A Retrospective Longitudinal Study: Investigate The Influence of Diabetes Mellitus on The Retears After Arthroscopic Rotator Cuff Repair

Abstract

This investigation aims to assess the impact of inadequate glycemic control on the occurrence of postoperative retear in patients diagnosed with rotator cuff pathology, with a particular focus on individuals with a pre-existing diagnosis of diabetes mellitus. A retrospective analysis was performed on a sample cohort consisting of 60 diabetic patients who had undergone arthroscopic rotator cuff repair. Glycemic control was deemed suboptimal in 32 subjects, characterized by a glycosylated hemoglobin (HbA1c) concentration ≥7.0%, while 28 subjects were identified as having effective glycemic regulation, as evidenced by HbA1c levels <7.0%. A six-month follow-up period was maintained for patient monitoring. Tendon integrity and the incidence of re-ruptures were assessed via magnetic resonance imaging (MRI), utilizing pre-established MRI criteria to identify re-tears. The employment of directed prophylactic and therapeutic measures may potentially reduce the incidence of postoperative retear events within this specific patient cohort. In the diabetic patients, effective glycemic control was associated with the better rate of healing after rotator cuff repair.