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Complications in Posterosuperior and Three Tendon Rotator Cuff Repair

  • Stefan PaulyEmail author
  • Markus Scheibel
Chapter

Abstract

Arthroscopic rotator cuff (RC) repair is a well-accepted and reliable procedure with a generally low morbidity profile. Nonetheless, it is associated with general and specific intra- and postoperative complications that have to be addressed and managed. Knowledge of such complications is the key to their prevention and seems just as relevant as successful revision strategies are.

Given the tremendous number of studies reporting on several techniques and results of arthroscopic rotator cuff repair over the past 10–15 years, there is a relative paucity of reports on problems and complications after shoulder arthroscopy. Focused on shoulder arthroscopy in general, this rate was summarized 5–10%, including infection, stiffness, instrument breakage, hardware failure, direct nerve injury, fluid extravasation and deep venous thrombosis (Brislin et al., Arthroscopy 23:124–128, 2007). Even fewer papers focused on specific complications following RC repair. Among those, one of the first reports provided a specific complication rate of 10.6%, which is analyzed later in detail (Brislin et al., Arthroscopy 23:124–128, 2007). Back in 2007, the authors concluded a comparable complication rate between ASC and open RC repair techniques.

This present chapter will assess this information on its current value and browse through certain RC-repair specific complications in order to minimize their incidence.

Ahead, one central problem with this regard is the lack of a valid definition of a (surgical) complication. What can be considered (yet) normal) in the postoperative course following RC repair, such as temporary or prolonged stiffness, and where does a complication begin? The literature does not consistently report on dedicated complications after RC repair, which hinders objective comparison of the incidence of these adverse events (Audige et al., Orthop J Sports Med 3, 2015)

Keywords

Rotator cuff Complication Shoulder arthroscopy Infection Low-grade infection Stiffness Anchor loosening Re-tear 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department for Special Orthopaedics and Trauma SurgeryVivantes AVKBerlinGermany
  2. 2.Center for Musculoskeletal SurgeryCharité Universitaetsmedizin BerlinBerlinGermany
  3. 3.Schulthess ClinicZurichSwitzerland

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