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Volume 12
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10.3390/jcm12020627
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Article

Diabetes Mellitus and Obesity as Prognostic Factors in Arthroscopic Repair of Chronic Rotator Cuff Tears

by
Javier Álvarez de la Cruz
1,
Marye Mercé Méndez Ojeda
1,2,*,
Nuria Álvarez Benito
1,
Alejandro Herrera Rodríguez
1,
Jose Luis Pais Brito
1,2 and
Francisco Jesús Márquez Marfil
1,2
1
Orthopedic Surgery and Traumatology Service, University Hospital of the Canary Islands, 38320 La Laguna, Spain
2
Orthopedic Surgery Service, Surgery Department, La Laguna University, 38320 La Laguna, Spain
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2023, 12(2), 627; https://doi.org/10.3390/jcm12020627
Submission received: 30 November 2022 / Revised: 1 January 2023 / Accepted: 4 January 2023 / Published: 12 January 2023
(This article belongs to the Topic Orthopaedic Diseases and Innovative Intervention Strategies)
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Abstract

Metabolic diseases such as obesity and diabetes mellitus seem to have an influence on reoperation and long-term functional outcomes after arthroscopic repair of chronic rotator cuff tears. High prevalence of these pathologies can be found in the Canary Islands. A retrospective cohort study was carried out, in which 80 patients undergoing shoulder arthroscopic surgery for the repair of chronic rotator cuff tears were included, with a minimum follow up of 5 years, to study the occurrence of complications, reoperation, and functional outcomes. Functionality after surgery improved in 75% of patients with diabetes and remained the same or worsened in 25% (OR = 1.444). In the group of non-diabetic patients, 83.9% had improved function after surgery while it remained the same or worsened in 16.1% (OR = 0.830). Functionality after surgery improved in 76.6% of obese patients and remained the same or worsened in 23.4% (OR = 1.324). In the non-obese group, 87.9% had improved function after surgery, while it remained the same or worsened in 12.1% (OR = 0.598). Despite not obtaining statistically significant differences, the analysis of the results obtained suggests that obesity and diabetes could act by decreasing the subjective improvement in functionality after surgery, and, in the case of obesity, also increase the risk of reoperation.
Keywords: rotator cuff tear; diabetes; obesity; shoulder arthroscopy surgery rotator cuff tear; diabetes; obesity; shoulder arthroscopy surgery

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MDPI and ACS Style

Álvarez de la Cruz, J.; Méndez Ojeda, M.M.; Álvarez Benito, N.; Herrera Rodríguez, A.; Pais Brito, J.L.; Márquez Marfil, F.J. Diabetes Mellitus and Obesity as Prognostic Factors in Arthroscopic Repair of Chronic Rotator Cuff Tears. J. Clin. Med. 2023, 12, 627. https://doi.org/10.3390/jcm12020627

AMA Style

Álvarez de la Cruz J, Méndez Ojeda MM, Álvarez Benito N, Herrera Rodríguez A, Pais Brito JL, Márquez Marfil FJ. Diabetes Mellitus and Obesity as Prognostic Factors in Arthroscopic Repair of Chronic Rotator Cuff Tears. Journal of Clinical Medicine. 2023; 12(2):627. https://doi.org/10.3390/jcm12020627

Chicago/Turabian Style

Álvarez de la Cruz, Javier, Marye Mercé Méndez Ojeda, Nuria Álvarez Benito, Alejandro Herrera Rodríguez, Jose Luis Pais Brito, and Francisco Jesús Márquez Marfil. 2023. "Diabetes Mellitus and Obesity as Prognostic Factors in Arthroscopic Repair of Chronic Rotator Cuff Tears" Journal of Clinical Medicine 12, no. 2: 627. https://doi.org/10.3390/jcm12020627

APA Style

Álvarez de la Cruz, J., Méndez Ojeda, M. M., Álvarez Benito, N., Herrera Rodríguez, A., Pais Brito, J. L., & Márquez Marfil, F. J. (2023). Diabetes Mellitus and Obesity as Prognostic Factors in Arthroscopic Repair of Chronic Rotator Cuff Tears. Journal of Clinical Medicine, 12(2), 627. https://doi.org/10.3390/jcm12020627

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