Efficacy of partial repair as a treatment modality in massive irreparable rotator cuff tear in adults: A systematic review

Abstract

Patients with massive irreparable rotator cuff tears pose a challenge for treatment, as there are a variety of options to manage this condition, like debridement, biceps tenotomy or tenodesis, complete repair of tear, partial repair, superior capsular reconstruction, balloon arthroplasty, tuberoplasty and reverse shoulder arthroplasty. In this study, we aim to evaluate the efficacy of partial repair of massive IRCTs. We conducted an internet search for articles with key words “Partial arthroscopic repair” and “Management of Massive irreparable rotator cuff tears” and numerous articles were analysed and selected according to our inclusion and exclusion criteria. The studies included were assessed for demography, clinical and functional scores, re-tear rates and complications. Seven studies were included in our review with a total of 246 patients. All patients reported excellent to good satisfaction with improvements in pain, clinical and functional scores compared to their pre op status. From our review, we conclude that partial repair of massive IRCTs is a safe and salvageable treatment option with low complication rates and high patient satisfaction.