The Journal of Bone and Joint Surgery (American). 2007;89:127-136.
doi:10.2106/JBJS.G.00583
© 2007 The Journal of Bone and Joint Surgery, Inc.
Systematic Review of Arthroscopic Rotator Cuff Repair and Mini-Open Rotator Cuff Repair
Shane J. Nho, MD, MS,
Michael K. Shindle, MD,
Seth L. Sherman, MD,
Kevin B. Freedman, MD, MSCE,
Stephan Lyman, PhD and
John D. MacGillivray, MD
Corresponding author: Shane J. Nho, MD, MS The Hospital for Special
Surgery, 535 East 70th Street, New York, NY 10021. E-mail address:
nhos@hss.edu
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Introduction
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Rotator cuff repair is one of the most common surgical procedures performed
in the shoulder, and the benefit of repair is well
known1-5.
Over the past decade, the treatment of rotator cuff tears has evolved from an
open procedure to an arthroscopic-assisted (mini-open) technique to an
all-arthroscopic technique. Traditional open rotator cuff repairs produce
satisfactory results when used for the treatment of nonmassive tears (<5
cm). However, this procedure has been associated with morbidity such as severe
early postoperative pain, deltoid detachment and/or weakness, and
arthrofibrosis6-8.
Mini-open repairs were developed because they had the potential advantage of
less deltoid morbidity, and they have demonstrated results that have been
similar to those of open repairs (Figs. 1-A
through
1-D)9-14.
With recent advances in arthroscopic techniques, many surgeons are now
performing complete arthroscopic repairs. The potential advantages of this
procedure include less pain, more rapid rehabilitation, the . . . [Full Text of this Article]

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