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Gender Affects Early Postoperative Outcomes of Rotator Cuff Repair.

Cho CH, Ye HU, Jung JW, Lee YK - Clin Orthop Surg (2015)

Bottom Line: The mean VAS pain score was significantly higher for women than men at 2 weeks after surgery (p = 0.035).Mean forward flexion in women was significantly lower than men at 6 weeks after surgery (p = 0.033) and the mean degree of external rotation in women was significantly lower than men at 6 weeks (p = 0.007) and at 3 months (p = 0.017) after surgery.There was no significant difference in medication-related adverse effects or postoperative complications.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedic Surgery, Dongsan Medical Center and Pain Research Center, Keimyung University School of Medicine, Daegu, Korea.

ABSTRACT

Background: The literature does not provide consistent information on the impact of patients' gender on recovery after rotator cuff repair. The purpose of this study was to determine whether gender affects pain and functional recovery in the early postoperative period after rotator cuff repair.

Methods: Eighty patients (40 men and 40 women) were prospectively enrolled. Pain intensity and functional recovery were evaluated, using visual analog scale (VAS) pain score and range of motion on each of the first 5 postoperative days, at 2 and 6 weeks and at 3, 6, and 12 months after surgery. Perioperative medication-related adverse effects and postoperative complications were also assessed.

Results: The mean VAS pain score was significantly higher for women than men at 2 weeks after surgery (p = 0.035). For all other periods, there was no significant difference between men and women in VAS pain scores, although women had higher scores than men. Mean forward flexion in women was significantly lower than men at 6 weeks after surgery (p = 0.033) and the mean degree of external rotation in women was significantly lower than men at 6 weeks (p = 0.007) and at 3 months (p = 0.017) after surgery. There was no significant difference in medication-related adverse effects or postoperative complications.

Conclusions: Women had more pain and slower recovery of shoulder motion than men during the first 3 months after rotator cuff repair. These findings can serve as guidelines for pain management and rehabilitation after surgery and can help explain postoperative recovery patterns to patients with scheduled rotator cuff repair.

No MeSH data available.


Related in: MedlinePlus

External rotation was measured at 2 weeks, 6 weeks, 3 months, 6 months, and 12 months after surgery. Mean postoperative external rotation was significantly lower for women than for men at 6 weeks (*P = 0.007) and at 3 months (*P = 0.017).
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Figure 3: External rotation was measured at 2 weeks, 6 weeks, 3 months, 6 months, and 12 months after surgery. Mean postoperative external rotation was significantly lower for women than for men at 6 weeks (*P = 0.007) and at 3 months (*P = 0.017).

Mentions: Mean forward flexion at 2 weeks, 6 weeks, 3 months, 6 months, and 12 months after surgery was 132.6°, 144.9°, 152.5°, 159.0°, and 160.8°, respectively, in the men and 132.8°, 138.5°, 145.9°, 156.0°, and 162.4°, respectively, in the women; it was significantly lower (p = 0.033) in the women than in the men at 6 weeks (Table 3 and Fig. 2). Mean external rotation at 2 weeks, 6 weeks, 3 months, 6 months, and 12 months after surgery was 34.8°, 37.4°, 46.4°, 52.8°, and 57.5°, respectively, in the men and 31.0°, 32.5°, 39.9°, 48.3°, and 55.0°, respectively, in the women; it was significantly lower in the women than the men at 6 weeks (p = 0.007) and at 3 months (p = 0.017) after surgery (Fig. 3).


Gender Affects Early Postoperative Outcomes of Rotator Cuff Repair.

Cho CH, Ye HU, Jung JW, Lee YK - Clin Orthop Surg (2015)

External rotation was measured at 2 weeks, 6 weeks, 3 months, 6 months, and 12 months after surgery. Mean postoperative external rotation was significantly lower for women than for men at 6 weeks (*P = 0.007) and at 3 months (*P = 0.017).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
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getmorefigures.php?uid=PMC4515465&req=5

Figure 3: External rotation was measured at 2 weeks, 6 weeks, 3 months, 6 months, and 12 months after surgery. Mean postoperative external rotation was significantly lower for women than for men at 6 weeks (*P = 0.007) and at 3 months (*P = 0.017).
Mentions: Mean forward flexion at 2 weeks, 6 weeks, 3 months, 6 months, and 12 months after surgery was 132.6°, 144.9°, 152.5°, 159.0°, and 160.8°, respectively, in the men and 132.8°, 138.5°, 145.9°, 156.0°, and 162.4°, respectively, in the women; it was significantly lower (p = 0.033) in the women than in the men at 6 weeks (Table 3 and Fig. 2). Mean external rotation at 2 weeks, 6 weeks, 3 months, 6 months, and 12 months after surgery was 34.8°, 37.4°, 46.4°, 52.8°, and 57.5°, respectively, in the men and 31.0°, 32.5°, 39.9°, 48.3°, and 55.0°, respectively, in the women; it was significantly lower in the women than the men at 6 weeks (p = 0.007) and at 3 months (p = 0.017) after surgery (Fig. 3).

Bottom Line: The mean VAS pain score was significantly higher for women than men at 2 weeks after surgery (p = 0.035).Mean forward flexion in women was significantly lower than men at 6 weeks after surgery (p = 0.033) and the mean degree of external rotation in women was significantly lower than men at 6 weeks (p = 0.007) and at 3 months (p = 0.017) after surgery.There was no significant difference in medication-related adverse effects or postoperative complications.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedic Surgery, Dongsan Medical Center and Pain Research Center, Keimyung University School of Medicine, Daegu, Korea.

ABSTRACT

Background: The literature does not provide consistent information on the impact of patients' gender on recovery after rotator cuff repair. The purpose of this study was to determine whether gender affects pain and functional recovery in the early postoperative period after rotator cuff repair.

Methods: Eighty patients (40 men and 40 women) were prospectively enrolled. Pain intensity and functional recovery were evaluated, using visual analog scale (VAS) pain score and range of motion on each of the first 5 postoperative days, at 2 and 6 weeks and at 3, 6, and 12 months after surgery. Perioperative medication-related adverse effects and postoperative complications were also assessed.

Results: The mean VAS pain score was significantly higher for women than men at 2 weeks after surgery (p = 0.035). For all other periods, there was no significant difference between men and women in VAS pain scores, although women had higher scores than men. Mean forward flexion in women was significantly lower than men at 6 weeks after surgery (p = 0.033) and the mean degree of external rotation in women was significantly lower than men at 6 weeks (p = 0.007) and at 3 months (p = 0.017) after surgery. There was no significant difference in medication-related adverse effects or postoperative complications.

Conclusions: Women had more pain and slower recovery of shoulder motion than men during the first 3 months after rotator cuff repair. These findings can serve as guidelines for pain management and rehabilitation after surgery and can help explain postoperative recovery patterns to patients with scheduled rotator cuff repair.

No MeSH data available.


Related in: MedlinePlus