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
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