scholarly journals Clinical Outcomes of Interposition Graft Versus Superior Capsular Reconstruction in Patients With Irreparable Rotator Cuff Tears: A Systematic Review and Meta-analysis

2021 ◽  
Vol 9 (9) ◽  
pp. 232596712110222
Author(s):  
Samuel Baek ◽  
Myung Ho Shin ◽  
Tae Min Kim ◽  
Je Min Im ◽  
Kyung-Soo Oh ◽  
...  
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
Complication Rate ◽  
Meta Analysis ◽  
Rotator Cuff Tears ◽  
Superior Capsular Reconstruction ◽  
Surgical Methods ◽  
Lower Complication ◽  
Lower Complication Rate ◽  
Retear Rate

Background: Interposition grafting (IG), also called bridging grafting, and superior capsular reconstruction (SCR) are the most commonly used joint-preserving surgical methods for irreparable rotator cuff tears (RCTs). Purpose: To compare the effectiveness of IG versus SCR to treat patients with irreparable RCTs. Study Design: Systematic review; Level of evidence, 4. Methods: A literature search was performed in MEDLINE, Embase, and Scopus. Included in this review were clinical studies evaluating the effect of IG or SCR in patients with irreparable RCTs with a minimum follow-up of 1 year. Various clinical results from the studies were extracted and compared between IG and SCR, and among them, the results of the American Shoulder and Elbow Surgeons score, graft retear rate, and complication rate were included in the meta-analysis. Results: Of 1638 identified articles, 17 (10 studies of IG involving 321 patients and 7 studies of SCR involving 357 patients) were selected. Both surgical methods showed significantly improved clinical outcomes in all but 1 study; however, the IG group had lower pain visual analog scale score, higher Constant score, and bigger active forward flexion and internal rotation compared with the SCR group (all P < .001). The meta-analysis showed no difference in the American Shoulder and Elbow Surgeons score between groups ( P = .44), but showed a significantly lower complication rate in the IG group compared with the SCR group (1.12% vs 8.37%, respectively; P < .001). The graft retear rate was not significantly different between groups (IG = 10.64% vs SCR = 12.67%; P = .79). The meta-analysis of graft type indicated no difference between groups in retear rate (autograft: 95% CI, 0.045-0.601; I2 = 93.28 [IG], 91.27 [SCR]; P = .22; allograft: 95% CI, 0.041-0.216; I2 = 80.39 [IG], 69.12 [SCR]; P = .64) or complication rate (autograft: 95% CI, 0.009-0.150; I2 = 0 [IG], 65.89 [SCR]; P = .25; allograft: 95% CI, 0.012-0.081; I2 = 0 [IG], 30.62 [SCR]; P = .09). Conclusion: Both IG and SCR techniques resulted in improvement in patients with irreparable RCTs. Meta-analysis showed a lower complication rate in the IG group; however, the lack of randomized studies limited our conclusions.

Arthroscopic superior capsular reconstruction versus latissimus dorsi transfer for irreparable rotator cuff lesions: a systematic review

2020 ◽  
Vol 134 (1) ◽  
pp. 85-96
Author(s):  
Leonardo Osti ◽  
Lorenzo Milani ◽  
Emanuele Gerace ◽  
Sara Padovani ◽  
Leo Massari ◽  
...  
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
Complication Rate ◽  
Latissimus Dorsi ◽  
Latissimus Dorsi Transfer ◽  
Superior Capsular Reconstruction ◽  
Lower Complication ◽  
Lower Complication Rate ◽  
Rotator Cuff Lesions ◽  
Meta Analyses

Abstract Introduction The present systematic review compared arthroscopic superior capsular reconstruction (ASCR) and latissimus dorsi transfer (ALDT) for the management of massive irreparable rotator cuff lesions. Sources of data We performed a systematic review searching the literature on Medline, Cochrane and Scopus databases, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Areas of agreement We included a total of 20 articles, 10 on ASCR and 10 on ALDT (12 retrospective and 8 prospective studies), all published between 2013 and 2019. Areas of controversy ASCR and ALDT are technical demanding procedures. When compared to each other, they do not produce significantly different improvements in clinical outcome. Growing points Both ASCR and ALDT are valid options for surgical management of MIRCLs. Although ALDT has shown a greater complication rate and a less improvement in acromion-humeral distance, its clinical outcomes overlap those obtained with ASCR. Areas timely for developing research Further comparative prospective and retrospective studies with longer follow-up could confirm which surgical procedure can lead to better outcomes with a lower complication rate.

scholarly journals An Evidence-Based Approach to Assess the Accuracy of MRI in Diagnosing Rotator Cuff Tears: A Systematic Review and Meta-Analysis

2019 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Wen-Fei Li ◽  
Tahir Mehmood Shakir ◽  
Yuemei Zhao ◽  
Tao Chen ◽  
Chen Niu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
Meta Analysis ◽  
Rotator Cuff Tears ◽  
Evidence Based

Treatment of Rotator Cuff Tears: A Systematic Review and Meta-Analysis

2021 ◽  
Author(s):  
Peter Lapner ◽  
Patrick Henry ◽  
George S. Athwal ◽  
Joel Moktar ◽  
Daniel McNeil ◽  
...  
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
Meta Analysis ◽  
Rotator Cuff Tears

scholarly journals Efficacy of concomitant acromioplasty in the treatment of rotator cuff tears: A systematic review and meta-analysis

PLoS ONE ◽  
2018 ◽  
Vol 13 (11) ◽  
pp. e0207306 ◽  
Author(s):  
Cong Cheng ◽  
Bin Chen ◽  
Hongwei Xu ◽  
Zhongwei Zhang ◽  
Weibin Xu
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
Meta Analysis ◽  
Rotator Cuff Tears

scholarly journals Systematic review on risk factors of rotator cuff tears

2017 ◽  
Vol 25 (1) ◽  
pp. 230949901668431 ◽  
Author(s):  
Andrew Arjun Sayampanathan ◽  
Tan Hwee Chye Andrew
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Rotator Cuff ◽  
Meta Analysis ◽  
Random Effect ◽  
Female Gender ◽  
Analysis Data ◽  
Rotator Cuff Tears ◽  
Dominant Hand ◽  
Random Effect Models

Purpose: Rotator cuff tears (RCTs) occur commonly, especially among certain groups of individuals. In this meta-analysis, we aim to identify risk factors for RCTs. Methods: We searched MEDLINE for 210 articles. Seventeen articles were selected for systematic review, of which 10 were eligible for meta-analysis. Data was analysed with Review Manager 5.3, using Mantel–Haenszel statistics and random effect models. Results: A total of 6653 individuals were analysed. The odds of sustaining a RCT on the dominant hand was 2.30 times more than the non-dominant hand (95% confidence interval (CI): 1.01–5.25, Z = 1.99, p = 0.05; Heterogenity: τ2 = 0.38, χ2 = 8.84, df = 2 ( p = 0.01), I2 = 77%). The odds of an individual aged 60 years and above sustaining a RCT was 5.07 times higher than an individual less than 60 years old (95% CI: 2.45–10.51, Z = 4.37, p < 0.001; Heterogenity: τ2 = 0.47, χ2 = 25.24, df = 3 ( p < 0.001), I2 = 88%). Female gender was not a significant association, with an odds ratio of 0.98 when compared to the male gender (95% CI: 0.66–1.45, Z = 0.09, p = 0.93; Heterogenity: τ2 = 0.20, χ2 = 44.24, df = 5 ( p < 0.001), I2 = 89%). Conclusions: Hand dominance and older age are associated with RCTs. More studies are required for further assessment of associations and risk factors of RCTs.

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