TechniquesPredictors of Early Complications After Rotator Cuff RepairRoberson, Troy A. MD; Azar, Frederick M. MD; Miller, Robert H. III MD; Smith, Richard A. PhD; Throckmorton, Thomas W. MDAuthor Information Department of Orthopaedic Surgery & Biomedical Engineering, University of Tennessee-Campbell Clinic, Memphis, TN T.W.T. is a consultant and speaker for Biomet and a consultant for Zimmer, has stock in Gilead, and receives publishing royalties from Elsevier. F.M.A. has stock in Pfizer and receives publishing royalties from Elsevier. R.H.M. receives publishing royalties from Elsevier. The other authors declare no conflict of interest. Reprints: Thomas W. Throckmorton, MD, Department of Orthopaedic Surgery & Biomedical Engineering, University of Tennessee-Campbell Clinic, 1211 Union Avenue, Suite 510, Memphis, TN 38104 (e-mail: [email protected]). Techniques in Shoulder & Elbow Surgery: June 2016 - Volume 17 - Issue 2 - p 88-92 doi: 10.1097/BTE.0000000000000082 Buy Metrics Abstract To identify risk factors for complications after rotator cuff repair, all repairs (open and arthroscopic, single row and double row, primary and revision) performed by a single surgeon over a 4-year period were reviewed. Complications were classified as minor or major. Minor complications included serous drainage, local erythema resolving with observation or oral antibiotics, and associated shoulder girdle tendinitis. Major complications included wound or deltoid dehiscence, recurrent rotator cuff tear with clinical decompensation, and deep infection requiring surgical treatment. Ninety-two patients (96 repairs, 31 open and 65 arthroscopic, 87 primary and 9 revision) met inclusion criteria. The overall complication rate at 12 weeks was 10.5% (3 minor and 7 major complications). The complication rate with open repair (26%) was significantly higher than with all-arthroscopic repair (3%). Large/massive tears had a 21% complication rate compared with 5% in small/medium tears. There was no statistically significant difference in complication rates between single-row (9%) and double-row (25%) repairs or between revisions (22%) and primary repairs (9%). Open repair, large/massive tear size, tobacco use, and preoperative narcotic use were statistically significant predictors of complications in the early (<12 wk) postoperative period after rotator cuff repair. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.