Indications | Contraindications | Complications |
---|---|---|
Patients • Young age, active individuals • Older patients with increased functional • demands, bodily active Clinical • Severe functional disability due to • Weakness and loss of motion • Severe pain caused by a massive • Irreparable cuff tear Compliance • Patients that will comply with long •rehabilitation Imaging and intraoperative • Fatty infiltration – retraction • Not amenable to repair |
Absolute |
• Postoperative hematoma • Infection • Late / secondary tendon rupture • Anchor pull out • Nerve palsies |
• Advanced age • Comorbidities (infection etc) • Severe joint degeneration (Hamada ≥ stage 2, Samilson ≥ stage 1) • Compromised Coracoacromial arch • Anterosuperior subluxation • Subscapularis deficiency – atrophy – fatty degeneration • Deltoid deficiency – detachment • Nerve injuries • Inability to comply with long rehabilitation |
||
Relative | ||
• Subscapularis partial tears • Advanced fatty degeneration of the teres minor • Acromio- humeral distance < 7 mm • Moderate joint degeneration (Hamada – Stage 1-2) • Preoperative weakness - pseudoparalysis |