Do functional outcomes and cuff integrity correlate after single- versus double-row rotator cuff repair? A systematic review and meta-analysis study

Sobhy, Mohamed H.; Khater, A. H.; Hassan, Medhat Ragab; Shazly, Ossama El

doi:10.1007/s00590-018-2145-7

Cited by 40 publications

(67 citation statements)

References 53 publications

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“…This was similar to previous researches (13,32,41). It means that DR repair technique could provide better structural integrity, and then transfer to better clinical outcomes (41). However, in our study, only the result of UCLA score was statistically significant.…”

Section: Discussionsupporting

confidence: 91%

“…This meta-analysis revealed a lower overall re-tear rate and partial re-tear rate and shown more intact rotator cuff in the DR group than SR group. This was similar to previous researches (13,32,41). It means that DR repair technique could provide better structural integrity, and then transfer to better clinical outcomes (41).…”

Section: Discussionsupporting

confidence: 89%

“…Lots of meta-analyses (13,32,36,37,40,41,(49)(50)(51)(52) were performed to compare the clinical and radiographic outcomes of DR and SR fixation method. However, most of articles (13,36,37,(50)(51)(52) included not only randomized controlled trials, but also no randomized controlled trials or level Ⅲ…”

Section: Discussionmentioning

confidence: 99%

“…Compared with SR fixation, however, DR didn't show a significant difference in clinical and radiological outcomes (1,19,21). Numbers of meta-analysis (13,32,36,37,40,41,(49)(50)(51)(52) were done to compare DR and SR fixation method. However, the inclusion of no randomized controlled trials or level Ⅲ studies may be a potential source of heterogeneity in these articles (13,36,37,(50)(51)(52), which lead the analysis of DR and SR group to bias.…”

Section: Introductionmentioning

confidence: 99%

“…However, the inclusion of no randomized controlled trials or level Ⅲ studies may be a potential source of heterogeneity in these articles (13,36,37,(50)(51)(52), which lead the analysis of DR and SR group to bias. Otherwise, other articles (32,40,41,49) were analyzed in short-term follow-up, which didn't give enough time for DR to reveal better clinical and radiological outcomes than SR repair.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Arthroscopic single-row versus double-row repair rotator cuff tear: a meta-analysis of randomized controlled trials at 2-years minimum follow-up

Chen¹,

Huang²,

Zhang³

et al. 2019

Preprint

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Objective: The purpose of this study was to perform a meta-analysis of all available randomized controlled trials at 2-years minimum follow-up, to compare the clinical outcomes and radiological re-tear rates between single-row (SR) and double-row (DR) fixation. Methods: PubMed, EMBASE, and Cochrane databases search were performed for meta-analysis. Randomized controlled trials at 2-years minimum follow-up which comparing clinical outcomes and radiological re-tear rates between single-row and double-row fixation for rotator cuff repair. Clinical outcomes included the American Shoulder and Elbow Surgeons score (ASES), University of California–Los Angeles score (UCLA), and Constant score; the radiological re-tear rate was assessed by Magnetic Resonance Imaging (MRI), Magnetic Resonance Angiography (MRA)or Ultrasonic (US). Two trained authors extracted data from all included articles, and if there are different opinions, the final decision would be made by the senior professor after reviewed the article.Results: Six Level Ⅰ articles and two Level Ⅱ articles were included. In clinical outcomes, ASES, Constant score and forward flexion range of motion (ROM) showed no statistically significant difference between DR fixation and SR fixation technique at 2-years follow-up (P=0.61, P=0.19, P=0.17). UCLA score and internal rotation ROM were significantly better in DR group (P=0.005, P=0.001). DR repair showed less overall re-tear and partial re-tear rate and more intact rotator cuff than SR repair in radiological outcomes after 2-years follow-up (P=0.0002, P=0.02, P=0.0003).Conclusion: The best current available evidence suggest that DR fixation technique have similar outcomes in ASES, Constant score and forward flexion ROM with SR fixation. However, DR group show higher UCLA score, greater internal rotation ROM and better radiological outcomes (include less overall re-tear and partial re-tear rate and more intact rotator cuff) than SR group after 2-years follow-up.Level of Evidence: Level Ⅱ, meta-analysis

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