Artroscopía y lesiones del manguito rotador

Abstract

Arthroscopic treatment used to repair rotator cuff injuries has been the gold standard of surgical treatment for 30 years worldwide, while in Ecuador 73% of tear cases are repaired with arthroscopic techniques. In relation to other repair techniques such as Open and Mini Open, new arthroscopic methods have been implemented in order to offer therapeutic advantages, such as reduced pain, faster procedures, better and faster postoperative recovery, decreased infections, reduced tear recurrence rates in the short and long term. OBJECTIVE: To compare the new arthroscopic techniques in rotator cuff repair that have been developed and are currently used, through a systematized bibliographic research compiling scientific articles on medicine based on high-impact evidence, with the aim of highlighting the advantages of the arthroscopic approach over other surgical techniques. METHODS AND MATERIALS: Descriptive, retrospective study where searches were carried out in electronic databases until October 2023 in bibliographic sources such as: PubMed, Scielo, Medscape, published in the last 5 years. CONCLUSION: The arthroscopic method has a lower learning curve, postoperative shoulder stiffness in 11%, a greater decrease in pain in 3 to 5%, in addition to 2.27% fewer disassemblies, dehiscence when using the Double Row fixation technique, risk of infection and septic arthritis less than 1% compared to other surgical techniques.