Assessing the influence of obesity on rotator cuff repair surgical and functional outcomes: a meta-analysis

Q2 Medicine

JSES International Pub Date : 2025-05-01 DOI:10.1016/j.jseint.2024.12.005

Ahmed Alhussain MD , Hussam A. Alhathlol MBBS , Abdulkareem A. Alsharif MBBS , Khalid M. Alsikhan MBBS , Nouf A. Almagushi MBBS

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引用次数: 0

Abstract

Background

Obesity is a major global health burden and is linked to numerous comorbidities, including musculoskeletal disorders. Among these, rotator cuff disorders are a leading cause of shoulder pain. Although the impact of obesity on procedures such as hip and knee arthroplasty is well documented, its effect on rotator cuff repair has been less explored. This meta-analysis aimed to evaluate the influence of obesity on surgical and functional outcomes following rotator cuff repair.

Methods

The review was conducted following the PRISMA guidelines and registered in PROSPERO (CRD42024556254). A comprehensive search of PubMed, Google Scholar, and Web of Science was performed. The outcomes evaluated included functional outcomes such as the American Shoulder and Elbow Surgeons score and range of motion. For surgical outcomes, the variables evaluated included retear, readmission, and reoperation. Statistical analysis was performed via Review Manager (Cochrane Collaboration. Review Manager [RevMan], London, UK. Version 5.4 2020) and Comprehensive Meta-Analysis v3 software.

Results

Twelve studies comprising 79098 patients were included. The obese patients had significantly poorer functional outcomes, with lower Single Assessment Numeric Evaluation and American Shoulder and Elbow Surgeons scores. Obese patients also had statistically significant impairments in the internal rotation function of the shoulder joint. These patients also exhibited a higher risk of readmission and reoperation. No significant differences were found in terms of operative time, postoperative pain, or surgical site infection.

Conclusion

Obesity negatively impacts the surgical and functional outcomes of rotator cuff repair, leading to worse functional scores, limited range of motion, and increased risks of readmission and reoperation. These findings underscore the importance of weight management strategies to optimize outcomes for obese patients undergoing rotator cuff repair.

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评估肥胖对肩袖修复手术和功能结果的影响：一项meta分析

背景：肥胖是一个主要的全球健康负担，并与许多合并症有关，包括肌肉骨骼疾病。其中，肩袖疾病是导致肩痛的主要原因。尽管肥胖对髋关节和膝关节置换术等手术的影响有充分的文献记载，但其对肩袖修复的影响却很少被探讨。本荟萃分析旨在评估肥胖对肩袖修复术后手术和功能结果的影响。方法本综述按照PRISMA指南进行，在PROSPERO注册（CRD42024556254）。对PubMed， b谷歌Scholar和Web of Science进行了全面的搜索。评估的结果包括功能结果，如美国肩关节外科医生评分和活动范围。对于手术结果，评估的变量包括再手术、再入院和再手术。通过Review Manager （Cochrane Collaboration）进行统计分析。Review Manager [RevMan]，伦敦，英国。版本5.4 2020)和综合元分析v3软件。结果纳入12项研究，79098例患者。肥胖患者的功能预后明显较差，单一评估数值评估和美国肩肘外科医生评分较低。肥胖患者肩关节内旋功能也有统计学上显著的损伤。这些患者也表现出较高的再入院和再手术风险。在手术时间、术后疼痛或手术部位感染方面没有发现显著差异。结论肥胖对肩袖修复的手术和功能结果有负面影响，导致功能评分较差，活动范围受限，再入院和再手术的风险增加。这些发现强调了体重管理策略对于优化接受肩袖修复的肥胖患者预后的重要性。

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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