[Subjective and clinical outcome after rotator cuff repair in elderly patients].
OBJECTIVE
The indication for rotator cuff repair in elderly patients is controversial. Results after refixation of the cuff in dependence on age, size of rupture and retraction using the Constant-Murley and DASH scores were analysed. We wanted to examine whether the results of rotator cuff repair allow us to define the indication for the operative procedure.


METHODS
Over a period of six years 154 patients with symptomatic rotator cuff lesion had undergone repair of cuff tears, and 119 patients were evaluated for follow-up applying the Constant-Murley and DASH scores for self-assessment.


RESULTS
On average a postoperative Constant-Murley score of 83.5 points was obtained. A significant difference between the operated and the opposite shoulder was observed. In the DASH score a mean point value of 23.6 was calculated. In all combined groups more than 50% of the patients and 27% of the patients in the Bateman IV group were satisfied with the postoperative results using both scores. Reruptures were seen mostly in the Bateman IV group.


CONCLUSIONS
The difference of score points between the operated to the opposite site in Bateman II and III groups did not show unfavourable values at higher age whereas adverse data were found in the Bateman IV group. In the Bateman IV group, in addition to cuff repair a muscle flap or arthroplasty should be considered in the choice of operative procedure.
Kilian
O
O
Klinik und Poliklinik für Unfallchirurgie, Universitätsklinikum Giessen und Marburg GmbH, Standort Giessen. olaf.kilian@chiru.med.uni-giessen.de
Balser
G
G
Heiss
C
C
Pavlidis
T
T
Schnettler
R
R
D000203:Activities of Daily Living / Q000145:classification; D000328:Adult; D000367:Age Factors; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000209:etiology*; D011788:Quality of Life; D012189:Retrospective Studies; D000070636:Rotator Cuff Injuries; D012421:Rupture