2024 Volume 4 Issue 1 Pages 43-51
Objective: This study aimed to investigate the effect of preoperative factors for graft failure after arthroscopic superior capsule reconstruction.
Methods: In total, 54 patients who underwent arthroscopic superior capsule reconstruction were included in the study. Clinical outcomes that were evaluated included preoperative sex, age, height, weight, body mass index, Goutallier grades, acromiohumeral distance, Hamada classification, numerical rating scale for rest pain, pain on motion, shoulder range of motion, shoulder36, and postoperative graft failure. Acromiohumeral distance and Hamada classification were assessed using radiography. Postoperative graft failure was evaluated using magnetic resonance imaging. Univariate and multivariable logistic regression analyses were performed to evaluate the association between potential clinical outcomes and graft failure.
Results: Graft failure was noted in 11 (20%) patients. Univariate analysis indicated fatty infiltration of the subscapularis (odds ratio, 2.29; p = 0.03), and teres minor (odds ratio, 2.80; p < 0.01). Multivariable analysis indicated fatty infiltration of the teres minor (odds ratio, 2.46; p = 0.03).
Conclusion: Fatty infiltration of the teres minor muscle was identified as the sole preoperative factor associated with postoperative graft failure. This finding could be crucial for guiding preoperative and postoperative physical therapy interventions.
