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Abstract
Purpose
The purpose of this study was to investigate when the quality of life improve after rotator cuff repair.
Materials and Methods
Eighty-five consecutive cases with rotator cuff repair were studied. Patients completed the visual analogue scale (VAS), University of California Los Angeles scale (UCLA), American Shoulder and Elbow Surgeon's scale (ASES), Korean Shoulder scale (KSS), and the World Health Organization Quality of Life Scale abbreviated version (WHOQOL-BREF) preoperatively and at postoperative 3, 6, and 12 months. For evaluation of serial recovery pattern, section I (preoperatively-postoperative 3 months), section II (postoperative 3 months-postoperative 6 months), and section III (postoperative 6 months-postoperative 12 months) were divided.
Results
The mean WHOQOL-BREF score was significantly improved from 58.8 preoperatively to 66.4 at postoperative 12 months, with improvement of VAS, ULCA, ASES, and KSS scores. On serial recovery pattern, all measurements in section I, VAS, UCLA, and KSS scores in section II, and UCLA score in section III, were significantly improved. Female sex had a negative effect on all outcome measurements at postoperative 12 months.
Figures and Tables
Figure 1
Recovery pattern of visual analogue scale (VAS) score. The graph shows that VAS score significantly decreases in section I and II. *The difference was statistically significant (p<0.05). Preop, preoperative; PO, postoperative.
Figure 2
Recovery pattern of the University of California Los Angeles scale (UCLA) score. The graph shows that UCLA score significantly increases in all sections. *The difference was statistically significant (p<0.05). Preop, preoperative; PO, postoperative.
Figure 3
Recovery pattern of the American Shoulder and Elbow Surgeon's scale (ASES) score. The graph shows that ASES score significantly decreases in section I. *The difference was statistically significant (p<0.05). Preop, preoperative; PO, postoperative.
Figure 4
Recovery pattern of Korean Shoulder scale (KSS) score. The graph shows that KSS score significantly decreases in section I and II. *The difference was statistically significant (p<0.05). Preop, preoperative; PO, postoperative.
Figure 5
Recovery pattern of World Health Organization Quality of Life Scale abbreviated version (WHOQOL-BREF) score. The graph shows that WHOQOL-BREF score significantly decreases in section I. *The difference was statistically significant (p<0.05). Preop, preoperative; PO, postoperative.
Table 2
Serial Assessment of Outcome Measurements after Rotator Cuff Repair
Values are presented as mean±standard deviation. Data were analyzed by paired t-test. p-values are presented by comparison of measurements between preoperative and postoperative 12 months. *The difference was statistically significant (p<0.05). PO, postoperative; VAS, visual analogue scale; UCLA, the University of California Los Angeles scale; ASES, the American Shoulder and Elbow Surgeon's scale; KSS, Korean Shoulder scale; WHOQOL-BREF, World Health Organization Quality of Life Scale abbreviated version.
Table 3
Correlations between Variables and Outcome Measurements at 12 Months after Rotator Cuff Repair
Data were analyzed by Pearson correlation (age, duration of symptoms), Kendall τ rank correlation (tear size), independent t-test (sex), and Mann-Whitney U test (involved side, preoperative stiffness, repair technique). *The difference was statistically significant (p<0.05). VAS, visual analogue scale; UCLA, the University of California Los Angeles scale; ASES, the American Shoulder and Elbow Surgeon's scale; KSS, Korean Shoulder scale; WHOQOL-BREF, World Health Organization Quality of Life Scale abbreviated version.
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