Why the study?
Rotator cuff repair failure can cause debilitating symptoms needing surgery, requiring careful evaluation among several operative strategies to determine the most suitable option.
What are the decision-making strategies and treatment options available during management of a failed rotator cuff repair?
What are the decision-making strategies and treatment options available during management of a failed rotator cuff repair?
This review outlines decision-making strategies and operative options for managing patients with debilitating symptoms following failed rotator cuff repair.
May guide management of symptomatic failed rotator cuff repairs; leaves open need for prospective trials to define optimal strategies.
Rotator cuff repair is increasingly being performed, and this is likely to continue to given the ageing population. An improvement in functional outcome can be achieved, with the best results noted in those tendons that go on to heal. Failure of repair following surgery can be associated with debilitating symptoms that are not always amenable to non-operative measures, so further surgery may be indicated for these patients. Several operative strategies have been described, but careful evaluation is required to determine the most suitable option. This review describes the decision-making strategies and treatment options available during management of a failed rotator cuff repair.
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Thangarajah et al. (2022) studied this question.
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