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Successful Revision Arthroscopic Rotator Cuff Repair Is Possible in the Setting of Prior Deep Infection

PURPOSE: To report on clinical outcomes of revision arthroscopic rotator cuff (RC) repair in the setting of prior deep infection. METHODS: A retrospective review was conducted of a single surgeon’s experience treating patients with deep infection after RC repair. Pain by visual analog scale (VAS), A...

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Autores principales: Hartzler, Robert U., Sheean, Andrew J., Burkhart, Stephen S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7283933/
https://www.ncbi.nlm.nih.gov/pubmed/32548583
http://dx.doi.org/10.1016/j.asmr.2020.01.006
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author Hartzler, Robert U.
Sheean, Andrew J.
Burkhart, Stephen S.
author_facet Hartzler, Robert U.
Sheean, Andrew J.
Burkhart, Stephen S.
author_sort Hartzler, Robert U.
collection PubMed
description PURPOSE: To report on clinical outcomes of revision arthroscopic rotator cuff (RC) repair in the setting of prior deep infection. METHODS: A retrospective review was conducted of a single surgeon’s experience treating patients with deep infection after RC repair. Pain by visual analog scale (VAS), American Shoulder Elbow Society (ASES), Simple Shoulder Test (SST), and Single Assessment Numeric Evaluation (SANE) scores, as well as active range of motion, were collected preoperatively and at final follow-up. RESULTS: Three patients age 54.0 ± 7.5 years, mean ± standard error of the mean) with mean follow-up of 62 months (range 24 to 83) were treated for deep infection after RC repair. Improvements were observed in all subjective and objective outcomes; VAS pain (5.0 ± 0.6 vs 0.3 ± 0.3, P = .005), ASES score (37.2 ± 4.0 vs 93.9 ± 6.1, P = .003), and active forward elevation (68.3° ± 28.5° vs 173.3° ± 6.7°, P = .06.) Excellent outcomes in SST (mean 11.3 ± 0.7) and SANE (95.0 ± 5.0) scores were also observed. No recurrent infections were noted at final follow-up. CONCLUSION: Arthroscopic reconstruction of the RC is a feasible goal in the setting of prior deep infection. When a thorough arthroscopic debridement can be achieved, it is possible to address residual RC tears with either revision repair or allograft reconstruction with the possibility of excellent short-term clinical outcomes. LEVEL OF EVIDENCE: Level IV, retrospective case series
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spelling pubmed-72839332020-06-15 Successful Revision Arthroscopic Rotator Cuff Repair Is Possible in the Setting of Prior Deep Infection Hartzler, Robert U. Sheean, Andrew J. Burkhart, Stephen S. Arthrosc Sports Med Rehabil Original Article PURPOSE: To report on clinical outcomes of revision arthroscopic rotator cuff (RC) repair in the setting of prior deep infection. METHODS: A retrospective review was conducted of a single surgeon’s experience treating patients with deep infection after RC repair. Pain by visual analog scale (VAS), American Shoulder Elbow Society (ASES), Simple Shoulder Test (SST), and Single Assessment Numeric Evaluation (SANE) scores, as well as active range of motion, were collected preoperatively and at final follow-up. RESULTS: Three patients age 54.0 ± 7.5 years, mean ± standard error of the mean) with mean follow-up of 62 months (range 24 to 83) were treated for deep infection after RC repair. Improvements were observed in all subjective and objective outcomes; VAS pain (5.0 ± 0.6 vs 0.3 ± 0.3, P = .005), ASES score (37.2 ± 4.0 vs 93.9 ± 6.1, P = .003), and active forward elevation (68.3° ± 28.5° vs 173.3° ± 6.7°, P = .06.) Excellent outcomes in SST (mean 11.3 ± 0.7) and SANE (95.0 ± 5.0) scores were also observed. No recurrent infections were noted at final follow-up. CONCLUSION: Arthroscopic reconstruction of the RC is a feasible goal in the setting of prior deep infection. When a thorough arthroscopic debridement can be achieved, it is possible to address residual RC tears with either revision repair or allograft reconstruction with the possibility of excellent short-term clinical outcomes. LEVEL OF EVIDENCE: Level IV, retrospective case series Elsevier 2020-04-25 /pmc/articles/PMC7283933/ /pubmed/32548583 http://dx.doi.org/10.1016/j.asmr.2020.01.006 Text en © 2020 Published by Elsevier on behalf of the Arthroscopy Association of North America. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Hartzler, Robert U.
Sheean, Andrew J.
Burkhart, Stephen S.
Successful Revision Arthroscopic Rotator Cuff Repair Is Possible in the Setting of Prior Deep Infection
title Successful Revision Arthroscopic Rotator Cuff Repair Is Possible in the Setting of Prior Deep Infection
title_full Successful Revision Arthroscopic Rotator Cuff Repair Is Possible in the Setting of Prior Deep Infection
title_fullStr Successful Revision Arthroscopic Rotator Cuff Repair Is Possible in the Setting of Prior Deep Infection
title_full_unstemmed Successful Revision Arthroscopic Rotator Cuff Repair Is Possible in the Setting of Prior Deep Infection
title_short Successful Revision Arthroscopic Rotator Cuff Repair Is Possible in the Setting of Prior Deep Infection
title_sort successful revision arthroscopic rotator cuff repair is possible in the setting of prior deep infection
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7283933/
https://www.ncbi.nlm.nih.gov/pubmed/32548583
http://dx.doi.org/10.1016/j.asmr.2020.01.006
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