Large Study Shows Durability of Arthroscopic Rotator Cuff Repair at 5 Years

ORTHOSuperSite—April 4, 2011

A large prospective study conducted by investigators from Hospital for Special Surgery shows that arthroscopic rotator cuff repair is effective and provides durable results 5 years after surgery, according to a Hospital for Special Surgery press release.

The study, which was presented at the American Shoulder and Elbow Surgeons 2011 Specialty Day Meeting, also revealed that rotator cuffs could heal even though early imaging studies found a defect at the site of repair.

“Our study demonstrates that arthroscopic rotator cuff repair results remain excellent when followed over 5 years, and we found that some tendons that were incompletely healed at 2 years appeared to heal fully by 5 years, suggesting that rather than deteriorating over time, results may in fact improve over time,” David W. Altchek, MD, co-chief of the Sports Medicine and Shoulder Service at Hospital for Special Surgery (HSS), stated in the release.

Healing after repair
The study is the largest to prospectively evaluate long-term outcomes of arthroscopic rotator cuff repair surgery, according to the press release.

“Before this study, we thought that once a rotator cuff had re-torn or failed to heal following surgery, it had no capacity to heal in the future,” lead study author, Lawrence V. Gulotta, MD, stated in the release. “Now, we know that the rotator cuff does have the capacity to heal itself, even if early radiographic studies showed there was a defect at the repair site.”

The study included 193 patients who underwent arthroscopic rotator cuff repair at HSS and were evaluated annually for 5 years. According to the release, ultrasound results after 1 year showed that 64.3% of patients had a healed rotator cuff. At 2 years postoperatively, 75.4% of patients had healed rotator cuffs. At 5 years, 81.2% had healed.

American Shoulder and Elbow Surgeons (ASES) scores significantly improved from 52.6 points preoperatively to 92.6 points at 5 years. The investigators found no difference between ASES scores at 2 and 5 years.

“What we found is that patients continued to get better between years 1 and 2, but they stay the same between years 2 and 5,” Gulotta stated in the press release.

Although the investigators identified a slightly decreased range of motion between 2 and 5 years 2, this did not impact overall function. Passive forward elevation and external rotation also decreased in the same time period, according to the release. “While those numbers are getting worse, they are not really clinically applicable at this time point,” Gulotta stated.

This story originally appeared at


Find a Physician

Conditions & Treatments

graphic: adult outline graphic: child outline
Select A Body Part
Conditions: Adult head Conditions: Adult spine Conditions: Adult shoulder Conditions: Adult elbow Conditions: Adult hand Conditions: Adult hip Conditions: Adult knee Conditions: Adult ankle Conditions: Adult head Conditions: Adult full body Conditions: Child spine Conditions: Child elbow Conditions: Child hip Conditions: Child hand Conditions: Child knee Conditions: Child ankle Conditions: Child full body

Complete Listing »

Media Contacts

Tracy Hickenbottom
Monique Irons
Sherry Randolph


Social Media Contacts

Andrew Worob
Otis Gamboa