Subacromial Balloon Spacer is an Acceptable Therapeutic Option for Massive
and Irreparable Rotator Cuff Tears
Maximiliano Rosenkranz1*, Rafael Poniachik1, Nicolas Castro2, Gonzalo Diaz2, Juan de Dios Errazuriz2, Juan Antonio Castellaro2 and Warner
1Orthopaedic Resident, Clínica Dávila, Universidad de los Andes, Chile
2Shoulder and Elbow Surgeon, Clínica Dávila, Chile
*Corresponding Author: Maximiliano Rosenkranz, Orthopaedic Resident, Clínica Dávila, Universidad de los Andes, Chile.
December 21, 2022; Published: January 11, 2023
Introduction: Rotator cuff tear is a frequent pathology, which is present in approximately 50% of patients between 40 and 70 years of age. The concept of irreparability is rather surgical, which is defined according to Rockwood as the inability to carry out a primary repair of the tendon to its original insertion site, so other options must be chosen. Among these, the use of a biodegradable subacromial spacer is a recent technique that has shown good and comparable results with other techniques, with no literature reported in our country to date. The objective of this study is to present the clinical and functional parameters of a series of patients with a diagnosis of massive rupture (≥5 cm or with involvement of 2 or more tendons) and irreparable rotator cuff, treated with a biodegradable subacromial spacer since 2018 at clı́nica Dávila.
Method: The present study corresponds to a cross-sectional study of patients operated with a subacromial spacer from 2018 to 2022 at the Dávila Clinic. A current evaluation was carried out where the QuickDASH and Constant tests were applied.
Results: we obtained 15 of 21 shoulders for evaluation. 66% of patients were men, average age of 59 years and a range from 43 to 70 years at the time of surgery. QuickDASH score for patients evaluated at 6 months post-surgery was 48, 39 at 6 to 12 months post-surgery and 28 in patients evaluated with more than 12 months from surgery. The average Constant score was 52 at patients evaluated at 6 months post-surgery, 51 at 6 to 12 months post-surgery and 78 in patients evaluated with more than 12 months from surgery. Patients were partial repair was performed, higher scores where obtained, bit without statistical analysis made.
Conclusion: Management of massive and irreparable rotator cuff tears remains a challenge, there are multiple treatment options but no consensus about a gold standard for optimal management. The subacromial balloon spacer shows good results in patients with massive and irreparable rotator cuff tears.
Keywords: Subacromial Balloon Spacer; Massive; Irreparable; Rotator Cuff Tears
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