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ORIGINAL RESEARCH article

Front. Surg.
Sec. Orthopedic Surgery
Volume 11 - 2024 | doi: 10.3389/fsurg.2024.1456540

Risk factors for healing failure after arthroscopic rotator cuff repair in small to medium-sized tears: a retrospective cohort study

Provisionally accepted
Guangying Wang Guangying Wang 1Changli Liu Changli Liu 2Jiansong Wang Jiansong Wang 2Haoran Li Haoran Li 2Guosheng Yu Guosheng Yu 1,2*
  • 1 Hebei University of Chinese Medicine, Shijiazhuang, China
  • 2 Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine, Cangzhou, Hebei Province, China

The final, formatted version of the article will be published soon.

    Objectives: To identify risk factors for tendon healing failure following arthroscopic rotator cuff repair (ARCR) in patients with small to medium-sized rotator cuff tears (RCTs).A retrospective study was conducted on 320 patients with RCTs who underwent arthroscopic repair between June 2018 and June 2021. All patients had at least 2 years of postoperative follow-up, with MRI scans at the final assessment. Based on MRI results, patients were categorized into the healing success group (Group A: types I-III) or the healing failure group (Group B: types IV-V). Variables associated with rotator cuff healing, including patient characteristics, baseline symptoms, imaging data, and surgery-related factors, were analyzed using univariate and multivariate logistic regression.Results: Healing failure occurred in 54 of the 320 patients (16.9%). Functional status improved significantly across all patients (P < 0.05), irrespective of healing outcomes. Multifactorial analysis identified smoking (OR=1.931, P=0.028), diabetes (OR=3.517, P=0.038), lower bone mineral density (BMD) (OR=1.551, P=0.018), higher fatty infiltration (FI) (OR=4.025, P=0.009), and smaller acromiohumeral distance (AHD) (OR=2.546, P=0.006) as independent risk factors for healing failure.Conclusions: Smoking, diabetes, lower BMD, higher FI, and smaller AHD are independent risk factors for healing failure following ARCR.

    Keywords: Rotator cuff tears, healing failure, Risk factors, Acromiohumeral distance, Arthroscopic surgery, Fatty infiltration

    Received: 28 Jun 2024; Accepted: 18 Oct 2024.

    Copyright: © 2024 Wang, Liu, Wang, Li and Yu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Guosheng Yu, Hebei University of Chinese Medicine, Shijiazhuang, China

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