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Separate double-layer repair versus en masse repair for delaminated rotator cuff tears: a systematic review and meta-analysis

OBJECTIVE: Delaminated rotator cuff tears are a common shoulder disorder in elderly individuals. Either arthroscopic separate double-layer repair (DR) or en masse repair (ER) is used to treat a delaminated rotator cuff tear. We conducted this systematic review and meta-analysis to compare the clinic...

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Autores principales: Chen, Jia, Zheng, Zhen-Yang, Ren, Yi-Ming
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222332/
https://www.ncbi.nlm.nih.gov/pubmed/32404146
http://dx.doi.org/10.1186/s13018-020-01689-4
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author Chen, Jia
Zheng, Zhen-Yang
Ren, Yi-Ming
author_facet Chen, Jia
Zheng, Zhen-Yang
Ren, Yi-Ming
author_sort Chen, Jia
collection PubMed
description OBJECTIVE: Delaminated rotator cuff tears are a common shoulder disorder in elderly individuals. Either arthroscopic separate double-layer repair (DR) or en masse repair (ER) is used to treat a delaminated rotator cuff tear. We conducted this systematic review and meta-analysis to compare the clinical outcomes of arthroscopic ER versus DR intervention. METHODS: Five studies were acquired from PubMed, Medline, Embase, CNKI, Google, and the Cochrane Library. The data were extracted by two of the coauthors independently and were analyzed with RevMan 5.3. Mean differences (MDs), odds ratios (ORs), and 95% confidence intervals (CIs) were calculated. The Cochrane Collaboration’s risk of bias tool and Newcastle–Ottawa Scale were used to assess the risk of bias. RESULTS: Five studies, including two randomized controlled trials (RCTs) and three observational studies, were assessed. The methodological quality of the trials ranged from low to high. The pooled results for the Shoulder Rating Scale of the University of California at Los Angeles (UCLA) score, visual analog scale (VAS) score, Constant score, and range of motion (ROM) showed that the outcomes were not statistically significant between the two interventions. The difference in retear rate was not statistically significant (OR = 0.69, 95% CI = 0.36–1.33, P = 0.27). The sensitivity analysis proved the stability of the pooled results, and publication bias was not apparent. CONCLUSIONS: Both arthroscopic ER and DR interventions had benefits in delaminated rotator cuff tear treatment. ER and DR treatments were equally effective and had the same retear rate. The arthroscopic DR technique could not be recommended as the optical choice for delaminated rotator cuff tears based on current evidence.
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spelling pubmed-72223322020-05-20 Separate double-layer repair versus en masse repair for delaminated rotator cuff tears: a systematic review and meta-analysis Chen, Jia Zheng, Zhen-Yang Ren, Yi-Ming J Orthop Surg Res Systematic Review OBJECTIVE: Delaminated rotator cuff tears are a common shoulder disorder in elderly individuals. Either arthroscopic separate double-layer repair (DR) or en masse repair (ER) is used to treat a delaminated rotator cuff tear. We conducted this systematic review and meta-analysis to compare the clinical outcomes of arthroscopic ER versus DR intervention. METHODS: Five studies were acquired from PubMed, Medline, Embase, CNKI, Google, and the Cochrane Library. The data were extracted by two of the coauthors independently and were analyzed with RevMan 5.3. Mean differences (MDs), odds ratios (ORs), and 95% confidence intervals (CIs) were calculated. The Cochrane Collaboration’s risk of bias tool and Newcastle–Ottawa Scale were used to assess the risk of bias. RESULTS: Five studies, including two randomized controlled trials (RCTs) and three observational studies, were assessed. The methodological quality of the trials ranged from low to high. The pooled results for the Shoulder Rating Scale of the University of California at Los Angeles (UCLA) score, visual analog scale (VAS) score, Constant score, and range of motion (ROM) showed that the outcomes were not statistically significant between the two interventions. The difference in retear rate was not statistically significant (OR = 0.69, 95% CI = 0.36–1.33, P = 0.27). The sensitivity analysis proved the stability of the pooled results, and publication bias was not apparent. CONCLUSIONS: Both arthroscopic ER and DR interventions had benefits in delaminated rotator cuff tear treatment. ER and DR treatments were equally effective and had the same retear rate. The arthroscopic DR technique could not be recommended as the optical choice for delaminated rotator cuff tears based on current evidence. BioMed Central 2020-05-13 /pmc/articles/PMC7222332/ /pubmed/32404146 http://dx.doi.org/10.1186/s13018-020-01689-4 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Systematic Review
Chen, Jia
Zheng, Zhen-Yang
Ren, Yi-Ming
Separate double-layer repair versus en masse repair for delaminated rotator cuff tears: a systematic review and meta-analysis
title Separate double-layer repair versus en masse repair for delaminated rotator cuff tears: a systematic review and meta-analysis
title_full Separate double-layer repair versus en masse repair for delaminated rotator cuff tears: a systematic review and meta-analysis
title_fullStr Separate double-layer repair versus en masse repair for delaminated rotator cuff tears: a systematic review and meta-analysis
title_full_unstemmed Separate double-layer repair versus en masse repair for delaminated rotator cuff tears: a systematic review and meta-analysis
title_short Separate double-layer repair versus en masse repair for delaminated rotator cuff tears: a systematic review and meta-analysis
title_sort separate double-layer repair versus en masse repair for delaminated rotator cuff tears: a systematic review and meta-analysis
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222332/
https://www.ncbi.nlm.nih.gov/pubmed/32404146
http://dx.doi.org/10.1186/s13018-020-01689-4
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