Surgery for rotator cuff tears: repair, smooth and move, CTA arthroplasty, reverse total shoulder

The treatment of a cuff tear depends on the patient, the nature of the tear, and the symptoms being experienced. There is an increasing amount of surgery being performed for rotator cuff tears. The rate of cuff repair surgery is increasing , even though the guidelines for performing rotator cuff surgery remain quite uncertain. The indications for rotator cuff surgery need to be tailored to the situation and needs of the individual patient. There two basic surgical procedures that are considered in the management of a rotator cuff tear: (1) An attempt at surgical repair of the tendon back to the area on the humerus from which it was torn (2) A smooth and move procedure , in which the thickened bursa and scar tissue are removed along with the rough edges of the residual cuff and prominent humeral bone leaving a smooth convex surface to articulate with the concave coracoacromial arch coupled with a gentle manipulation of the shoulder to restore complete pas...