Arthroscopic or Mini-open Rotator Cuff Repair The Learning Curve
16th Annual Meeting
San Diego Shoulder Arthroscopy Course
Stephen C. Weber, M.D.
I. Cuff repair options:
A. Open repair/open acromioplasty. Good results reported by Ellman, Cofield,
and numerous others. Anticipate about an 85% success rate.
B. Arthroscopic debridement. Good initial results reported by Ellman and Esch
for full thickness tears. Early results of debridement of small to moderate size
tears very equivalent to open repair.
C. Mini open repair. Multiple studies presented in the early 90â€™s of retrospec-
tive reviews of arthroscopic evaluation and acromioplasty followed by open
repair through a deltoid splitting incision. Appeared to combine advantages of
open repair (direct visualization of repair, palpation of acromioplasty, long
term success of repair) with arthroscopic visualization and decreased morbidity.
D. All arthroscopic repair. Intellectually attractive procedure which is perceived
by virtually all patients and many surgeons to be superior to open procedures.
Early retrospective series by Snyder, Wolf, Tippett, and others demonstrated that
skilled surgeons could apply these new techniques with one to two year results
comparable to prior series of open repair.
Type: Reference Material
Author/Contact: Stephen C. Weber, M.D.
Submitted by: admin
Added: Mon Feb 04 2002
Last Modified: Wed Apr 09 2008