Arthroscopic Rotator Cuff Repair Results in Improved Clinical Outcomes and Low Revision Rates at 10-Year Follow-Up: A Systematic Review

Davey, Martin S.; Hurley, Eoghan T.; Carroll, Patrick; Galbraith, John G.; Shannon, Fintan J.; Kaar, K.; Mullett, Hannan

doi:10.1016/j.arthro.2022.11.002

Cited by 30 publications

(25 citation statements)

References 25 publications

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Section: Existing Therapies At the Healing Of The Fibrocartilaginous ...mentioning

confidence: 99%

“…58 Furthermore, an observation of functional, radiological, and revision rates at least 10 years after RCR showed that the total recurrence rate of rotator cuff tears in asymptomatic patients can reach 30%. 59 In addition to surgical repair and reconstruction, researchers have been developing adjunctive treatments based on the physiological process of fibrocartilaginous enthesis healing for the past decade, such as stem cell therapy, 60 platelet-rich plasma (PRP), 61 and local physiotherapy. 62 First, the main objective of using stem cell therapy is to improve the healing environment of the fibrocartilaginous enthesis and simulate enthesis healing process by differentiating mesenchymal stem cells (MSCs) into different tissues.…”

Section: Limitations Of Existing Therapiesmentioning

confidence: 99%

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Nanofibrous scaffolds for the healing of the fibrocartilaginous enthesis: advances and prospects

Li¹,

Ren²,

Xue³

et al. 2023

Nanoscale Horiz.

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Section: Existing Therapies At the Healing Of The Fibrocartilaginous ...mentioning

confidence: 99%

Section: Limitations Of Existing Therapiesmentioning

confidence: 99%

Nanofibrous scaffolds for the healing of the fibrocartilaginous enthesis: advances and prospects

Li¹,

Ren²,

Xue³

et al. 2023

Nanoscale Horiz.

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show abstract

“…Shoulder arthroscopy has proven to be very successful in the treatment of various shoulder conditions and is generally considered a safe procedure and is widely used 1 . In various studies, the incidence of deep infection after shoulder arthroscopy is low compared to the open surgery 2 .…”

Section: Figmentioning

confidence: 99%

“…Shoulder arthroscopy has proven to be very successful in the treatment of various shoulder conditions and is generally considered a safe procedure and is widely used. 1 In various studies, the incidence of deep infection after shoulder arthroscopy is low compared to the open surgery. 2 The cystic change around the anchor is a complication related to the anchor after the rotator cuff repair, 3,4 but the formation of huge abscess is rare.…”

mentioning

confidence: 99%

Bone abscess formation around suture anchors after double‐row fixation in arthroscopic rotator cuff repair

Ren

Wang

et al. 2023

ANZ Journal of Surgery

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“…Even though comparable results have been reported between surgery and nonoperative treatment in short term [23], especially for small‐ and medium‐sized RCTs, conservative management is associated with increase in tear size and inferior outcomes in long term [26]. Therefore, aRCR has been reported to be a successful treatment with significant pain relief and satisfactory functional improvement [7].…”

Section: Introductionmentioning

confidence: 99%

Gender and degree of tendon healing are independent predictive factors for clinical outcome in successfully healed rotator cuff tears

Şahin

Albayrak

Şentürk³

et al. 2023

Knee surg. sports traumatol. arthrosc.

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Purpose Arthroscopic rotator cuf repair (aRCR) is a commonly performed procedure and has been reported to be a successful treatment. Successful healing has traditionally been considered to be associated with good outcome; however, knowledge on predictive factors afecting inal outcome other than tendon healing is limited. This study aims to investigate predictive factors inluencing clinical outcome following aRCR in patients with successfully healed tears. Methods This retrospective case-control study was conducted in a single center with 135 patients who had successfully healed tendons based on Sugaya classiication (grades I-III) on postoperative magnetic resonance imaging (MRI) scans following aRCR. Clinical outcome measures included Constant-Murley score (CMS), range of motion (ROM), pain score. Various preoperative, intraoperative factors and degree of postoperative tendon healing were assessed to identify independent predictive factors for inal clinical outcome. Results Mean age of patients was 55.9 ± 9.0 years and mean follow-up duration was 46.8 ± 14.9 months. There were 50 (37%) male and 85 (63.0%) female patients. At inal follow-up, mean CMS was 85.7 ± 12.0. Considering mean postoperative CMS and the minimal clinically important diference (MCID) of 10 points for CMS, a cutof level of 75 points for CMS was set (85-10 = 75) and study population was divided into two study groups (group I, poor outcome, CMS ≤ ;75, and group II, good outcome, CMS > 75). There were 24 (17.8%) patients in group I and 111 (82.2%) patients in group II. Univariate analysis revealed that gender, body mass index (BMI) and degree of tendon healing (Sugaya classiication) difered signiicantly between two groups (p < 0.05). Multivariate logistic regression analysis which was conducted with these variables showed that female gender (odds ratio 3.65) and Sugaya grade III (odds ratio 8.19) were independent predictive factors which were signiicantly associated with poor outcome (p < 0.05). Conclusions This study showed that despite achieving a successful healing, considerable amount of patients (17.8%) have ended up with poor outcome. Female gender and degree of tendon healing were identiied as independent predictive factors for poor outcome. These data would help surgeons during decision-making, risk assessment and patient counseling. Level of evidence III.

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Arthroscopic Rotator Cuff Repair Results in Improved Clinical Outcomes and Low Revision Rates at 10-Year Follow-Up: A Systematic Review

Cited by 30 publications

References 25 publications

Nanofibrous scaffolds for the healing of the fibrocartilaginous enthesis: advances and prospects

Nanofibrous scaffolds for the healing of the fibrocartilaginous enthesis: advances and prospects

Bone abscess formation around suture anchors after double‐row fixation in arthroscopic rotator cuff repair

Gender and degree of tendon healing are independent predictive factors for clinical outcome in successfully healed rotator cuff tears

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