JHSM
Journal of Health Sciences and Medicine

Journal of Health Sciences and Medicine (JHSM) is an unbiased, peer-reviewed, and open access international medical journal. The Journal publishes interesting clinical and experimental research conducted in all fields of medicine, interesting case reports, and clinical images, invited reviews, editorials, letters, comments, and related knowledge.

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Original Article
Impact of comorbidities on clinical and radiological outcomes after arthroscopic transosseous equivalent double-row rotator cuff repair
Abstract
Aims: Several comorbidities have been reported to adversely affect outcomes following rotator cuff repair. This study aimed to evaluate the effect of comorbidities on postoperative tendon healing and functional outcomes in patients undergoing arthroscopic transosseous equivalent (TOE) double-row rotator cuff repair.
Methods: In this retrospective cohort study, 44 shoulders in 44 patients who underwent arthroscopic TOE double-row repair between April 2006 and November 2011 were analyzed. All procedures were performed by a single surgeon using an identical surgical technique. Comorbidity burden was quantified using the Charlson Comorbidity Index (CCI). Patients were classified into two groups based on CCI scores (CCI=0 and CCI?1). Additionally, an exploratory subgroup analysis using ordinal CCI categories (0, 1, and ?2) was performed. Functional outcomes were assessed at final follow-up using the Rotator Cuff-Quality of Life (RC-QoL) Scale, American Shoulder and Elbow Surgeons (ASES) score, Constant-Murley score, and University of California-Los Angeles (UCLA) score. Tendon integrity was evaluated with magnetic resonance imaging (MRI) at a mean of 21 months postoperatively.
Results: No statistically significant differences were observed between the two groups in any functional outcome measure at final follow-up (all p>0.05). Similarly, postoperative MRI revealed no significant differences in tendon healing rates between the groups according to Sugaya’s classification.
Conclusion: The presence of comorbidities, as quantified by the CCI, did not adversely affect tendon healing or functional outcomes following arthroscopic TOE double-row rotator cuff repair. The enhanced tendon footprint and compression achieved by this technique may mitigate the potential negative impact of systemic comorbidities on tendon-bone healing.

Keywords : Rotator cuff tear, arthroscopic repair, transosseous equivalent, double-row technique, Charlson Comorbidity Index

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Article available in :
Volume 9, Issue 3, 2026
Page : 564-569
https://doi.org/10.32322/jhsm.1831748
Article Information
Received : 28 Kas 2025
Accepted : 27 Nis 2026
Published : 19 May 2026
Corresponding Author :

Recep Kurnaz: Department of Orthopedics and Traumatology, Acıbadem Eskişehir Hospital, Eskişehir, Turkiye

[email protected]
Citation : Kurnaz R, Güneş T. Impact of comorbidities on clinical and radiological outcomes after arthroscopic transosseous equivalent double-row rotator cuff repair. J Health Sci Med. 2026;9(3):564-569. doi:10.32322/jhsm.1831748

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