Open Rotator Cuff Repair

Rotator cuff repair may be performed using open/mini-open or arthroscopic procedures. Recent studies report that there is no difference in outcomes between open and arthroscopic repair. Both techniques significantly improve shoulder function.

What is open rotator cuff repair?

Open repair is surgery under general anesthesia to mend rotator cuff tears with a large open incision on the shoulder. The torn tendons are reattached to the bones with sutures and anchors. The incision is closed, and bandages are applied. You will awaken with a sling on your arm and be provided full post-operative self-care instructions. You will go home the day of surgery. Pain will be managed with medication and physical therapy is essential to regaining strength and mobility. You will have a scar on your shoulder. Recovery can take 6-12 months.

When is open surgery recommended?

Dr. Johnston may recommend open surgical repair when a patient has a large or massive tear.

The majority of open repairs are performed on patients between the ages of 65 and 74. Many of these older patients have comorbidities such as hypertension diabetes, chronic obstructive pulmonary disease, smoking and alcoholism. The use of open surgical repair in older aged patients is due in large measure to the increased size of rotator cuff tears in older patients.

Diagnosis

Dr. Johnston will conduct a thorough review of medical history and a physical exam of your shoulder asking about your symptoms, and how long you have had symptoms. He will order imaging studies including x-rays before and after surgery and a MRI to evaluate the soft tissue and size of the tear.

Rotator cuff tears vary by location, tear pattern, functional impairment and repairability. Treatment options are based on the size and location of the tear, the patient's age and general health, and any associated damage such as bone involvement. Open surgical rotator cuff repair is usually very successful in restoring shoulder motion and eliminating pain.

Contact Dr. Johnston to schedule a consultation to about your shoulder pain and dysfunction. He is a fellowship trained shoulder expert with years of experience and will listen to what you have to say and take time to explain your condition and treatment options.