ArticleOrthopaedic journal of sports medicine2026
Outcomes of Arthroscopic Rotator Cuff Repair after Bariatric Surgery.
Article in Orthopaedic journal of sports medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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14 authors.
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Abstract
Background: Bariatric surgery (BS) is an increasingly utilized intervention for the treatment of obesity. However, BS is also associated with postoperative nutritional deficiencies that may affect healing rates after orthopaedic procedures. Purpose: To compare failure rates and patient-reported outcomes after arthroscopic rotator cuff repair (RCR) between patients with and without a history of BS. Study Design: Cohort study; Level of evidence: 3. Methods: Patients in a single institution with a history of BS who underwent arthroscopic RCR for full-thickness supraspinatus tears were identified. These patients were matched in a 1:3 ratio by age, sex, and body mass index to patients without a history of BS who underwent arthroscopic RCR. The minimum follow-up was 24 months. The primary outcome was surgical failure. Secondary outcomes assessed included the numeric rating scale (NRS) score for pain, Single Assessment Numeric Evaluation (SANE) score, American Shoulder and Elbow Surgeons (ASES) Shoulder Score, need for manipulation under anesthesia (MUA) or arthroscopic lysis of adhesions (LOA), infection requiring reoperation, and conversion to reverse total shoulder arthroplasty (rTSA). Results: A total of 34 arthroscopic patients with a history of BS who underwent RCR were matched to 102 patients without BS. The BS group had significantly higher overall failure rates (20.6% vs 6.9%; Conclusion: A history of BS is associated with increased failure rates, worse postoperative pain, and worse patient-reported outcomes after arthroscopic RCR. Patients with a history of BS and those considering BS before arthroscopic RCR should be counseled regarding a possible risk for inferior outcomes after surgery.
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