpen Access

Arthroscopic repair of posterosuperior massive rotator cuff tears provides good clinical outcomes despite high re-tear rate in the mid-term

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Key Points

This study evaluates the clinical outcomes and retear rates of arthroscopic repair for massive rotator cuff tears during mid-term follow-up.
Retrospective analysis of patients undergoing arthroscopic repair for posterosuperior massive rotator cuff tears from 2006-2023 with a minimum follow-up of 2 years.
Assessment of range of motion (ROM) and patient-reported outcomes (PROs) including ASES, Constant score, SST, satisfaction, and VAS pain.
Univariate and multivariate analyses were conducted to identify independent predictors of outcomes.
All patient-reported outcomes significantly improved postoperatively: Constant score increased by 32.7 points (95% CI 27.2 to 38.2), ASES by 51.2 points (95% CI 43.4 to 59.1), SST by 5.5 points (95% CI 4.6 to 6.5), and VAS by 6.2 points (95% CI 5.1 to 7.3).
69.6% retear rate observed among patients with postoperative MRI, with no significant differences in clinical outcomes between retear and intact repairs.
12.3% of patients underwent revision surgery, with an 87.2% (95% CI 77.1-96.3) survival rate to revision at 5 years.

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Implication

Retrospective study evaluates mid-term outcomes and retear rates in patients with rotator cuff tears, indicating favorable clinical results despite complications.

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Gallego et al. (2026) studied this question.

synapsesocial.com/papers/69ec59c688ba6daa22dab80a https://doi.org/10.1016/j.jseint.2026.101713

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Arthroscopic repair of posterosuperior massive rotator cuff tears provides good clinical outcomes despite high re-tear rate in the mid-term

Key Points

No abstract yet

Implication

Discussion

Cite This Study

Arthroscopic repair of posterosuperior massive rotator cuff tears provides good clinical outcomes despite high re-tear rate in the mid-term

Key Points

No abstract yet

Implication

Discussion

Cite This Study

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