Outcomes of rotator cuff repair with concurrent microfracture of focal glenohumeral osteoarthritis

BackgroundThe benefit of rotator cuff repair (RCR) in patients with concurrent osteoarthritic changes remains unclear. RCR has the theoretical potential to increase compressive force across glenohumeral joint, further exacerbating osteoarthritis pain. The purpose this study is investigate pain relief and patient-reported outcomes undergoing simultaneous microfracture focal osteoarthritis.MethodsThirty-four were retrospectively reviewed at a minimum 1-year follow-up. Patient demographics, preoperative range motion, functional (visual analog scale [VAS], Single Assessment Numeric Evaluation [SANE], American Shoulder Elbow Surgeons Standardized Form [ASES], Simple Test [SST]), operative metrics recorded. then contacted obtain postoperative outcome scores (VAS, SANE, ASES, SST).ResultsTwenty-seven (11 male/16 female [79%]) evaluated mean follow-up 25.8 months (range, 12-46). average age surgery was 64.9 years 56-78). Chronic tears more common than acute (57.7% vs. 42.3%). majority had full tear (89%) involving 1.7 ± 0.8 tendons 1-3). Eighty-eight percent humeral lesions Outerbridge 4 compared 84% on glenoid. estimated involvement between 2 groups 38.4% 18.4% head involved 34.6% glenoid involved. PRO improved postoperatively reduction VAS (6.6-2.0, P < .01), SANE (33.8-79.8, ASES (38.0-80.9, SST (3.07-9.70, .01) scores. Cumulatively, only 52% (14/27) improved, however, by MCID for all collected PROs.ConclusionsOur results demonstrate modest improvements cohort who have undergone microfracture. In cases small full-thickness cartilage loss, reasonable treatment option; should be counseled expectations accordingly. osteoarthritis. Thirty-four SST). Twenty-seven PROs. Our