Preoperative Nutrition Impacts Retear Rate After Arthroscopic Rotator Cuff Repair

• DOI: 10.2106/jbjs.23.01189
• Publication Date: 2024-08-30T18:48:36Z
• Authors: Hitoshi Shitara; Tsuyoshi Ichinose; Tsuyoshi Sasaki; Noritaka Hamano; Masataka Kamiyama; Ryosuke Miyamoto; Fukuhisa Ino; Kurumi Nakase; Akira Honda; Atsushi Yamamoto; Kenji Takagishi; Hirotaka Chikuda
• Keywords: Cuff

Background: A rotator cuff retear following arthroscopic repair (ARCR) is a concern in older patients. However, only few of its risk factors are amenable to preoperative intervention. We aimed elucidate the relationship between nutritional status and retears after ARCR. Methods: This single-center retrospective study included patients aged ≥65 years with tears who underwent The Geriatric Nutritional Risk Index (GNRI) was used assess status. Data collection encompassed patient demographics, clinical assessments, surgical specifics. Patients were divided into healed groups based on 2-year post-ARCR magnetic resonance imaging results. Logistic regression analysis conducted adjust for confounding detect independent retears. GNRI cutoff value prediction determined by stratum-specific likelihood ratio; outcomes compared values obtained. Results: Overall, 143 included. rate 20.3%. albumin level, GNRI, postoperative shoulder strength abduction external rotation, Japanese Orthopaedic Association Constant scores group significantly lower than those group. logistic showed that low morbidity mortality (compared no risk) (odds ratio [OR], 3.39) medial-lateral tear size per mm (OR = 1.10) 2 Stratum-specific identified data-driven strata as < 103, 103 ≤ 109, ≥ 109. Univariate had higher 109 3.88) 5.62), along 1.10), at Conclusions: When assessing ARCR, may indicate good more data essential ascertain importance this finding. Level Evidence: Prognostic III . See Instructions Authors complete description levels evidence.