{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:27:17Z","timestamp":1787754437451,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Supplement_1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2011,3,16]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Literature regarding the outcomes of revision rotator cuff repair is limited. The purposes of the present study were to report the tendon repair integrity and clinical outcomes for a cohort of patients following revision arthroscopic rotator cuff repair and to examine factors related to tendon healing and the influence of healing on clinical outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>Twenty-one of twenty-nine consecutive revision arthroscopic rotator cuff repairs with a minimum of two years of postoperative follow-up were retrospectively reviewed. Outcomes were evaluated on the basis of a visual analog pain scale, the range of motion of the shoulder, the Simple Shoulder Test, the American Shoulder and Elbow Surgeons score, and the Constant score. Ultrasonography was used to examine repair integrity at a minimum of one year following surgery. Ten shoulders underwent arthroscopic repair of a recurrent single-tendon posterior rotator cuff tear, whereas eleven shoulders had repair of both the supraspinatus and infraspinatus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>The mean age of the twenty-one subjects was 55.6 years; thirteen subjects were male and eight were female. Complete preoperative and postoperative clinical data were available for nineteen subjects after an average duration of follow-up of thirty-three months. Significant improvements were seen in terms of postoperative pain (p &lt; 0.05), the Simple Shoulder Test score (p &lt; 0.05), the American Shoulder and Elbow Surgeons function (p &lt; 0.05) and total scores (p &lt; 0.05), active forward elevation (p &lt; 0.05), and active external rotation (p &lt; 0.05). Postoperative ultrasound data were available for all twenty-one shoulders after a mean duration of follow-up of twenty-five months. Ten (48%) of the twenty-one shoulders had an intact repair. Seven (70%) of the ten single-tendon repairs were intact, compared with three (27%) of the eleven supraspinatus\/infraspinatus repairs (p = 0.05). Patient age (p &lt; 0.05) and the number of torn tendons (p = 0.05) had significant effects on postoperative tendon repair integrity. Shoulders with an intact repair had better postoperative Constant scores (p &lt; 0.05) and scapular plane elevation strength (p &lt; 0.05) in comparison with those with a recurrent tear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>Revision arthroscopic rotator cuff repair results in reliable pain relief and improvement in shoulder function in selected cases. Approximately half of the revision repairs can be expected to be intact at a minimum of one year following surgery. Patient age and the number of torn tendons are related to postoperative tendon integrity. The postoperative integrity of the rotator cuff can have a significant influence on shoulder abduction strength and the Constant score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LEVEL OF EVIDENCE:<\/jats:title>\n                    <jats:p>\n                      Therapeutic\n                      <jats:underline>Level IV<\/jats:underline>\n                      . See Instructions to Authors for a complete description of levels of evidence.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>ORIGINAL ABSTRACT CITATION:<\/jats:title>\n                    <jats:p>\u201cRevision Arthroscopic Rotator Cuff Repair: Repair Integrity and Clinical Outcome\u201d (2010;92:590-8).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.j.01173","type":"journal-article","created":{"date-parts":[[2011,3,16]],"date-time":"2011-03-16T13:49:14Z","timestamp":1300283354000},"page":"62-74","source":"Crossref","is-referenced-by-count":27,"title":["Revision Arthroscopic Rotator Cuff Repair: Repair Integrity and Clinical Outcome"],"prefix":"10.2106","volume":"93","author":[{"given":"Marc S.","family":"Kowalsky","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Lenox Hill Hospital, 130 East 77th Street, New York, NY 10075"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jay D.","family":"Keener","sequence":"additional","affiliation":[{"name":"Shoulder and Elbow Service, Department of Orthopaedic Surgery, Washington University, 660 South Euclid Avenue, Campus Box 8233, St. Louis, MO 63110. E-mail address:"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"bib1-20230714","doi-asserted-by":"crossref","first-page":"1899","DOI":"10.1177\/0363546506290187","article-title":"Outcome and structural integrity after arthroscopic rotator cuff repair using 2 rows of fixation: minimum 2-year follow-up","volume":"34","year":"2006","journal-title":"Am J Sports Med."},{"key":"bib2-20230714","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1016\/S0749-8063(05)80293-2","article-title":"Arthroscopically assisted rotator cuff repair: correlation of functional results with integrity of the cuff","volume":"10","year":"1994","journal-title":"Arthroscopy."},{"key":"bib3-20230714","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/j.jse.2008.05.045","article-title":"Prospective analysis of arthroscopic rotator cuff repair: prognostic factors affecting clinical and ultrasound outcome","volume":"18","year":"2009","journal-title":"J Shoulder Elbow Surg."},{"key":"bib4-20230714","doi-asserted-by":"crossref","first-page":"1247","DOI":"10.1177\/0363546507301661","article-title":"Can a double-row anchorage technique improve tendon healing in arthroscopic rotator cuff repair?: A prospective, nonrandomized, comparative study of double-row and single-row anchorage techniques with computed tomographic arthrography tendon healing assessment","volume":"35","year":"2007","journal-title":"Am J Sports Med."},{"key":"bib5-20230714","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1016\/j.jse.2005.09.017","article-title":"Cuff integrity after arthroscopic versus open rotator cuff repair: a prospective study","volume":"15","year":"2006","journal-title":"J Shoulder Elbow Surg."},{"key":"bib6-20230714","first-page":"1229","article-title":"Arthroscopic repair of full-thickness tears of the supraspinatus: does the tendon really heal?","volume":"87","year":"2005","journal-title":"J Bone Joint Surg Am."},{"key":"bib7-20230714","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1016\/j.jse.2007.03.020","article-title":"Functional outcome of arthroscopic rotator cuff repairs: a correlation of anatomic and clinical results","volume":"16","year":"2007","journal-title":"J Shoulder Elbow Surg."},{"key":"bib8-20230714","doi-asserted-by":"crossref","first-page":"982","DOI":"10.2106\/00004623-199173070-00004","article-title":"Repairs of the rotator cuff. 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Pre- and postoperative evaluation by CT scan","volume":"304","year":"1994","journal-title":"Clin Orthop Relat Res."}],"container-title":["Journal of Bone and Joint Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/00004623-201103001-00007","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:27:32Z","timestamp":1787750852000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/00004623-201103001-00007"}},"subtitle":["Surgical Technique"],"short-title":[],"issued":{"date-parts":[[2011,3,16]]},"references-count":14,"journal-issue":{"issue":"Supplement_1","published-print":{"date-parts":[[2011]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.j.01173","relation":{},"ISSN":["0021-9355","1535-1386"],"issn-type":[{"value":"0021-9355","type":"print"},{"value":"1535-1386","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,3,16]]}}}