Review article

Surgical treatment of rotator cuff tears

Radovan Mihelić ; Klinika za ortopediju Lovran, Lovran
Zdravko Jotanović ; Klinika za ortopediju Lovran, Lovran
Anton Tudor ; Klinika za ortopediju Lovran, Lovran
Tomislav Prpić ; Klinika za ortopediju Lovran, Lovran
Ivan Rakovac ; Klinika za ortopediju Lovran, Lovran
Branko Šestan ; Klinika za ortopediju Lovran, Lovran

Abstract

The treatment of rotator cuff tears depends of tear size and patient’s age. Acute
tears in younger and active patients should be operated immediately. In large tears, the tendon
will retract and with time it will loose the elasticity, so the repair after several months will
be difficult. In patients over 70 years of age, it is wise first to start with conservative treatment.
The cuff reconstruction in large tears is uncertain, due to the retraction and poor tissue
quallity. Furthermore, these patients have often severe co-morbidity and will not easily accept
sugery with uncertain result. If primary repair is not possible, special prosthetic replacement
is considered. Rotator cuff repair can be done arthroscopically or by open, but mini invasive
sugery. Both methods have advantages and difficulties, but overall long term results show
comparable results.

Keywords

arthroscopy; reconstruction; rotator cuff

Hrčak ID:

106931

URI

https://hrcak.srce.hr/106931

Publication date:

2.9.2013.

Article data in other languages: croatian

Visits: 6.232 *