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Journals / Journal of Health Sciences and Medicine / 2026 / Volume: 9 Issue: 3

Predictors of re-rupture after arthroscopic rotator cuff repair: the role of age and systemic comorbidities

Nasuhi Altay(Erzurum Şehir Hastanesi)0000-0002-5518-3938
Fatih Emre Topsakal(Erzurum Şehir Hastanesi)0000-0002-6033-0795
Ekrem Özdemir(Erzurum Şehir Hastanesi)0000-0002-3709-558X
Esra Demirel(Erzurum Şehir Hastanesi)0000-0002-8468-6286
Pages
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Publication Date
2026-05-19
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Detailed preoperative risk profiling may enable optimization of surgical planning and personalized rehabilitation strategies for high-risk patients.

📌 3 Key Takeaways

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Objective & Hypothesis:Aims: The aim of this study was to identify the comorbidities that most strongly influence re-rupture following arthroscopic rotator cuff repair (RCR) and to determine the independent risk contributions of age, diabetes mellitus, bone mineral density (BMD), tear size, and retraction.
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Key Findings & Data:Methods: A total of 481 patients who underwent primary arthroscopic full-thickness RCR between February 2020 and June 2024 were retrospectively reviewed; after exclusions, 392 patients were included.
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Conclusion & Impact:Detailed preoperative risk profiling may enable optimization of surgical planning and personalized rehabilitation strategies for high-risk patients.
🔬Design:Review & Systematic Survey
📍Scope:2020 Verileri
⚙️Variables:Rotator cuff repair · re-rupture · diabetes mellitus

Abstract

Aims: The aim of this study was to identify the comorbidities that most strongly influence re-rupture following arthroscopic rotator cuff repair (RCR) and to determine the independent risk contributions of age, diabetes mellitus, bone mineral density (BMD), tear size, and retraction. Methods: A total of 481 patients who underwent primary arthroscopic full-thickness RCR between February 2020 and June 2024 were retrospectively reviewed; after exclusions, 392 patients were included. Demographic variables, comorbidities (diabetes mellitus, smoking, obesity, hypercholesterolemia), BMD, tear size, retraction, and fatty infiltration were collected from preoperative records. Functional outcomes were assessed with Visual Analog Scale (VAS), American Shoulder and Elbow Surgeons (ASES) and Constant scores. Re-rupture was confirmed by postoperative magnetic resonance imaging (MRI) and clinical functional loss. Risk factors were analyzed using univariate and multivariate logistic regression. Results: The re-rupture rate was 18.6% (73/392). Patients with re-rupture had significantly larger tears (38.9±9.2 mm, p 65 years (aOR 5.67, p<0.001), and large/massive tears (aOR 11.84, p<0.001) were identified as independent predictors of re-rupture. The model demonstrated excellent discrimination with an area under the curve (AUC) of 0.927. Postoperative ASES (64.5), constant (62.8), and VAS (4.8) scores were significantly worse in the re-rupture group. Conclusion: Re-rupture after arthroscopic RCR is significantly associated with older age, diabetes mellitus, low bone mineral density, and large/massive tears. Among these, DEXA <-2 and diabetes mellitus emerge as the strongest determinants of structural healing. Detailed preoperative risk profiling may enable optimization of surgical planning and personalized rehabilitation strategies for high-risk patients.

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Cite This Article

Altay, N., Topsakal, F. E., Özdemir, E., Demirel, E. (2026). Predictors of re-rupture after arthroscopic rotator cuff repair: the role of age and systemic comorbidities. Journal of Health Sciences and Medicine, Volume: 9 Issue: 3. https://doi.org/10.32322/jhsm.1861072

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