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Proper Postoperative Rehabilitation after Rotator Cuff Repair

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Mini-Review Article | DOI: https://doi.org/10.31579/2641-0427/34

Proper Postoperative Rehabilitation after Rotator Cuff Repair

  • Ji Un Kim *
  • Ki Joon Shin
  • Jung Ho Park

* Department of Orthopaedic Surgery, Korea University College of Medicine, Korea University Ansan Hospital, Korea.

*Corresponding Author: Ji Un Kim. Department of Orthopaedic Surgery, Korea University College of Medicine, Korea University Ansan Hospital, Korea.

Citation: Ji Un Kim, Ki Joon Shin, Jung Ho Park. (2022). Proper Postoperative Rehabilitation after Rotator Cuff Repair. J. Orthopedics and Surgical Sports Medicine 5(2); DOI: 10.31579/2641-0427/34

Copyright: © 2022, Ji Un Kim. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: 22 March 2022 | Accepted: 16 December 2022 | Published: 15 December 2022

Keywords: postoperative rehabilitation; rotator cuff repair

Abstract

The incidence of rotator cuff tears is increasing rapidly due to the aging of the population and the advancement of radiological diagnosis. Moreover, arthroscopic rotator cuff repair is the most widely performed orthopedic surgery, and the surgical outcome is comparable to open rotator cuff repair. Arthroscopic repair is one of the minimally invasive procedures itself and may have additional benefits of postoperative pain reduction and early functional recovery. Recently, there has been increasing interest in various methods for improving the functional recovery of patients after arthroscopic shoulder surgery. Various phases of functional recovery after arthroscopic shoulder surgery are classified by the postoperative period, and they are being studied actively and improved at each stage. However, there is a range of methods according to the postoperative period, rehabilitation stage, characteristics of individual patients, tear size of a rotator cuff, and underlying disease of patients. Therefore, it is essential to establish proper regimens for proper postoperative rehabilitation for functional recovery after arthroscopic rotator cuff repair.

Introduction

Rotator cuff repair is one of the most successful treatment options in orthopedic surgeons, and most patients enjoy functional recovery after the procedure. Nonetheless, the nonhealing rate after rotator cuff repair remains at 20% to 90

Conclusion

Postoperative rehabilitation of rotator cuff repair

As the prevalence of rotator cuff tear increases due to the aging population and the increase in sports activities, rotator cuff using arthroscopy is increasing. Therefore, in proportion to this, the functional recovery treatment after shoulder arthroscopy surgery is attracting more and more attention and interest is increasing. As doctors and patients recognize that preoperative pain control and muscle strengthening exercises suitable for each postoperative period are as important as arthroscopic repair for rotator cuff tears are as important for postoperative joint function recovery. However, it is difficult to specify the postoperative function recovery treatment method as the timing and method of application of function recovery treatment may vary depending on the characteristics of underlying diseases and rotator cuffs of patients, such as diabetes, calcific tendinitis, or PASTA lesions. The postoperative functional recovery treatment period is the most important in promoting the re-adhesion of ruptured plexus and preventing postoperative stiffness. This functional recovery treatment method should be individualized in consideration of the compliance with the treatment of individual patients with various characteristics, the degree of reattachment to the humerus after suture of a rotator cuff tear, patient age, and injury mechanism. It can be said that it is the best method if a clear criterion is established in consideration of the characteristics of each patient at each time and stage after surgery, and the effectiveness of this functional recovery treatment can promote successful suture of rotator cuffs.

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