Massive rotator cuff tears: debridement versus repair

In many studies, short-term and midterm results of debridement seem to show satisfactory results. However, the three long-term studies currently available all report that these initial results deteriorate significantly with time and are not acceptable. If debridement is considered, careful preoperat...

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Bibliographic Details
Published in:	The Orthopedic clinics of North America Vol. 28; no. 1; p. 117
Main Authors:	Melillo, A S, Savoie, 3rd, F H, Field, L D
Format:	Journal Article
Language:	English
Published:	United States 01-01-1997
Subjects:	Adult Aged Debridement Follow-Up Studies Humans Middle Aged Muscular Diseases - surgery Randomized Controlled Trials as Topic Reoperation Rotator Cuff - surgery Rotator Cuff Injuries Rupture - surgery
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Summary:	In many studies, short-term and midterm results of debridement seem to show satisfactory results. However, the three long-term studies currently available all report that these initial results deteriorate significantly with time and are not acceptable. If debridement is considered, careful preoperative and intraoperative evaluation as discussed by Burkhart should be followed. We believe an adequate understanding of the anatomic subtleties, pathologic changes, biomechanical forces, and advanced reconstructive techniques allows repair to be performed in most, if not all, rotator cuff tears of the shoulder. The findings of the study described herein indicate that repair of these tears is the treatment of choice.
ISSN:	0030-5898
DOI:	10.1016/S0030-5898(05)70269-8