scholarly journals Patients With Diabetes Mellitus Have a Higher Risk of Tendon Retear After Arthroscopic Rotator Cuff Repair: A Meta-analysis

2020 ◽  
Vol 8 (11) ◽  
pp. 232596712096140 ◽  
Author(s):  
Chih-Kai Hong ◽  
Chao-Jui Chang ◽  
Fa-Chuan Kuan ◽  
Kai-Lan Hsu ◽  
Yueh Chen ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Systematic Review ◽  
Rotator Cuff ◽  
Rotator Cuff Repair ◽  
English Language ◽  
Arthroscopic Rotator Cuff Repair ◽  
Inclusion Criteria ◽  
Level Of Evidence ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair

Background: Retear of a repaired rotator cuff tendon is a major issue for shoulder surgeons. It is possible that diabetes mellitus (DM) is associated with a greater risk of tendon retear after arthroscopic rotator cuff repair. Purpose: To determine whether patients with DM have a higher tendon retear risk after arthroscopic rotator cuff repair. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic review was conducted following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines using the Web of Science, PubMed, and Embase databases. Inclusion criteria were articles written in the English language that included patients undergoing arthroscopic rotator cuff repair surgeries, reported the numbers of patients with and those without DM, and reported the number of rotator cuff retears. Data relevant to this study were extracted and statistically analyzed. Random-effects models were used to generate pooled odds ratio estimates and CIs. Results: A total of 160 studies were identified from the initial search, and 5 of them met the inclusion criteria. A total of 1065 patients (207 patients with DM and 858 patients without DM) were included. The pooled results showed that the patients in the DM group had a significantly higher tendon retear risk than did those in the non-DM group (relative risk, 2.25; 95% CI, 1.14-4.45; P = .02). Conclusion: Patients with DM have a 2.25 times higher risk of tendon retear after arthroscopic rotator cuff repair compared with patients without DM.

scholarly journals Arthroscopic rotator cuff repair in patients over 70 years of age: a systematic review

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Chiara Fossati ◽  
Carlo Stoppani ◽  
Alessandra Menon ◽  
Luca Pierannunzii ◽  
Riccardo Compagnoni ◽  
...  
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
Rotator Cuff Repair ◽  
Arthroscopic Rotator Cuff Repair ◽  
Level Of Evidence ◽  
Simple Shoulder Test ◽  
Objective Outcomes ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair ◽  
Retear Rate

Abstract Background Failure of conservative treatment in patients over 70 years of age with a rotator cuff tear makes surgery a possible option, considering the increase in life expectancy and the high functional demands of elderly patients. The purpose of this systematic review of the literature was to evaluate the subjective and objective outcomes after arthroscopic rotator cuff repair in patients over 70 years of age. Methods A systematic review was performed to identify all the studies reporting subjective and objective outcomes in patients aged 70 years or older undergoing arthroscopic rotator cuff repair. Constant Murley Score (CMS), visual analog scale (VAS), American Shoulder and Elbow Surgeons Score (ASES), and Simple Shoulder Test (SST) were used to detect any clinical improvement after surgery. Retear and satisfaction were also analyzed. Results Out of 941 studies identified, only 6 papers have been included in the review. All studies reported improvements in postoperative functional outcome scores that exceed the minimal clinically relevant difference. The mean retear rate amounts to 21.9%, which is in line with the failure rate of rotator cuff repair in general population. Moreover, postoperative satisfaction is very high (95%). Conclusion This systematic review suggests that arthroscopic rotator cuff repair in patients over 70 years of age could be a valid treatment option after failure of conservative approach. Level of evidence: 4 Trial registration The study was registered on PROSPERO (registration ID: CRD42018088613)

Systematic Review of Arthroscopic Rotator Cuff Repair and Mini-Open Rotator Cuff Repair

2007 ◽  
Vol 89 ◽  
pp. 127-136 ◽  
Author(s):  
Shane J. Nho ◽  
Michael K. Shindle ◽  
Seth L. Sherman ◽  
Kevin B. Freedman ◽  
Stephan Lyman ◽  
...  
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
Rotator Cuff Repair ◽  
Arthroscopic Rotator Cuff Repair ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair ◽  
Mini Open

Systematic Review of Arthroscopic Rotator Cuff Repair and Mini-Open Rotator Cuff Repair

2007 ◽  
Vol 89 (suppl 1) ◽  
pp. 127-136 ◽  
Author(s):  
Shane J. Nho ◽  
Michael K. Shindle ◽  
Seth L. Sherman ◽  
Kevin B. Freedman ◽  
Stephan Lyman ◽  
...  
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
Rotator Cuff Repair ◽  
Arthroscopic Rotator Cuff Repair ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair ◽  
Mini Open

Arthroscopic Rotator Cuff Repair: Impact of Diabetes Mellitus on Patient Outcomes

2013 ◽  
Vol 41 (1) ◽  
pp. 22-29 ◽  
Author(s):  
Yasmin Dhar ◽  
Oke A. Anakwenze ◽  
Barbara Steele ◽  
Santiago A. Lozano Calderon ◽  
Joseph A. Abboud
Keyword(s):  
Diabetes Mellitus ◽  
Rotator Cuff ◽  
Patient Outcomes ◽  
Rotator Cuff Repair ◽  
Arthroscopic Rotator Cuff Repair ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair

scholarly journals Bone marrow-stimulating techniques in arthroscopic rotator cuff repair: a systematic review protocol

BMJ Open ◽  
2018 ◽  
Vol 8 (9) ◽  
pp. e022086
Author(s):  
Liang-Tseng Kuo ◽  
Chi-Lung Chen ◽  
Pei-An Yu ◽  
Yu-Shiun Tsai ◽  
Wei-Hsiu Hsu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
Rotator Cuff Repair ◽  
Meta Analysis ◽  
Tendon Healing ◽  
Risk Of Bias ◽  
Arthroscopic Rotator Cuff Repair ◽  
Controlled Trials ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair

IntroductionBone marrow-stimulating (BMS) techniques during arthroscopic rotator cuff repair surgery theoretically enhance the biological component for healing and hence improve tendon healing, but their efficacy remains unproven. The purpose of this review is to determine the effects and associated harms of BMS in arthroscopic rotator cuff repair surgery.Methods and analysisWe will perform a systematic review and meta-analysis of randomised-controlled trials (RCTs) and retrospective cohort studies (RCS) that compare outcomes following BMS use against no use of BMS during arthroscopic rotator cuff repair surgery. We will search the databases including the Cochrane Central Register of Controlled Trials, Medline and Embase, and clinical trial registries for relevant studies. We will include studies published from start of indexing until 23 August 2018. Two reviewers will independently assess the eligibility for studies. For each included trial, we will conduct duplicate independent data extraction and risk of bias assessment. We will use the Cochrane Collaboration tool to assess the risk of bias of included RCTs, while we will use the Risk Of Bias In Non-randomised Studies - of Interventions tool to evaluate the risk of bias of RCS. We will perform a random-effects meta-analysis in calculating the pooled risk estimates when appropriate. We will assess the overall quality of the data for each individual outcome using the Grading of Recommendations, Assessments, Development and Evaluation approach. The primary outcomes are tendon healing rate, overall pain and shoulder functions. The secondary outcomes are the proportion of participants with adverse events related to interventions, the range of motion and the proportion of participants with return to previous activities.Ethics and disseminationWe will report this review according to the guidance of the PRISMA statement. The results of this review will be disseminated through conference presentations and publications in peer-reviewed journals.PROSPERO registration numberCRD42018087161.

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