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SLAP repair and bicep tenodesis: a comparison of utilization and revision rates for SLAP tears

HYPOTHESIS: The management of superior labrum anterior to posterior (SLAP) tears typically consists of either repair or biceps tenodesis (BT). While repair is more frequently recommended in younger patients, patients older than 40 years are often treated with BT. The purpose of this study is to dete...

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Autores principales: Kreulen, R. Timothy, Agarwal, Amil R., Nayar, Suresh K., Wang, Kevin Y., Miller, Andrew S., Best, Matthew J., Srikumaran, Uma
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9998736/
https://www.ncbi.nlm.nih.gov/pubmed/36911775
http://dx.doi.org/10.1016/j.jseint.2022.11.001
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author Kreulen, R. Timothy
Agarwal, Amil R.
Nayar, Suresh K.
Wang, Kevin Y.
Miller, Andrew S.
Best, Matthew J.
Srikumaran, Uma
author_facet Kreulen, R. Timothy
Agarwal, Amil R.
Nayar, Suresh K.
Wang, Kevin Y.
Miller, Andrew S.
Best, Matthew J.
Srikumaran, Uma
author_sort Kreulen, R. Timothy
collection PubMed
description HYPOTHESIS: The management of superior labrum anterior to posterior (SLAP) tears typically consists of either repair or biceps tenodesis (BT). While repair is more frequently recommended in younger patients, patients older than 40 years are often treated with BT. The purpose of this study is to determine whether there has been a change in utilization of these procedures over the past decade with respect to patient age as well as compare reoperation rates between the two procedures. METHODS: The Pearldiver database was queried to identify BT and SLAP repairs indicated for SLAP tears performed from 2010 to 2019. The primary outcome was utilization rate, stratified by age. A secondary outcome was 2-year shoulder reoperation rates. Trends were reported in terms of compounded annual growth rate. Outcome analysis was conducted using univariate and multivariable analysis. RESULTS: From 2010 to 2019, SLAP repair was the most common procedure performed for SLAP tears. Regardless of age, BT performed for SLAP tear had a significantly increased utilization rate; whereas, SLAP repair had a significantly decreased utilization rate. SLAP repair was more commonly performed in younger patients compared to BT. Following multivariable analysis, patients who underwent SLAP repair had significantly higher odds (odds ratio (OR): 1.453; 95% confidence interval (CI): 1.26-1.68; P < .001) of requiring an arthroscopic reoperation within 2 years when compared to those who underwent BT with no significant difference with respect to 2-year open reoperation. CONCLUSION: Although SLAP repair is still more commonly used to treat SLAP tears than BT, especially for younger patients, the utilization of SLAP repair is decreasing while BT is increasing. The increased utilization of BT may be associated with lower rates of shoulder reoperation for problematic SLAP tears.
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spelling pubmed-99987362023-03-11 SLAP repair and bicep tenodesis: a comparison of utilization and revision rates for SLAP tears Kreulen, R. Timothy Agarwal, Amil R. Nayar, Suresh K. Wang, Kevin Y. Miller, Andrew S. Best, Matthew J. Srikumaran, Uma JSES Int Shoulder HYPOTHESIS: The management of superior labrum anterior to posterior (SLAP) tears typically consists of either repair or biceps tenodesis (BT). While repair is more frequently recommended in younger patients, patients older than 40 years are often treated with BT. The purpose of this study is to determine whether there has been a change in utilization of these procedures over the past decade with respect to patient age as well as compare reoperation rates between the two procedures. METHODS: The Pearldiver database was queried to identify BT and SLAP repairs indicated for SLAP tears performed from 2010 to 2019. The primary outcome was utilization rate, stratified by age. A secondary outcome was 2-year shoulder reoperation rates. Trends were reported in terms of compounded annual growth rate. Outcome analysis was conducted using univariate and multivariable analysis. RESULTS: From 2010 to 2019, SLAP repair was the most common procedure performed for SLAP tears. Regardless of age, BT performed for SLAP tear had a significantly increased utilization rate; whereas, SLAP repair had a significantly decreased utilization rate. SLAP repair was more commonly performed in younger patients compared to BT. Following multivariable analysis, patients who underwent SLAP repair had significantly higher odds (odds ratio (OR): 1.453; 95% confidence interval (CI): 1.26-1.68; P < .001) of requiring an arthroscopic reoperation within 2 years when compared to those who underwent BT with no significant difference with respect to 2-year open reoperation. CONCLUSION: Although SLAP repair is still more commonly used to treat SLAP tears than BT, especially for younger patients, the utilization of SLAP repair is decreasing while BT is increasing. The increased utilization of BT may be associated with lower rates of shoulder reoperation for problematic SLAP tears. Elsevier 2022-12-10 /pmc/articles/PMC9998736/ /pubmed/36911775 http://dx.doi.org/10.1016/j.jseint.2022.11.001 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Shoulder
Kreulen, R. Timothy
Agarwal, Amil R.
Nayar, Suresh K.
Wang, Kevin Y.
Miller, Andrew S.
Best, Matthew J.
Srikumaran, Uma
SLAP repair and bicep tenodesis: a comparison of utilization and revision rates for SLAP tears
title SLAP repair and bicep tenodesis: a comparison of utilization and revision rates for SLAP tears
title_full SLAP repair and bicep tenodesis: a comparison of utilization and revision rates for SLAP tears
title_fullStr SLAP repair and bicep tenodesis: a comparison of utilization and revision rates for SLAP tears
title_full_unstemmed SLAP repair and bicep tenodesis: a comparison of utilization and revision rates for SLAP tears
title_short SLAP repair and bicep tenodesis: a comparison of utilization and revision rates for SLAP tears
title_sort slap repair and bicep tenodesis: a comparison of utilization and revision rates for slap tears
topic Shoulder
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9998736/
https://www.ncbi.nlm.nih.gov/pubmed/36911775
http://dx.doi.org/10.1016/j.jseint.2022.11.001
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