Arthroscopic Rotator Cuff Repair: Open vs Arthroscopic Surgery Explained

Mar 14, 2014

If you have a torn rotator cuff and surgery has been recommended, it helps to understand the different surgical approaches available and how they compare.

Open Repair vs Arthroscopic Repair

Traditionally, rotator cuff tears were repaired using an “open” technique, which involves a larger incision and detaching part of the deltoid muscle to give the surgeon direct access to the shoulder joint. This approach can be necessary for certain complex or large tears.

Arthroscopic repair is a less invasive alternative. Instead of a large incision, the surgeon makes a few small incisions around the shoulder. A tiny camera (arthroscope) is inserted through one incision to guide the surgeon’s instruments, which are inserted through the others to repair the torn tendon. Because the surrounding muscle isn’t detached, arthroscopic repair is generally associated with less post-operative pain and a shorter initial recovery period compared with open surgery, although the right approach depends on the individual tear and patient.

About Your Surgeon

Dr Mark Haber is an orthopaedic surgeon (FRACS) with a special interest in shoulder surgery. Over the course of his career he has performed a large number of arthroscopic shoulder procedures, including rotator cuff repairs, and has an ongoing interest in refining surgical technique as part of his practice.

Next Steps

Whether an open or arthroscopic approach is right for you will depend on the size and location of your tear, your overall health, and your surgeon’s assessment. For more information about rotator cuff repair, browse our website, or contact our practice to arrange a consultation.