Abstract
Introduction: The advantages of arthroscopically assisted mini-open rotator cuff repairs have supported the evolution of all arthroscopic rotator cuff repairs. Careful analysis of these complex techniques is required to ensure that excellent or good surgical outcomes are achieved.
Methods: In each case a diagnostic arthroscopy preceded the repair. The configuration of the tear was noted and an assessment of the ease of repair was made. An arthroscopic acromioplasty was performed in all cases. Soft tissue releases were carried out. Bone and cuff preparation was required. The principles of margin convergence and balancing of force couples of the rotator cuff without tension mismatch were followed. Knot and loop security was required for cuff fixation. All patients who underwent arthroscopic rotator cuff repair from 1997 to 2001 were reviewed. Outcome scores were evaluated for pain, levels of activity, range of motion and strength.
Conclusions: Results comparable to mini-open repairs can be achieved. Complex arthroscopic skills must be mastered and the attraction of cosmesis and lower perioperative morbidity and stiffness must not compromise the long-term outcomes of the surgery.
The abstracts were prepared by Professor A. J. Thurston. Correspondence should be addressed to him at the Department of Surgery, Wellington School of Medicine, PO Box 7343, Wellington South, New Zealand
