Browsing by Author "Saini, Akhilesh"

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    Functional Outcome In Traumatic Versus Degenerative Rotator Cuff Tear With Arthroscopic Repair- A Comparative Study
    (The Indian Society for Health and Advanced Research, 2025-05) Gupta, Gagandeep; Singh, Abhishek; Singh, Ayush; Saini, Akhilesh; Sandhu, Abhijeet; Relwani, Nikhil; Nasa, Nishchaiy
    Background: Rotator cuff tears are commonly categorized as traumatic or degenerative, with postoperative recovery potentially influenced by the mechanism of injury and patient demographics. Understanding how these factors affect outcomes is essential for optimizing treatment strategies and patient counseling. To compare postoperative functionalAim And Objective: outcomes, pain levels, and recovery patterns in patients undergoing rotator cuff repair for traumatic versus degenerative tears, and to analyze the influence of gender and injury mechanism on recovery. This comparative study evaluated two groups of patients whoMaterial And Methods: underwent rotator cuff repair. Group A included patients with traumatic tears, while Group B consisted of patients with degenerative tears. Functional outcomes were assessed using the Oxford Shoulder Score (OSS) and Constant-Murley Score (CMS) at 3, 6, and 12 months postoperatively. Pain was evaluated using the Visual Analog Scale (VAS). Patient demographics, including gender distribution, were also analyzed. Group A showed significantly higher OSS at all follow-up intervals, indicating better subjective recovery. CMS wasResults: significantly better in Group A at 3 months but showed no statistical difference at 6 and 12 months. VAS scores were consistently lower in Group A, reflecting better pain control. Group A had a higher proportion of male patients and traumatic tears, while Group B had more female patients with degenerative tears. Early functional outcomes favored the traumatic group, likely due to better tendon quality and less chronicity. Conclusion: Patients with traumatic rotator cuff tears, particularly males, exhibited faster recovery, better early functional outcomes, and lower pain levels. However, long-term functional outcomes were comparable between groups. Early surgical intervention in acute cases appears beneficial, while patients with degenerative tears should be counseled on slower early recovery with eventual good outcomes.