The reoperation of failed rotator cuff repairs.

Abstract

The most common factors associated with the failure of the initial repair were large to massive tear and inadequate acromioplasty. Most factors could be avoided at the initial repair, while several factors such as irreparable massive tear, poor deltoid function and poor cuff tissue were very difficult to be corrected at the repeat repair. The primary goal should be relief of pain instead of functional improvement. Since the results were not consistent, careful assessment and management should be made in the initial attempt.