Yapay Zeka Hızlı Bakış & Çıkarımlar
AI InsightTear morphology and tissue quality were associated with postoperative outcome.
📌 3 Maddede Bu Makale
Abstract
Aims: The optimal management of full-thickness rotator cuff tears remains controversial. Bone marrow stimulation techniques such as microfracture have been proposed to enhance tendon-to-bone healing. This study aimed to evaluate the clinical outcomes of open rotator cuff repair combined with microfracture and to identify factors influencing postoperative results. Methods: A retrospective study was conducted on 314 patients who underwent open rotator cuff repair with microfracture between 2013 and 2019. Minimum follow-up was 6 months. Clinical outcomes were assessed using the modified Constant-Murley Score (mCMS), Visual Analog Scale (VAS), and range of motion (ROM). Radiological evaluation was performed using MRI and plain radiographs. Prognostic factors associated with outcomes were analyzed. Results: The mean age was 59.2±9.8 years; 35.7% were male and 64.3% were female. Significant postoperative improvements were observed in pain (VAS, p<0.001), functional scores (mCMS, p<0.001), and ROM (p<0.001). Overall, 90.7% of patients achieved good or excellent outcomes. The retear rate was 1.9%. Poor outcomes were associated with larger tear size, muscle atrophy, prolonged symptom duration, and complex tear patterns. Biceps tenodesis was associated with significantly greater functional improvement (p=0.031). Conclusion: Patients who underwent open rotator cuff repair combined with microfracture showed favourable clinical and radiological outcomes during follow-up. However, because of the retrospective single-arm design, the independent contribution of microfracture to these outcomes cannot be determined. Tear morphology and tissue quality were associated with postoperative outcome.