Clinical Outcomes and Re-Tear Rates for Partial Arthroscopic Rotator Cuff Repair With or Without Biceps Augmentation for Large-to-Massive Tears: A Systematic Review and Meta-analysis.

IF 1.1 4区医学 Q3 ORTHOPEDICS

Orthopedics Pub Date : 2024-09-01 Epub Date: 2024-05-29 DOI:10.3928/01477447-20240809-01

Anthony N Baumann, Andrew Fiorentino, Katelyn Sidloski, Hannah A Lee, Albert T Anastasio, Kempland C Walley, John D Kelly

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引用次数: 0

Abstract

Background: The recent addition of biceps tendon augmentation to partial arthroscopic rotator cuff repair (ARCR) for the treatment of large-to-massive rotator cuff tears is proposed to improve clinical outcomes and reduce re-tears.

Materials and methods: The purpose of this systematic review and meta-analysis (5 studies) was to compare outcomes between partial ARCR with (142 patients) and without (149 patients) biceps augmentation.

Results: Partial ARCR with and without biceps augmentation were comparable in pain, function, and range of motion. However, biceps augmentation vs no augmentation at all during ARCR may lower re-tear rates for irreparable large-to-massive rotator cuff tears (42.9% vs 72.5%, P=.007).

Conclusion: More research is needed to investigate this technique and guide surgical decision-making. [Orthopedics. 2024;47(5):e217-e224.].

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关节镜下部分肩袖修复术（带或不带肱二头肌增强术）治疗大面积至严重撕裂的临床疗效和再撕裂率：系统性回顾和 Meta 分析。

背景：最近，在关节镜下肩袖部分修复术（ARCR）中增加了肱二头肌肌腱增强术，用于治疗大到重度肩袖撕裂，以改善临床疗效并减少再次撕裂：本系统综述和荟萃分析（5 项研究）的目的是比较有（142 名患者）和无（149 名患者）肱二头肌增强术的部分 ARCR 的疗效：结果：在疼痛、功能和活动范围方面，进行和未进行肱二头肌增强手术的部分 ARCR 具有可比性。然而，在ARCR过程中进行肱二头肌增强与不进行肱二头肌增强可能会降低不可修复的肩袖大面积撕裂的再撕裂率（42.9% vs 72.5%，P=.007）：结论：需要更多的研究来探讨这一技术并指导手术决策。[Orthopedics.20XX;4X(X):XXXXX.].

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Orthopedics 医学-整形外科

CiteScore

2.20

自引率

0.00%

发文量

160

审稿时长

3 months

期刊介绍： For over 40 years, Orthopedics, a bimonthly peer-reviewed journal, has been the preferred choice of orthopedic surgeons for clinically relevant information on all aspects of adult and pediatric orthopedic surgery and treatment. Edited by Robert D''Ambrosia, MD, Chairman of the Department of Orthopedics at the University of Colorado, Denver, and former President of the American Academy of Orthopaedic Surgeons, as well as an Editorial Board of over 100 international orthopedists, Orthopedics is the source to turn to for guidance in your practice. The journal offers access to current articles, as well as several years of archived content. Highlights also include Blue Ribbon articles published full text in print and online, as well as Tips & Techniques posted with every issue.