Lower Reoperation Rate and Superior Patient-Reported Outcome Following Arthroscopic Rotator Cuff Repair With Concomitant Acromioplasty: An Updated Systematic Review of Randomized Controlled Trials

医学 肩袖 肩峰成形术 随机对照试验 科克伦图书馆 肩峰 荟萃分析 外科 优势比 系统回顾 置信区间 梅德林 物理疗法 内科学 政治学 法学
作者
Songyun Yang,Long Pang,Chunsen Zhang,Jiapeng Wang,Lei Yao,Yinghao Li,Yizhou Huang,Xin Tang
出处
期刊:Arthroscopy [Elsevier BV]
被引量:2
标识
DOI:10.1016/j.arthro.2024.05.026
摘要

This study aims to systematically assess the postoperative outcomes in patients undergoing arthroscopic rotator cuff repairs with or without concomitant acromioplasty through a rigorous systematic review of randomized controlled trial s (RCTs). This systematic review, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, aimed to identify RCTs comparing clinical outcomes of patients with full thickness rotator cuff tears undergoing arthroscopic rotator cuff repair with acromioplasty versus those without at a minimum of 12 months follow-up. Databases searched included PubMed, Web of Science, Embase, and the Cochrane Library. The risk of bias in the included studies was assessed using the revised Cochrane Risk of Bias 2 (RoB2). Meta-analysis was conducted for outcomes with at least three studies reporting, with pooled effect estimates calculated using either fixed-effect or random-effects models based on heterogeneity levels. Results were presented as the weighted mean difference (WMD) or odds ratio (OR) with 95% confidence intervals (CIs). For outcomes with fewer than three studies reporting, a Fisher exact test was conducted, with continuity correction applied if necessary. Primary outcomes include rates of retear and reoperation, while secondary outcomes included improvement in American Shoulder and Elbow Surgeons (ASES) score, range of motion (ROM), and complication rate. Five high-quality RCTs, with low bias risk, involving 409 patients, revealed demographics of 58.4% males, mean age 58.4 years, and acromion types: 12.2% type I, 70.7% type II, and 17.1% type III. Mean follow-up was 52.2 months. Retear (12.5% versus 16.1%, P = 0.536) and complication rates (OR, 3.11; 95% CI, 0.31–30.73; P=0.33) were comparable between the two groups. However, reoperation rate (5.3% versus 15.9%, P < 0.001) and improvement in ASES score (WMD, 3.99; 95% CI, 1.00–6.99; P=0.009) favored the acromioplasty group. Both groups showed significant improvements in ROM, but insufficient data prevented a comparison. Compared to arthroscopic rotator cuff repair alone, arthroscopic rotator cuff repair with acromioplasty demonstrated similar rates of retear and complications, but a significantly lower reoperation rate and superior improvement in ASES score. The available data were insufficient to draw a definitive conclusion regarding ROM. This conclusion is fragile due to a limited sample size.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
123完成签到 ,获得积分10
1秒前
yakyi发布了新的文献求助10
1秒前
Angelo完成签到 ,获得积分10
1秒前
WW完成签到 ,获得积分20
1秒前
1秒前
biolong545发布了新的文献求助10
3秒前
3秒前
5秒前
LM完成签到 ,获得积分10
5秒前
123关注了科研通微信公众号
5秒前
Rabbit发布了新的文献求助10
5秒前
6秒前
6秒前
Rondab应助柔弱的葫芦娃采纳,获得30
7秒前
哭泣的幼蓉完成签到 ,获得积分10
7秒前
7秒前
8秒前
梦XING发布了新的文献求助10
9秒前
op06d完成签到,获得积分10
9秒前
9秒前
善学以致用应助han采纳,获得10
10秒前
yufanhui应助Hermionezj采纳,获得10
10秒前
WangXiaoze完成签到,获得积分10
11秒前
11秒前
11秒前
12秒前
沉默白桃完成签到 ,获得积分10
12秒前
wangdafa完成签到,获得积分10
12秒前
NexusExplorer应助huihongzeng采纳,获得10
13秒前
Orange应助Betty采纳,获得10
13秒前
林小昀发布了新的文献求助10
14秒前
落寞臻发布了新的文献求助20
14秒前
啦啦啦完成签到,获得积分10
14秒前
15秒前
15秒前
SciGPT应助李明月采纳,获得30
15秒前
16秒前
快乐科研发布了新的文献求助10
16秒前
小蘑菇应助Sirene采纳,获得10
17秒前
李健应助cyw采纳,获得10
17秒前
高分求助中
Picture Books with Same-sex Parented Families: Unintentional Censorship 700
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
Effective Learning and Mental Wellbeing 300
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3974882
求助须知:如何正确求助?哪些是违规求助? 3519431
关于积分的说明 11198315
捐赠科研通 3255698
什么是DOI,文献DOI怎么找? 1797904
邀请新用户注册赠送积分活动 877237
科研通“疑难数据库(出版商)”最低求助积分说明 806219