Prognostic factors for recovery after arthroscopic rotator cuff repair a prognostic study》.pdfVIP

J Shoulder Elbow Surg (2015) 24, 1249-1256 /locate/ymse SHOULDER Prognostic factors for recovery after arthroscopic rotator cuff repair: a prognostic study a,b, a a Anouk J. Fermont, MSc *, Nienke Wolterbeek, PhD , Ronald N. Wessel, MD , Jean-Pierre Baeyens, PhDc,d, Rob A. de Bie, PhDe aDepartment of Orthopaedic Surgery, St. Antonius Ziekenhuis, Nieuwegein, The Netherlands bMedicort Sports and Orthopedic Care, Utrecht, The Netherlands cVrije Universiteit Brussel, Brussels, Belgium d University College Thim van der Laan, Landquart, Switzerland eDepartment of Epidemiology, CAPHRI Research School, Maastricht University, Maastricht, The Netherlands Background: Studies concerning prognostic factors of recovery after arthroscopic rotator cuff repair mostly focus on tendon integrity or functional recovery as an outcome. Little is known about how they influence quality of life after surgery. We therefore tried to identify prognostic factors having an impact on quality of life after arthroscopic rotator cuff repair. Methods: This study included 30 patients who underwent arthroscopic rotator cuff repair. We assessed Western Ontario Rotator Cuff Index as primary outcome and RAND-36, Constant-Murley score, and a shoulder hindrance score as secondary outcomes. Patients were repeatedly measured: once preoperatively and 4 times postoperatively. Preoperative range of motion, obesity, fatty infiltration, and cuff retraction were preselected as prognostic factors. Results: Patients were significantly improved at 3 months and 6 months after arthroscopic rotator cuff repair. In multiple regression analysis, none of the preselected factors could be identified as a pr