Update on All-arthroscopic Vs. Mini-open Rotator Cuff Repair: A Systematic Review and Meta-analysis

Overview

Journal J Orthop

Specialty Orthopedics

Date 2021 Apr 19

PMID 33867750

Citations 7

Authors

Seaher Sakha

Safiya Erdogan

Ajaykumar Shanmugaraj

Marcel Betsch

Timothy Leroux

Moin Khan

Affiliations

Soon will be listed here.

Abstract

Purpose: To provide an updated comparison between modern arthroscopic and mini-open repairs for treating rotator cuff tears.

Methods: Multiple online databases were searched from 2010 to October 1st, 2020. A meta-analysis was conducted for patient-reported outcomes and complications.

Results: Eleven studies were included. Majority of patients underwent mini-open repair (MOR) compared to arthroscopic repair (AR) (57.4% vs 42.6%). A meta-analysis found statistically significant differences (p < 0.05) in patient-reported outcomes favouring AR. While retear rates were higher in AR (p = 0.03) analysis of retear rates for arthroscopic double row and mini-open repairs, yielded no differences between groups (p = 0.48).

Conclusion: Patients undergoing AR for rotator cuff tears had improved post-operative clinical outcomes in some functional outcomes compared to MOR. Modern arthroscopic double row repair result in similar failure rates to open repair techniques.

Level Of Evidence: Level III, Systematic Review of Level I-III studies.

Citing Articles

Surgical Interventions for Rotator Cuff Tears: A Comprehensive Literature Review.

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ChatGPT and Google Provide Mostly Excellent or Satisfactory Responses to the Most Frequently Asked Patient Questions Related to Rotator Cuff Repair.

Megalla M, Hahn A, Bauer J, Windsor J, Grace Z, Gedman M Arthrosc Sports Med Rehabil. 2024; 6(5):100963.

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Liu S, Bramian A, Loyst R, Ling K, Leonardo C, Komatsu D Cureus. 2024; 16(7):e65673.

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Understanding Fibrous Tissue in the Effective Healing of Rotator Cuff Injury.

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Is preoperative elevated glycated hemoglobin (HbA1c) a risk factor for postoperative shoulder stiffness after posterior-superior rotator cuff repair?.

Dannaway J, Sharma G, Raniga S, Graham P, Bokor D JSES Int. 2024; 8(1):47-52.

PMID: 38312295 PMC: 10837722. DOI: 10.1016/j.jseint.2023.09.006.

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