ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2023
Increased operative time has a negative impact on clinical outcome in arthroscopic rotator cuff repair.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Ultrasound-Guided Interscalene Brachial Plexus Block: Single Bolus Injection versus Continuous Catheter Placement in Arthroscopic Rotator Cuff Repair with Implications for Postoperative Rehabilitation - A Prospective Randomized Unblinded Trial.Local and regional anesthesia · 2026Trial
- Return to sport after arthroscopic rotator cuff repair: epidemiology and prognostic factors in a Swiss multicentre cohort.British journal of sports medicine · 2026Article
- More Fixation, Better Outcome? Evaluating the Role of Additional Acromioclavicular Ligament Reconstruction in AC Joint Injuries: A Multicenter Analysis.Journal of clinical medicine · 2025Article
- Rotator Cuff Repair With a Sutureless PEEK Implant.Arthroscopy techniques · 2025Article
- Glenoid Bone Grafting During Primary Reverse Shoulder Arthroplasty: A Learning-Curve Analysis.JB & JS open accessArticle
- Pelvic Organ Prolapse Mesh Graft Revision Surgery: Rates of Complication by Surgical Approach.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
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6 authors.
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Abstract
backgroundFew data are available about the impact of operative time on outcome of rotator cuff repair.
aimThe aim of this study was to evaluate the impact of operative time on clinical outcome and tendon healing after arthroscopic rotator cuff repair.
methodsPatients operated on for distal supraspinatus tear in our institution between 2012 and 2018 were included retrospectively. Operative time, from skin incision until skin closure, was extracted from medical files. For statistical analysis, operative time was treated as a quantitative variable. Endpoints were clinical outcome (Constant score, range of motion), tendon healing (on CT or MRI) and complications at 1 year. The significance threshold was set at p = 0.05.
resultsA total of 219 Patients, with a mean age of 54.6 years (range 40-70 years), were included. Mean operative time 44.9 min (range 14-140 min). Significant correlations (p < 0.05) were found for Constant score and external rotation at 1 year: increasing operative time by 1 min led to a decrease in Constant score of 0.115 points, or 6.9 points for a 60-min increase (p = 0.0167) and a decrease in external rotation of 0.134°, or 8.04° for a 60-min increase (p = 0.0214). No significant correlations were found for anterior elevation at 1 year (p = 0.2577), tendon healing at 1 year (p = 0.295) or onset of complications during follow-up (p = 0.193). DISCUSSION: The minimal clinically important difference in Constant score in patients undergoing rotator cuff surgery is between 6 and 10 points. An increase of more than 60 min in operative time significantly impacted clinical outcome of arthroscopic distal supraspinatus repair, but not tendon healing. LEVEL OF EVIDENCE: Level III: Retrospective Cohort Design. Therapeutic Study.
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