Update on all-arthroscopic vs. mini-open rotator cuff repair: A systematic review and meta-analysis
Sakha S, Erdogan S, Shanmugaraj A, Betsch M, Leroux T, Khan M (2021)
Publication Type: Journal article, Review article
Publication year: 2021
Journal
Book Volume: 24
Pages Range: 254-263
DOI: 10.1016/j.jor.2021.03.009
Abstract
Purpose: To provide an updated comparison between modern arthroscopic and mini-open repairs for treating rotator cuff tears. Methods: Multiple online databases were searched from 2010 to October 1st, 2020. A meta-analysis was conducted for patient-reported outcomes and complications. Results: Eleven studies were included. Majority of patients underwent mini-open repair (MOR) compared to arthroscopic repair (AR) (57.4% vs 42.6%). A meta-analysis found statistically significant differences (p < 0.05) in patient-reported outcomes favouring AR. While retear rates were higher in AR (p = 0.03) analysis of retear rates for arthroscopic double row and mini-open repairs, yielded no differences between groups (p = 0.48). Conclusion: Patients undergoing AR for rotator cuff tears had improved post-operative clinical outcomes in some functional outcomes compared to MOR. Modern arthroscopic double row repair result in similar failure rates to open repair techniques. Level of evidence: Level III, Systematic Review of Level I-III studies.
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Canada (CA)How to cite
APA:
Sakha, S., Erdogan, S., Shanmugaraj, A., Betsch, M., Leroux, T., & Khan, M. (2021). Update on all-arthroscopic vs. mini-open rotator cuff repair: A systematic review and meta-analysis. Journal of Orthopaedics, 24, 254-263. https://doi.org/10.1016/j.jor.2021.03.009
MLA:
Sakha, Seaher, et al. "Update on all-arthroscopic vs. mini-open rotator cuff repair: A systematic review and meta-analysis." Journal of Orthopaedics 24 (2021): 254-263.
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