Should we Repair Rotator Cuffs? - Debate€¦ · Amit Sharad Chandra BidwaiX Ann B'rch 2 Saurabh...
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Should we Repair Rotator Cuffs? - Debate Mr Mike Walton BMedSci BMBS MSc FRCS(T&O) MFSEM(UK) Consultant Shoulder Surgeon
Transcript of Should we Repair Rotator Cuffs? - Debate€¦ · Amit Sharad Chandra BidwaiX Ann B'rch 2 Saurabh...
Should we Repair Rotator Cuffs?
- DebateMr Mike Walton BMedSci BMBS MSc FRCS(T&O) MFSEM(UK)
Consultant Shoulder Surgeon
What / Which Evidence
• Population Based
• Intervention Based• PATIENT BASED
Population Based
• Gold Standard: “Best Evidence”
• Pragmatic, Multicentre, Randomised, Controlled Trials
“The” RCT
Outcomes
Cross Overs & ITT
Cross Overs & ITT
Healed Cuffs Do Best
Healed Cuffs Do Best
Healed Cuffs Do Best
Intervention Studies
Intervention Studies
Patient Based
AVOID SURGERY
Healed Cuff Repair
Patient Based
AVOID SURGERY
Healed Cuff Repair
Patient Based
Solution
• UNDERSTAND MORE
• Which patients will do well with cuff repair?
• Why do they fail rehabilitation - many do
• Rehaber and Rehabee
• Current (P)ROMS - not responsive
• NOT to avoid surgery at all costs
