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Arthroscopic partial repair for massive rotator cuff tears: does it work? A systematic review
BACKGROUND: While arthroscopic complete repair of massive rotator cuff tears (MRCT) back to their anatomic footprint is preferential, there are cases where this type of repair is not applicable due to the contraction of the torn tendons. In such cases, a non-anatomic incomplete or partial repair can...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6459454/ https://www.ncbi.nlm.nih.gov/pubmed/30976931 http://dx.doi.org/10.1186/s40798-019-0186-z |
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author | Malahias, Michael-Alexander Kostretzis, Lazaros Chronopoulos, Efstathios Brilakis, Emmanouil Avramidis, Grigorios Antonogiannakis, Emmanouil |
author_facet | Malahias, Michael-Alexander Kostretzis, Lazaros Chronopoulos, Efstathios Brilakis, Emmanouil Avramidis, Grigorios Antonogiannakis, Emmanouil |
author_sort | Malahias, Michael-Alexander |
collection | PubMed |
description | BACKGROUND: While arthroscopic complete repair of massive rotator cuff tears (MRCT) back to their anatomic footprint is preferential, there are cases where this type of repair is not applicable due to the contraction of the torn tendons. In such cases, a non-anatomic incomplete or partial repair can be performed. A number of clinical studies have investigated the clinical and functional outcomes of arthroscopic partial repair for irreparable MRCT. To our knowledge, no systematic review has been published yet to synthetically evaluate these results. METHODS: Two reviewers independently conducted the search in a PRISMA-compliant systematic way using the MEDLINE/PubMed database and the Cochrane Database of Systematic Reviews. These databases were queried with the terms “arthroscopy”[MeSH Terms] OR arthroscopic surgical procedure [Text Word (tw)] AND massive rotator cuff tears [tw] AND arthroscopic partial repair [tw]. RESULTS: From the 55 initial studies, we finally chose 11 clinical studies which were eligible to our inclusion-exclusion criteria. The mean modified methodology Coleman score was 58/100, whereas it ranged from 41/100 to 78/100. In total, 643 patients were included in this review. All postoperative mean clinical and functional subjective scores, as well as muscle strength of patients treated with arthroscopic partial repair, were found significantly improved, when compared with the respective mean preoperative values. The rate of structural failure of the partial repair, as it was estimated by postoperative imaging modalities, was 48.9%. The overall reoperations’ rate was 2.9% regarding the patients who were treated with partial repair. CONCLUSIONS: Arthroscopic partial repair might be a safe and effective alternative treatment for irreparable contracted MRCT, where a complete repair cannot be performed. The methodological quality of the relevant, available literature is low to moderate; therefore, further studies of higher quality are required to confirm these results. |
format | Online Article Text |
id | pubmed-6459454 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-64594542019-05-03 Arthroscopic partial repair for massive rotator cuff tears: does it work? A systematic review Malahias, Michael-Alexander Kostretzis, Lazaros Chronopoulos, Efstathios Brilakis, Emmanouil Avramidis, Grigorios Antonogiannakis, Emmanouil Sports Med Open Systematic Review BACKGROUND: While arthroscopic complete repair of massive rotator cuff tears (MRCT) back to their anatomic footprint is preferential, there are cases where this type of repair is not applicable due to the contraction of the torn tendons. In such cases, a non-anatomic incomplete or partial repair can be performed. A number of clinical studies have investigated the clinical and functional outcomes of arthroscopic partial repair for irreparable MRCT. To our knowledge, no systematic review has been published yet to synthetically evaluate these results. METHODS: Two reviewers independently conducted the search in a PRISMA-compliant systematic way using the MEDLINE/PubMed database and the Cochrane Database of Systematic Reviews. These databases were queried with the terms “arthroscopy”[MeSH Terms] OR arthroscopic surgical procedure [Text Word (tw)] AND massive rotator cuff tears [tw] AND arthroscopic partial repair [tw]. RESULTS: From the 55 initial studies, we finally chose 11 clinical studies which were eligible to our inclusion-exclusion criteria. The mean modified methodology Coleman score was 58/100, whereas it ranged from 41/100 to 78/100. In total, 643 patients were included in this review. All postoperative mean clinical and functional subjective scores, as well as muscle strength of patients treated with arthroscopic partial repair, were found significantly improved, when compared with the respective mean preoperative values. The rate of structural failure of the partial repair, as it was estimated by postoperative imaging modalities, was 48.9%. The overall reoperations’ rate was 2.9% regarding the patients who were treated with partial repair. CONCLUSIONS: Arthroscopic partial repair might be a safe and effective alternative treatment for irreparable contracted MRCT, where a complete repair cannot be performed. The methodological quality of the relevant, available literature is low to moderate; therefore, further studies of higher quality are required to confirm these results. Springer International Publishing 2019-04-11 /pmc/articles/PMC6459454/ /pubmed/30976931 http://dx.doi.org/10.1186/s40798-019-0186-z Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Systematic Review Malahias, Michael-Alexander Kostretzis, Lazaros Chronopoulos, Efstathios Brilakis, Emmanouil Avramidis, Grigorios Antonogiannakis, Emmanouil Arthroscopic partial repair for massive rotator cuff tears: does it work? A systematic review |
title | Arthroscopic partial repair for massive rotator cuff tears: does it work? A systematic review |
title_full | Arthroscopic partial repair for massive rotator cuff tears: does it work? A systematic review |
title_fullStr | Arthroscopic partial repair for massive rotator cuff tears: does it work? A systematic review |
title_full_unstemmed | Arthroscopic partial repair for massive rotator cuff tears: does it work? A systematic review |
title_short | Arthroscopic partial repair for massive rotator cuff tears: does it work? A systematic review |
title_sort | arthroscopic partial repair for massive rotator cuff tears: does it work? a systematic review |
topic | Systematic Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6459454/ https://www.ncbi.nlm.nih.gov/pubmed/30976931 http://dx.doi.org/10.1186/s40798-019-0186-z |
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