This document summarizes an audit of rotator cuff repair surgeries performed between 2011 and 2017. It looks at patient demographics, pre-and post-operative investigations and complications. A total of 402 patients were included in the audit. The majority were male (222) and underwent primary repair (346). Common pre-op investigations included x-rays (346), CT scans (152) and MRIs (266). Post-op issues like pain and stiffness were reported. Re-operations were required for 3.2% of patients, including reverse replacements in elderly patients with large tears and capsular releases for stiffness.

1. Rotator Cuff Repair Audit
MO FAGIR
SAQIB JAVED
MO IMAM
PUNEET MONGA
2018

2. Aims
u Extract Key information to pre-operative counselling and patient consent
Objectives
u Look into our practice between 2011 and 2017 in relation to arthroscopic rotator
cuff repair and SAD
u Observe patient demographics, pre and post operative investigations and
complications

3. Methodology
u Excel sheet was provided by the surgeon
u SPSS was used for analysis
u eLogbook and electronic hospital records
u Electronic patient records and HIS
u PACS system

4. u Total number of patients between 2011 and 2017 is 402 (NHS)
u 7 patients were excluded due to missing documentation
u Some missing data from 2011/ 2012 due to change in Logbook software

5. Patient demographics
u Male: 222
u Female: 173

6. Over the years
9
16
56
90
70
94
60
0
25
50
75
100
2011 2012 2013 2014 2015 2016 2017

7. u Primary: 346
u Revision surgery done in 49 patients
u History of trauma was found in 166 patients

8. Pre-op investigations
346
16
152
266
0
100
200
300
400
X-Ray CT S USS MRI
Series 1
Series 1

9. Pre and post op interventions:
Joint injections Physiotherapy
Pre-op 152 189
Post-op 45 393

10. Post op Problems
u Defined by either requesting investigations of offering treatment
67
40
0
18
35
53
70
88
Pain Stiffness
Rate
Rate

11. Re-Operations
u 13 Patients had further surgery (3.2%)
u 8 Patients Needed Reverse replacements (all 60+ with Large / massive tears)
u 2 Patients needed Capsular release for Stiffness
u 2 Patients needed revision repair with Graft-jacket augmentation
u 1 Patient needed arthroscopic washout at 5 weeks for suspected infection.

12. Reflections
Reconsider threshold for reverse in elderly patients with Large/ Massive tears
Initial post op pain usually settles and needs reassurance
Capsular release not needed often

13. Thank you