Single-stage capsular release and rotator cuff repair for patients with rotator cuff tear

Abstract

Objectives: Shoulder stiffness is often an associated symptom in patients with rotator cuff (RC) tear. With an ongoing debate on the timing and staging of procedures, there seems to be no clear consensus about managing these patients. In this study, we aimed to ascertain if performing a single-stage rotator cuff repair (RCR) along with concomitant capsular release (CR) has any advantage over performing RCR alone and whether it has any impact on the functional outcome of the patients. Materials and Methods: Retrospective study was conducted with 23 patients who received arthroscopic RCR under a single surgeon from 2017 to 2022. From 2017 to 2019, patients underwent only RCR without any CR; from 2020 to 2022, concomitant CR was done along with all RCR. A total of 12 patients were identified under the CR group and 11 patients under the no-CR group. Range of motion (ROM) and functional outcomes were recorded and assessed pre- and post-operatively for 2 years. Results: There was no significant variation in gender distribution, age, and cuff tear size between the two groups. Postoperatively, there was a substantial variation between the two groups in the recovery period (6 months post-operative) of ROM. Postoperatively, patients in both groups reported lesser pain and improved ROM compared to pre-operation. However, there was no substantial variation in functional outcome scores and ROM between both groups at the final follow-up. Conclusion: Combined single-stage RCR along with CR significantly reduces the recovery period compared to those who underwent repair without CR.