title: Long-term functional and structural outcome in patients with intact repairs 1 year after open transosseous rotator cuff repair.
abstract: OBJECTIVE
  Tendon-to-bone suture and a fatty degeneration index (FDI) <or= 2 are required to achieve an intact cuff in the mid-term. Our primary objective was to determine the structural and functional long-term outcomes of repaired cuffs that were intact after one year.
  
  
  METHODS
  We studied 30 cuffs with FDI <or= 2 at surgery and no tear one year after tension-free tendon-to-bone suture. Mean follow-up was 9 +/- 0.8 years. Gross tendon-stump lesions were excised prior to repair.
  
  
  RESULTS
  Re-tear after one year was rare: only one cuff showed a recurrent tear. In the 29 intact cuffs, mean un-weighted Constant score and sub-scores improved significantly (P values, < .0001- .0002; final Constant score = 77) for two years then remained stable. FDI values increased during the first year and then remained stable. Mild osteoarthritis was noted in one shoulder at last follow-up.
  
  
  CONCLUSIONS
  Final functional outcomes correlated significantly to FDI at baseline and last follow-up. Tension free tendon-to-bone suture is effective functionally and structurally at nine years follow-up provided the FDI at surgery is <or= 2 and the repair is intact after one year.
  
  
  METHODS
  Level 3; Retrospective cohort therapeutic study.
authors.affiliation: Department of Orthopedic Surgery, Henri Mondor Teaching Hospital, Créteil School of Medicine (Paris XII University), Assistance Publique-Hopitaux de Paris, Créteil, France.
authors.forename: Daniel
authors.initials: D
authors.lastname: Goutallier
authors.forename: Jean-Marie
authors.initials: JM
authors.lastname: Postel
authors.forename: Catherine
authors.initials: C
authors.lastname: Radier
authors.forename: Jacques
authors.initials: J
authors.lastname: Bernageau
authors.forename: Sebastien
authors.initials: S
authors.lastname: Zilber
mesh_terms: D000368:Aged; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015601:Injury Severity Score; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000009:adverse effects / Q000379:methods*; D011183:Postoperative Complications / Q000503:physiopathology; D011336:Probability; D016059:Range of Motion, Articular / Q000502:physiology*; D020127:Recovery of Function; D012008:Recurrence; D018570:Risk Assessment; D017006:Rotator Cuff / Q000601:surgery*; D000070636:Rotator Cuff Injuries; D013536:Suture Techniques; D013708:Tendon Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D013718:Tensile Strength; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome