50 patients who underwent reoperation for failure of previous repair of rotator cuff rupture were evaluated 24 to 84 months after final repair (mean 30 months). 48 of these patients had undergone all previous attempts at repair elsewhere. Most patients had had one or 2 earlier attempts, but 4 patients had had 3, and 3 patients had had 4. 46 (92%) patients reported pain improvement, and 4 were unchanged. 26 patients showed an average increase in elevation of 50 (range 10 to 130 ). 22 retained their preoperative motion, and 2 lost motion (mean 45 ) but still had more than 90 . Overall mean elevation increased from 92 to 137 . Compared with 17 patients before surgery, only 6 had less than 90 motion after surgery-and all 6 had deltoid abnormalities. The size of the rupture, the number of previous operations, and dysfunction of the biceps did not affect the result. The following factors were associated with success: adequate decompression, closure of all defects with tendon-to-bone junctures (by direct repair, interpositional grafting, or local tendon transfers), avoiding use of weights or resistive exercises during the early (first 3 months) postoperative rehabilitation period, and an intact, functioning deltoid.
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50 patients who underwent reoperation for failure of previous repair of rotator cuff rupture were evaluated 24 to 84 months after final repair (mean 30 months). 48 of these patients had undergone all previous attempts at repair elsewhere. Most patients had had one or 2 earlier attempts, but 4 patients had had 3, and 3 patients had had 4. 46 (92%) patients reported pain improvement, and 4 were unchanged. 26 patients showed an average increase in elevation of 50 (range 10 to 130 ). 22 retained their preoperative motion, and 2 lost motion (mean 45 ) but still had more than 90 . Overall mean elevation increased from 92 to 137 . Compared with 17 patients before surgery, only 6 had less than 90 motion after surgery-and all 6 had deltoid abnormalities. The size of the rupture, the number of previous operations, and dysfunction of the biceps did not affect the result. The following factors were associated with success: adequate decompression, closure of all defects with tendon-to-bone junctures (by direct repair, interpositional grafting, or local tendon transfers), avoiding use of weights or resistive exercises during the early (first 3 months) postoperative rehabilitation period, and an intact, functioning deltoid.
Copyright remains with the authors and publisher.