Abstract
Aim
To determine the benefit of dissolvable Balloon Arthroplasy in managing patients with massive irreparable rotator cuff tears (RCT).
Methods
This is prospective pilot study carried out adhering to the local approval process. Patients having massive cuff tear with pain or functional limitation were seen by consultants and MRI confirmed the diagnosis. The patients were explained of ‘all available’ treatment options and information leaflet about the new procedure balloon arthroplasty, provided. Patients were seen after 4 weeks in a dedicated clinic to find out if they were willing to participate. Patients were seen by a physiotherapist pre and post-operatively at 6 weeks then at 3, 6 and 12months in addition to medical follow-ups, using VAS, Oxford Shoulder, Constant and SF36 scores. All procedures were carried out by consultant shoulder surgeons and where the cuff was reparable or contraindications identified were excluded.
Results
Of the 25 recruited 4 were lost for follow up. 17 of the remaining 21 completed 12 month follow up, and the remaining completed their 6 month follow up. Male to female ratio was 2:1 and no surgical complications were noted. Two patients required an inverse shoulder arthroplasty. Improvements were noted in the SF36, VAS and OSS.
Conclusion
The balloon arthroplasty seems to offer benefit for a group of patients who are unfit or not keen on major surgery to offer pain relief possibly function. Recommendations cannot be made due to the study but suggest a multicentre study.
