Outcomes After Revision Arthroscopic Rotator Cuff Repair: A Systematic Review.
In: American Journal of Sports Medicine, Jg. 52 (2024-05-01), Heft 6, S. 1635-1640
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Zugriff:
Background: Arthroscopic rotator cuff repair (ARCR) is one of the most commonly performed orthopaedic procedures; however, it is unclear how to manage patients with symptomatic retears. Purpose: To perform a systematic review to evaluate the outcomes of revision ARCR in the literature. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic literature search based on PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines was performed utilizing the Embase, MEDLINE, and Cochrane Library databases. Eligible for inclusion were clinical studies reporting on revision rotator cuff repair. Clinical outcomes were recorded. Results: The 17 included studies were composed of 888 shoulders in 885 patients. The mean age of the 885 patients was 58.6 ± 9.1 years, with a mean follow-up of 28.1 ± 22.1 months. The mean visual analog scale score was 2.1 ± 1.8, the mean American Shoulder and Elbow Surgeons score was 75.0 ± 18.3, and the mean Constant score was 67.4 ± 16.6. The overall rate of retears after revision was 25.3%, with an 8.0% reoperation rate including 2.7% undergoing reverse shoulder arthroplasty and 2.0% undergoing subsequent rotator cuff repair. Finally, the complication rate was 8.6%. Conclusion: Revision ARCR improved patient-reported outcomes, with 92% of patients free from reoperations at a mean follow-up of 2 years. Overall, 78.4% of patients were satisfied at final follow-up; however, the rate of retears was found to be higher than after primary ARCR. [ABSTRACT FROM AUTHOR]
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Titel: |
Outcomes After Revision Arthroscopic Rotator Cuff Repair: A Systematic Review.
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Autor/in / Beteiligte Person: | Hurley, Eoghan T. ; Krez, Alexandra N. ; Wu, Kevin A. ; Levin, Jay ; Crook, Bryan S. ; Anakwenze, Oke A. ; Klifto, Christopher S. |
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Zeitschrift: | American Journal of Sports Medicine, Jg. 52 (2024-05-01), Heft 6, S. 1635-1640 |
Veröffentlichung: | 2024 |
Medientyp: | academicJournal |
ISSN: | 0363-5465 (print) |
DOI: | 10.1177/03635465231185345 |
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