A CLINICAL STUDY OF FUNCTIONAL OUTCOME OF ALLARTHROSCOPIC ROTATOR CUFF REPAIR

Introduction: Rotator cuff tears are among the most common shoulder injuries and are usually accompanied by shoulder pain, disability and dysfunction over the past decade rotator cuff repairs are shifted from mini-open rotator cuff repair to all arthroscopic rotator cuff repair, as the arthroscopic technique is less invasive approach which has advantage of early post operative rehabilitation and good outcome. The purpose of the study wasto evaluate the functional outcome of arthroscopic rotator cuffrepairin rotator cufftear patients.MaterialsAndMethods:This prospective study included 15 cases of Rotator cuff tear patients of eithersex fitting the inclusion criteria from October 2023 to September 2024.patientsincluded were between 18 to 75 years of age with MRI proven Rotator cuff tear who underwent all Arthroscopic rotator cuff repair and willing to participate in study. patients will undergo detailed history, clinical and radiological evaluation, all arthroscopic rotator cuff repair by single row or double row technique using suture anchors by single trained surgeon. post operative rehabilitation done as per standard protocol and post operative evaluation done at 3rd month,6th month and 1year.Range of motion, UCLAandASES Scoring done at pre operative and post operative follow-ups. Results:A prospective study with 15 patientsis undertaken to study the functional outcome ofArthroscopic rotator cuff repair,the mean age in ourstudy is 59.8 Years,majority are in the age group of 40 to 70 years.out of 15 patients,7 were male,8 were female. Major part of our study contained partial thickness tears(60%)raterthan full thickness tears(40%).73.3%(11) patientsin ourstudy had traumatic tears and 26.7%(4) patients had degenerative tears.there is significant improvement of flexion from 121.9 degrees preoperatively to145 degrees postoperativelyat 1 year,abduction from125 degrees to 150 degrees,external rotation from 60 to 80 degrees,internal rotation from 40 degrees to 65 degrees.in our study according to UCLA score,out of 15 patients,3 patients had poor outcome,3 patients had average outcome,6 patients had good outcome and 3 patients had excellent outcome.Mean UCLA score increased from 15.91 preoperatively to 42.40 postoperatively at the end of 1st year.Mean ASES score improved from 37.16 preoperatively to 92.17postoperatively. Conclusion:Arthroscopic rotator cuff repair is as good as mini open rotator cuff repair in outcome.Advantages of arthroscopic rotator cuff repair include less post operative pain,smallscar and ability to diagnose othershoulder pathologies. patients need preoperative and post operativephysiotherapytoachievegoodrangeofmotionfor betterfinaloutcome.