Arthroscopic Versus Mini-Open Rotator Cuff Repair: An Up-to-Date Meta-analysis of Randomized Controlled Trials

Ji, Xiaoxi; Bi, Chun; Wang, Fang; Wang, Qiugen

doi:10.1016/j.arthro.2014.08.017

Cited by 92 publications

(68 citation statements)

References 33 publications

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“…The mini open technique became popular in the 1990s because it preserves the deltoid origin, allows for strong suture fixation, and involves a shorter learning curve [18]. A study by Baker and Lib [19] compared open repair with mini open and found equally effective results in terms of pain relief and functional outcomes.…”

Section: Surgical Techniquesmentioning

confidence: 99%

“…Advocates for all arthroscopic repairs argue that arthroscopy gives surgeons the ability and flexibility with various portal locations to completely visualize and analyze a tear. Additional advantages of all arthroscopic repairs include small skin incisions, decreased postoperative pain, faster recovery, better cosmetic results, no deltoid detachment, and less soft tissue dissection [18,21]. Up to now, there has been no documented significant difference in patient outcomes when compared with other techniques [8•, 18,20].…”

Section: Surgical Techniquesmentioning

confidence: 99%

“…It also allows the surgeon to fully evaluate and treat other pathologies inside the shoulder joint such as labral tears and injuries to the long head of the biceps tendon [18][19][20]. Advocates for all arthroscopic repairs argue that arthroscopy gives surgeons the ability and flexibility with various portal locations to completely visualize and analyze a tear.…”

Section: Surgical Techniquesmentioning

confidence: 99%

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Expectations Following Rotator Cuff Surgery

Novoa-Boldo

Gulotta

2018

Curr Rev Musculoskelet Med

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Purpose of Review To outline the radiographic and clinical outcomes after a rotator cuff surgery in order to set the expectations with the patient before the surgery to obtain a better outcome, taking into account the factors that can affect the outcome and the technique used for the repair. Recent Findings The majority of surgeons use arthroscopic repair.The double-row repair has better biomechanical strength, footprint coverage, and radiographic healing rates. The principal factors that can affect the outcome of the surgery are the tendon quality, tear size and retraction, fatty infiltration, chronicity of the tear, and concomitant pathologies. Summary Arthroscopic rotator cuff repair can decrease pain and increase function allowing patients to improve their quality of life; 90% of patients are happy 6 months after the surgery and maintain stability during 5 years. Greater preoperative expectations would show better outcomes and patient satisfaction after the surgery.

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Section: Surgical Techniquesmentioning

confidence: 99%

Section: Surgical Techniquesmentioning

confidence: 99%

Section: Surgical Techniquesmentioning

confidence: 99%

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Expectations Following Rotator Cuff Surgery

Novoa-Boldo

Gulotta

2018

Curr Rev Musculoskelet Med

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“…4 Technology has enabled a previously open procedure to be carried out just as well arthroscopically. 5,6 Meanwhile, the concern over deltoid failure has led to conversion of the traditional open procedure to a mini-open, deltoid-splitting approach instead. Several previous studies have shown similar outcomes between the mini-open and arthroscopic cuff repair.…”

Section: Introductionmentioning

confidence: 99%

Immediate costs of mini-open versus arthroscopic rotator cuff repair in an Asian population

Hui

Teo

Sharma

et al. 2017

J Orthop Surg (Hong Kong)

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Objective: While there has been increasing interest in minimally invasive surgery, the expenses incurred by patients undergoing this form of surgery have not been comprehensively studied. The authors compared the costs borne by patients undergoing arthroscopic rotator cuff repair with the standard mini-open repair at a tertiary hospital in an Asian population. Patients and Methods: This was a retrospective cohort study. The authors studied the inpatient hospital bills of patients following rotator cuff tear repair between January 2010 and October 2014 via the hospital electronic medical records system. 148 patients had arthroscopic repair and 78 had mini-open repair. The cost of implants, consumables, and the total cost of hospitalization were analyzed. Operative times and length of stay for both procedures were also studied. Constant scores and American Shoulder Elbow Scores (ASES) were recorded preoperatively and at 1 year postoperatively. Results: Three fellowship-trained surgeons performed arthroscopic repairs and one performed the mini-open repair. The cost of implants and consumables was significantly higher with arthroscopic repair. The duration of surgery was also significantly longer with that technique. There was no difference in length of stay between the two techniques. There was also no difference in Constant scores or ASES scores, both preoperatively and at 1 year postoperatively. Conclusions: The immediate costs of mini-open repair of rotator cuff tears are significantly less than that of arthroscopic repair. Most of the difference arises from the cost of implants and consumables. Equivalent functional outcomes from both techniques suggest that mini-open repair may be more cost-effective.

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“…Eklemin ve subakromial bölgenin daha iyi görüntü-lenmesi, manşet yırtığına eşlik eden diğer patolojilerin belirlenmesi, deltoid yapışma yerinin korunması, daha az yumuşak doku diseksiyonu, cerrahi sonrası daha az ağrı ve daha hızlı fonksiyonel dönüş artroskopik rotator manşet onarımının avantajlarıdır (4) . Artroskopik cerrahinin avantajları yanı sıra karşıla-şılması olası spesifik komplikasyonları mevcuttur.…”

Section: A Artroskopi̇k Omuz Cerrahi̇si̇ Ile İlgi̇li̇ Genel Kompli̇kasyonlarunclassified

Review: Complications of Rotator Cuff Surgery

Çelik¹,

Seçkin²,

Akman³

2017

Okmeydani Medical Journal

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ÖZ GİRİŞRotator manşet yırtıkları ve subakromial bölge sorunları omuz ağrısının yaygın nedenlerindendir. Rotator manşet yırtığı, 50-59 yaş aralığında %13 oranda gö-rülürken, bu oran 80 yaş üzerinde %51'e kadar yük-selmektedir (1) .Önceki yıllarda açık girişim ile yapılan rotator manşet onarımı yıllar içinde artroskopik tekniklerin geliş-mesi ile önce artroskopik yardımlı mini-açık tekniğe ardından yalnızca artroskopik tekniğe doğru kaymış-tır. Tedavide öncelikli hedef fonksiyonel bir rotator kablo yaratmak olan bu patolojide uygulanan tekniklerin birtakım komplikasyonları olduğu bilinmelidir. Rotator manşet cerrahisi sonrası kısa ve uzun dönem takip sırasında omuz ekleminde ağrı oluşması önem-senmeli, ağrı nedenleri cerrah tarafından sistematik olarak değerlendirilmelidir (Tablo 1).Rotator manşet cerrahisi komplikasyonları, ameliyat öncesi hastaya ve patolojiye ait sorunlara bağlı komplikasyonlar, ameliyat sırasındaki tekniğe ve cerraha ait sorunlar ile cerrahi sonrası özellikle fizik tedaviye ait sorunlar olarak kabaca üç gruba ayrılarak incelenebilir. Bu komplikasyonlar onarılan manşetin yeniden yırtılması, akromion kırıkları, yineleyen subakromial enflamasyon, heterotopik ossifikasyon, omuz sertliği, enfeksiyon, sinir yaralanmaları, deltoid kasın akromiona dikildiği yerden ayrılması ve omuzun öne çıkığı olarak ortaya çıkabilir (Tablo 2) (3) .Bu bölümde artroskopik omuz cerrahisine bağlı komplikasyonlar ve rotator manşet cerrahisine bağlı komplikasyonlar iki ayrı bölümde değerlendirilmiştir.

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Arthroscopic Versus Mini-Open Rotator Cuff Repair: An Up-to-Date Meta-analysis of Randomized Controlled Trials

Cited by 92 publications

References 33 publications

Expectations Following Rotator Cuff Surgery

Expectations Following Rotator Cuff Surgery

Immediate costs of mini-open versus arthroscopic rotator cuff repair in an Asian population

Review: Complications of Rotator Cuff Surgery

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