Copyright
©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
Outcomes after arthroscopic repair of rotator cuff tears in the setting of mild to moderate glenohumeral osteoarthritis
Ian S Hong, Allison J Rao, Tyler L CarlLee, Joshua D Meade, Daniel J Hurwit, Gregory Scarola, David P Trofa, Shadley C Schiffern, Nady Hamid, Patrick M Connor, James E Fleischli, Bryan Michael Saltzman
Ian S Hong, Allison J Rao, Tyler L CarlLee, Joshua D Meade, Daniel J Hurwit, Gregory Scarola, Shadley C Schiffern, Patrick M Connor, Department of Orthopedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, NC 28207, United States
Ian S Hong, Joshua D Meade, Shadley C Schiffern, Nady Hamid, Department of Sports Medicine, Orthocarolina Research Institute, Charlotte, NC 28207, United States
David P Trofa, Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York City, NY 10032, United States
Nady Hamid, Department of Orthopaedic Surgery, Carolinas Medical Center, Charlotte, NC 28207, United States
Nady Hamid, Patrick M Connor, James E Fleischli, Bryan Michael Saltzman, Department of Orthopedic Surgery, OrthoCarolina Sports Medicine Center, Charlotte, NC 28207, United States
Author contributions: Saltzman BM, Fleischli JE, Connor PM and Hamid N developed the idea for the project; Hong IS, Rao AJ, CarlLee TL, and Meade JD contributed to formulating, writing, and revising the documents; Hurwit DJ, Scarola G, Trofa DP, and Schiffern SC contributed to development of the data analysis, manuscript revisions and formulation of project; all authors have agreed to be responsible for the final version of the manuscript.
Institutional review board statement: This study was reviewed and approved by Atrium Health Institutional Review Board, Charlotte NC. File #11-19-20E.
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: All authors have no conflict of interest related to the manuscript.
Data sharing statement: Dataset can be made available upon request per the corresponding author at Bryan.Saltzman@orthocarolina.com.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
https://creativecommons.org/Licenses/by-nc/4.0/ Corresponding author: Bryan Michael Saltzman, MD, Assistant Professor, Doctor, Surgeon, Department of Orthopedic Surgery, OrthoCarolina Sports Medicine Center, 1915 Randolph Road, Charlotte, NC 28207, United States. bryan.saltzman@orthocarolina.com
Received: February 26, 2022
Peer-review started: February 26, 2022
First decision: April 13, 2022
Revised: April 30, 2022
Accepted: June 22, 2022
Article in press: June 22, 2022
Published online: July 18, 2022
ARTICLE HIGHLIGHTS
Research background
This study showed that patient reported outcomes in patients that have undergone a rotator cuff repair procedure, in the setting of Glenohumeral Osteoarthritis (GHOA) are favorable at short term (IE less than 2 year) follow-up. The rate of conversion to arthroplasty for these patients was also very low, indicating satisfaction with their outcomes.
Research motivation
There is a paucity of literature surrounding this topic, rotator cuff repair (RCR) in the setting of GHOA, so we felt it necessary to add to the literature with our own set of data in hopes of providing clinicians with more data surrounding this topic.
Research objectives
To determine patient report outcomes and rate of conversion to arthroplasty for patients with GHOA after undergoing a rotator cuff repair procedure. With favorable outcomes, and low conversion rates to arthroplasty, these objectives were realized in our data set.
Research methods
This was a retrospective cohort study with patient follow-up via questionnaire by phone, email, or in person via clinic visits.
Research results
Our results showed a low rate of conversion to arthroplasty in both subgroups after undergoing RCR. Patient reported outcomes using standardized scales were also quite favorable in both subgroups.
Research conclusions
Our study showed favorable outcomes with regards to patient reported outcomes. A low conversion rate to arthroplasty was also noted in the short term follow-up.
Research perspectives
The future direction of our research will include longer term patient follow-up (IE greater than 5-10 years) to ascertain data on conversion to arthroplasty in the GHOA patient.
