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Prognostic factors for clinical outcomes after rotator cuff repair

OBJECTIVE: To identify prognostic factors of postoperative functional outcomes. METHODS: Retrospective case series evaluating patients undergoing rotator cuff repair, analyzed by the UCLA score (pre and 12-month postoperative) and Magnetic Resonance Imaging (preoperative). Patients' intrinsic v...

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Autores principales: Pécora, José Otávio Reggi, Malavolta, Eduardo Angeli, Assunção, Jorge Henrique, Gracitelli, Mauro Emílio Conforto, Martins, João Paulo Sobreiro, Ferreira, Arnaldo Amado
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Ortopedia e Traumatologia 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4503607/
https://www.ncbi.nlm.nih.gov/pubmed/26207092
http://dx.doi.org/10.1590/1413-78522015230300992
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author Pécora, José Otávio Reggi
Malavolta, Eduardo Angeli
Assunção, Jorge Henrique
Gracitelli, Mauro Emílio Conforto
Martins, João Paulo Sobreiro
Ferreira, Arnaldo Amado
author_facet Pécora, José Otávio Reggi
Malavolta, Eduardo Angeli
Assunção, Jorge Henrique
Gracitelli, Mauro Emílio Conforto
Martins, João Paulo Sobreiro
Ferreira, Arnaldo Amado
author_sort Pécora, José Otávio Reggi
collection PubMed
description OBJECTIVE: To identify prognostic factors of postoperative functional outcomes. METHODS: Retrospective case series evaluating patients undergoing rotator cuff repair, analyzed by the UCLA score (pre and 12-month postoperative) and Magnetic Resonance Imaging (preoperative). Patients' intrinsic variables related to the injury and intervention were evaluated. Multivariate linear regression analysis was performed to determine variables impact on postoperative functional assessment. RESULTS: 131 patients were included. The mean UCLA score increased from 13.17 ± 3.77 to 28.73 ± 6.09 (p<0,001). We obtained 65.7% of good and excellent results. Age (r= 0.232, p= 0.004) and reparability of posterosuperior injuries (r= 0.151, p= 0.043) correlated with the functional assessment at 12 months. After multivariate linear regression analysis, only age was associated (p = 0.008). CONCLUSIONS: The surgical treatment of rotator cuff tears lead to good and excellent results in 65.6% of patients. Age was an independent predictor factor with better clinical outcomes by UCLA score in older patients. Level of Evidence IV, Case Series.
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spelling pubmed-45036072015-07-23 Prognostic factors for clinical outcomes after rotator cuff repair Pécora, José Otávio Reggi Malavolta, Eduardo Angeli Assunção, Jorge Henrique Gracitelli, Mauro Emílio Conforto Martins, João Paulo Sobreiro Ferreira, Arnaldo Amado Acta Ortop Bras Original Article OBJECTIVE: To identify prognostic factors of postoperative functional outcomes. METHODS: Retrospective case series evaluating patients undergoing rotator cuff repair, analyzed by the UCLA score (pre and 12-month postoperative) and Magnetic Resonance Imaging (preoperative). Patients' intrinsic variables related to the injury and intervention were evaluated. Multivariate linear regression analysis was performed to determine variables impact on postoperative functional assessment. RESULTS: 131 patients were included. The mean UCLA score increased from 13.17 ± 3.77 to 28.73 ± 6.09 (p<0,001). We obtained 65.7% of good and excellent results. Age (r= 0.232, p= 0.004) and reparability of posterosuperior injuries (r= 0.151, p= 0.043) correlated with the functional assessment at 12 months. After multivariate linear regression analysis, only age was associated (p = 0.008). CONCLUSIONS: The surgical treatment of rotator cuff tears lead to good and excellent results in 65.6% of patients. Age was an independent predictor factor with better clinical outcomes by UCLA score in older patients. Level of Evidence IV, Case Series. Sociedade Brasileira de Ortopedia e Traumatologia 2015 /pmc/articles/PMC4503607/ /pubmed/26207092 http://dx.doi.org/10.1590/1413-78522015230300992 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Pécora, José Otávio Reggi
Malavolta, Eduardo Angeli
Assunção, Jorge Henrique
Gracitelli, Mauro Emílio Conforto
Martins, João Paulo Sobreiro
Ferreira, Arnaldo Amado
Prognostic factors for clinical outcomes after rotator cuff repair
title Prognostic factors for clinical outcomes after rotator cuff repair
title_full Prognostic factors for clinical outcomes after rotator cuff repair
title_fullStr Prognostic factors for clinical outcomes after rotator cuff repair
title_full_unstemmed Prognostic factors for clinical outcomes after rotator cuff repair
title_short Prognostic factors for clinical outcomes after rotator cuff repair
title_sort prognostic factors for clinical outcomes after rotator cuff repair
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4503607/
https://www.ncbi.nlm.nih.gov/pubmed/26207092
http://dx.doi.org/10.1590/1413-78522015230300992
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