No difference in outcome for open versus arthroscopic rotator cuff repair: a prospective comparative trial

Bayle, Xavier; Pham, Thuy Trang; Faruch, Marie; Gobet, Aurelie; Mansat, Pierre; Bonnevialle, Nicolas

doi:10.1007/s00402-017-2796-6

Cited by 38 publications

(24 citation statements)

References 26 publications

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“…The present study demonstrated that the mean age and gender distribution in both groups were similar and consistent with the literature. Bayle et al (7). reported that the etiology of rotator cuff tear was trauma in 30% of 87 patients.…”

Section: Discussionmentioning

confidence: 99%

“…Rotator cuff repair can be performed with various techniques (1,7,8). Although full arthroscopic rotator cuff repair is considered the gold standard (9), functional outcomes and re-tear rates are still conflicting when compared with the mini-open technique (1,7,10). In addition, many studies have evaluated re-tear rates with non-contrast magnetic resonance imaging (4,5).…”

Section: Introductionmentioning

confidence: 99%

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Mini-open Versus Arthroscopic Rotator Cuff Repair: A Comparison of Clinical Results and Re-tear Rates by Magnetic Resonance Arthrogram

Talmaç¹,

Görgel²,

Bozca³

et al. 2019

Haseki

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Aim:The aim of this study was to compare the re-tear rates and clinical results between mini-open and full arthroscopic techniques of the rotator cuff repair. Methods:We retrospectively reviewed a total of 82 patients. Mini-open and full arthroscopic techniques were performed in 30 patients (group MO) and 52 patients (group A), respectively. The main outcome measurements were the University of California at Los Angeles (UCLA) and American Shoulder and Elbow Surgeons (ASES) scores, abduction and external rotation strengths (kg), and re-tear rate on magnetic resonance arthrography. All variables were compared between the groups. Results:The mean age of all patients included in the study was 55.4±6.1 years. Sixty (73.2%) patients were female. The mean follow-up was 12.3±1.4 months. The mean UCLA and ASES scores and external rotation strength in group A were significantly higher than in group MO. The mean abduction strengths were similar. There was no statistically significant difference in terms of re-tear rates. Conclusion:Rotator cuff tears can be successfully treated with either mini-open or arthroscopic techniques. Although there was no statistically significant difference in re-tear rates, full arthroscopic repair had better functional outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Mini-open Versus Arthroscopic Rotator Cuff Repair: A Comparison of Clinical Results and Re-tear Rates by Magnetic Resonance Arthrogram

Talmaç¹,

Görgel²,

Bozca³

et al. 2019

Haseki

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“…The inclusion criteria were (1) full thickness rotator cuff tear, (2) and primary repair, (3) in patients with at least one follow-up magnetic resonance imaging (MRI) scan performed 12 months after surgery, and (4) at least 18 months of clinical follow-up. The exclusion criteria were as follows: (1) incomplete medical data (n = 30), (2) previous surgery in the affected shoulder, (3) small ( < 1 cm), medium (1-3 cm), or massive tear ( > 5 cm), (4) concurrent subscapularis tear, acromioclavicular arthritis that required concurrent distal clavicle resection, superior labral lesions that require concurrent repair, long head biceps pathology that required tenodesis, severe glenohumeral arthritis, anterior glenohumeral instability, (5) bilateral rotator cuff tears, or (6) worker's compensation case. Rotator cuff repair was performed by by (I.H.J) and (J.M.C).…”

Section: Patient Selectionmentioning

confidence: 99%

“…Improvements in arthroscopy techniques have shifted the preference for open repairs to all-arthroscopic rotator cuff procedures. All-arthroscopic rotator cuff repair has been ac-cepted as the gold standard to treat rotator cuff repair [1,2]. An arthroscopic approach is favored by shoulder surgeons due to its minimally invasive nature, which causes less insult to the deltoid muscle.…”

Section: Introductionmentioning

confidence: 99%

“…In contrast, massive rotator cuff tears are unpredictable regardless of the form of treatment, and they do not represent the most common type of pathology encountered [11,12]. Many studies have compared open and arthroscopic rotator cuff repair [1,[11][12][13][14][15][16][17], but they have only compared the clinical outcomes and rotator cuff integrity with a non-matched arm, including all sizes of rotator cuff tears (small to massive) using a non-uniform surgical repair technique for open procedures [12,[14][15][16]. We aimed to evaluate deltoid integrity following both open and arthroscopic repairs for large rotator cuff tear by comparing postoperative deltoid status.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of Deltoid Origin Status Following Open and Arthroscopic Repair of Large Rotator Cuff Tears: A Propensity-Matched Case-Control Study

Kholinne¹,

Kwak

Sun

et al. 2020

Clin Shoulder Elbow

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Background:The purpose of this study was to evaluate and compare deltoid origin status following large rotator cuff repair carried out using either an open or an arthroscopic method with a propensity score matching technique. Methods: A retrospective review of 112 patients treated for full-thickness, large rotator cuff tear via either a classic open repair (open group) or an arthroscopic repair (arthroscopic group) was conducted. All patients included in the study had undergone postoperative magnetic resonance imaging (MRI) and clinical follow-up for at least 12 and 18 months after surgery, respectively. Propensity score matching was used to select controls matched for age, sex, body mass index, and affected site. There were 56 patients in each group, with a mean age of 63.3 years (range, 50-77 years). The postoperative functional and radiologic outcomes for both groups were compared. Radiologic evaluation for postoperative rotator cuff integrity and deltoid origin status was performed with 3-Tesla MRI. Results: The deltoid origin thickness was significantly greater in the arthroscopic group when measured at the anterior acromion (P=0.006), anterior third (P=0.005), and middle third of the lateral border of the acromion level (P=0.005). The deltoid origin thickness at the posterior third of the lateral acromion was not significantly different between the arthroscopic and open groups. The arthroscopic group had significantly higher intact deltoid integrity with less scarring (P=0.04). There were no full-thickness deltoid tears in either the open or arthroscopic group. Conclusions: Open rotator cuff repair resulted in a thinner deltoid origin, especially from the anterior acromion to the middle third of the lateral border of the acromion, at the 1-year postoperative MRI evaluation. Meticulous reattachment of the deltoid origin is as essential as rotator cuff repair when an open approach is selected.

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Measures of Adult Shoulder Function

Buchbinder

Smolen

Huang

et al. 2020

Arthritis Care & Research

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No difference in outcome for open versus arthroscopic rotator cuff repair: a prospective comparative trial

Abstract: Prospective comparative study.

Cited by 38 publications

References 26 publications

Mini-open Versus Arthroscopic Rotator Cuff Repair: A Comparison of Clinical Results and Re-tear Rates by Magnetic Resonance Arthrogram

Mini-open Versus Arthroscopic Rotator Cuff Repair: A Comparison of Clinical Results and Re-tear Rates by Magnetic Resonance Arthrogram

Evaluation of Deltoid Origin Status Following Open and Arthroscopic Repair of Large Rotator Cuff Tears: A Propensity-Matched Case-Control Study

Measures of Adult Shoulder Function

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