Prospective 1-Year Outcomes Are Maintained at Short-Term Final Follow-Up After Superior Capsular Reconstruction Augmentation of Complete Rotator Cuff Repair

Degan, Timothy J; Hartzler, Robert U.; Rahal, Andres; DeBerardino, Thomas M.; Burkhart, Stephen S.

doi:10.1016/j.arthro.2021.11.008

Cited by 7 publications

(7 citation statements)

References 26 publications

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“…Four studies (372 patients) performed a VAS evaluation and revealed no significant difference between RCR with BMS and RCR alone (mean difference, 0.11; 95% CI, − 0.21 to 0.43; I2 = 41%; P = 0.51) (Fig. 3, B) [16, 20, 27, 28]. The mean difference in the VAS score did not reach the MCID threshold.…”

Section: Resultsmentioning

confidence: 99%

The role of bone marrow stimulation in rotator cuff repair: a systematic review and meta‐analysis

Yang

Jiang

et al. 2023

J. exp. orthop.

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Purpose The objective of this study was to investigate whether RCR (rotator cuff repair) with BMS (bone marrow stimulation) can provide a lower retear rate and better shoulder function than arthroscopic RCR alone in rotator cuff tear (RCT) patients. Method The PubMed, Cochrane Library, EMBASE and Web of Science databases were searched until Feb 2022. Risk of bias for randomized controlled trials was evaluated by two independent reviewers with Cochrane collaboration risk bias of tool, and that for cohort studies was evaluated with the Newcastle–Ottawa Scale (NOS). The primary outcome was the retear rate. Secondary outcomes included the American Shoulder and Elbow Surgeons (ASES) score, University of California, Los Angeles Shoulder Scale (UCLA) score, Constant-Murley score (CMS) and visual analogue scale (VAS) score. Subgroup analysis was performed to explore the effect of suture method and tear size on BMS procedure. Result Five randomized controlled trials and four cohort studies with a total of 827 patients were included. The pooled retear rate between the RCR with BMS group and the RCR alone group was significantly different (17.5% vs. 28.9%; P < 0.0001). There were no differences in the ASES score, UCLA score and VAS score. The CMS was significantly higher in RCR with BMS group than the RCR alone groups (P = 0.02), while the difference was well below the MCID. RCR with BMS resulted in a significantly lower retear rate than RCR alone for large and massive RCTs (19.7% vs. 32.5%; P = 0.01). Conclusion Compared with RCR alone, RCR with BMS can significantly reduce the retear rate in arthroscopic RCT patients while not clinically relevant differences were found. BMS may further reduce the retear rate of large and massive RCTs. Level of evidence Level III; Systematic Review and Meta-analysis.

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Section: Resultsmentioning

confidence: 99%

The role of bone marrow stimulation in rotator cuff repair: a systematic review and meta‐analysis

Yang

Jiang

et al. 2023

J. exp. orthop.

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“…Recent clinical studies have shown that structural augmentation for reparable or partially reparable cuff tears in ARCR improves postoperative cuff integrity. 2 , 10 , 15 , 40 , 52 , 61 Mihata et al 40 reported that almost all patients who underwent SCR using a fascia lata autograft for reinforcement of ARCR achieved healing of the torn tendon with favorable thickness and quality. Llinas et al 36 reported that the use of the LHBT for partial SCR to augment massive rotator cuff tears resulted in modestly improved pain and functional outcomes and markedly lower retear rates (14.3% vs. 46%) compared with repair alone.…”

Section: Discussionmentioning

confidence: 99%

“…Several authors have reported that superior capsule reconstruction (SCR) augmentation may improve cuff integrity and stability in patients who undergo complete or partial cuff repair. 2 , 10 , 15 , 40 , 52 , 61 The long head of the biceps tendon (LHBT) has previously been used to create an autograft for SCR augmentation. 2 , 10 , 36 , 38 The LHBT is located inside the shoulder joint and has been successfully used to augment support during rotator cuff repair against biomechanical forces.…”

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confidence: 99%

Arthroscopic superior capsule reconstruction augmentation using a semitendinosus autograft in massive reparable rotator cuff tears

Funakoshi,

Takahashi,

Murayama

et al. 2024

JSES International

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“…Furthermore, these patients achieved substantial clinical benefit and PASS as soon at 14–19 months after surgery. In previous studies, pain and functional outcomes significantly improved from 1 year [7, 19, 27] to 2 years[14, 25] after arthroscopic superior capsular reconstruction, potentially explaining why most patients achieved clinically significant outcomes at 1 year and the number continued to increase until 2 years postoperatively. Furthermore, most patients had persistent improvements for clinically significant outcomes from postoperative 1–2 years, indicating that patients could achieve stable clinically significant benefits during this period.…”

Section: Discussionmentioning

confidence: 99%

Time required to achieve clinically significant outcomes after arthroscopic superior capsular reconstruction

Ben,

Zeng,

Kholinne

et al. 2023

Knee surg. sports traumatol. arthrosc.

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Purpose To investigate the time-dependent nature of clinically significant outcomes, including the minimal clinically important difference (MCID), substantial clinical benefit, and Patient Acceptable Symptomatic State (PASS) after arthroscopic superior capsular reconstruction, and the factors contributing to the achievement of early clinically significant outcomes. Methods Patients who underwent ASCR between March 2015 and September 2020 with complete preoperative and postoperative 6-month, 1-year, and 2-year patient-reported outcome measures (PROMs) were retrospectively analysed. Threshold values for MCID, substantial clinical benefit, and PASS were obtained from the previous literature for the PROMs. The time required to achieve clinically significant outcomes was calculated using Kaplan-Meier analysis. Multivariate Cox regression was performed to evaluate the variables predictive of an earlier or delayed achievement of MCID. Results Fifty-nine patients with a mean age of 64.5 ± 8.7 years old were included. The time of mean achievement of MCID, substantial clinical benefit, and PASS for VAS was 11.2 ± 0.9, 16.3 ± 1.1, and 16.6 ± 0.9 months, respectively. The time of mean achievement of MCID, substantial clinical benefit, and PASS for ASES was 13.2 ± 1.0, 16.8 ± 1.0, and 18.3 ± 0.9 months, respectively. The time of mean achievement of MCID, substantial clinical benefit, and PASS for the Constant score was 11.6 ± 0.9, 15.1 ± 1.0, and 14.7 ± 0.9 months, respectively. The time of mean achievement of MCID, substantial clinical benefit, and PASS for SANE was 14.4 ± 1.0, 16.1 ± 1.0, and 15.5 ± 0.8 months, respectively. Patients with a higher preoperative VAS score achieved an earlier MCID for VAS (P = 0.014). However, patients with a higher preoperative ASES and SANE scores achieved delayed MCID for ASES and SANE (P = 0.026, and P < 0.001, respectively). Conclusion Most patients achieved MCIDs around 1 year after arthroscopic superior capsular reconstruction. A higher preoperative VAS score favours faster MCID achievement, while higher preoperative ASES and SANE scores contribute to delayed MCID achievement. Study design Cohort studyLevel of evidence Level IV.

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Prospective 1-Year Outcomes Are Maintained at Short-Term Final Follow-Up After Superior Capsular Reconstruction Augmentation of Complete Rotator Cuff Repair

Cited by 7 publications

References 26 publications

The role of bone marrow stimulation in rotator cuff repair: a systematic review and meta‐analysis

The role of bone marrow stimulation in rotator cuff repair: a systematic review and meta‐analysis

Arthroscopic superior capsule reconstruction augmentation using a semitendinosus autograft in massive reparable rotator cuff tears

Time required to achieve clinically significant outcomes after arthroscopic superior capsular reconstruction

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