Results after Revision Arthroscopic Rotator Cuff Repair: A Prospective Multi-Center Analysis

Primary arthroscopic rotator cuff repair has shown to provide reliable clinical results with a low re-tear rate. Rotator re-tears following surgical are associated poor shoulder function and unsatisfactory results. Data regarding the role of revision (RARCR) sparse. Hence, this study aimed investigate radiological RARCR. It was hypothesized that (1) RARCR would lead an improved outcome (2) be dependent on tendon integrity at two years. During 3-year period, 100 patients who underwent were prospectively enrolled in multi-center ten European centers. Clinical evaluated pre-operatively, six months years by Constant Score (CS), Oxford Shoulder (OSS) Subjective Value (SSV). Tendon analyzed MRI using Sugaya classification. 13 (13%) lost follow-up. All scores significantly during period (CS from 44±16 preoperatively 58±22 69±19 points years; OSS 27±8 36±11 40±9 SSV 43±18% 66±24% 75±22% p < .01). At years, rate 51.7% 12.6% observed. While score 4.5±0.9 3.7±1.4 could not correlated better scores. Prior open repair, involvement subscapularis medial failure poorer (p .05). leads outcome, frequently observed mid-term Patients re-tears, however, do necessarily have than those healed tendons. Patient satisfaction lower when primary surgery performed technique, lesion present located musculotendinous junction.