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.
Autor: | Baumann AN, Fiorentino A, Sidloski K, Lee HA, Anastasio AT, Walley KC, Kelly JD 4th |
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Jazyk: | angličtina |
Zdroj: | Orthopedics [Orthopedics] 2024 Sep-Oct; Vol. 47 (5), pp. e217-e224. Date of Electronic Publication: 2024 May 29. |
DOI: | 10.3928/01477447-20240809-01 |
Abstrakt: | 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.]. |
Databáze: | MEDLINE |
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