Literature DB >> 23580030

Articular-sided rotator cuff tears: which is the best repair? A three-year prospective randomised controlled trial.

Francesco Franceschi1, Rocco Papalia, Angelo Del Buono, Sebastiano Vasta, Vincenzo Costa, Nicola Maffulli, Vincenzo Denaro.   

Abstract

PURPOSE: To compare two groups of patients who underwent two different arthroscopic procedures for repair of articular-sided partial-thickness rotator cuff tears (PTRCTs). MATERIALS: This is a comparative prospective study of two methods for repair of partial cuff tears: Thirty-two patients underwent arthroscopic rotator cuff repair with a transtendon technique (group 1); 28 underwent arthroscopic full-thickness conversion and repair of the lesion (group 2). ROM measures, clinical findings, MRI features (tendon healing and re-tear), Constant-Murley and ASES scores were assessed pre- and postoperatively and compared. Patients were also asked about return to sport and level of activity.
RESULTS: At the last appointment, patients of both the groups were significantly improved for clinical findings, ROM measures, imaging features, Constant-Murley and ASES scores than at baseline, without any significant inter-group difference. In group 1, 15 of 20 patients (75 %) who practiced recreational sport activities had returned to sport at the same level as before the onset of symptoms, without any discomfort. In group 2, 12 of 18 patients (67 %) had returned to the same level of sport activity they practiced before symptoms. At the last follow up, MRI showed rotator cuff healing in 31 patients of Group 1 and 27 patients of Group 2 (p = 0.83).
CONCLUSIONS: The two procedures are safe, effective, and comparable.

Entities:  

Mesh:

Year:  2013        PMID: 23580030      PMCID: PMC3728419          DOI: 10.1007/s00264-013-1882-9

Source DB:  PubMed          Journal:  Int Orthop        ISSN: 0341-2695            Impact factor:   3.075


  24 in total

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Journal:  Clin Orthop Relat Res       Date:  1992-11       Impact factor: 4.176

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Review 3.  Results of surgical management of symptomatic shoulders with partial thickness tears of the rotator cuff.

Authors:  Rocco Papalia; Francesco Franceschi; Angelo Del Buono; Nicola Maffulli; Vincenzo Denaro
Journal:  Br Med Bull       Date:  2010-12-23       Impact factor: 4.291

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Authors:  Matthew J Matava; Derek B Purcell; Jonas R Rudzki
Journal:  Am J Sports Med       Date:  2005-09       Impact factor: 6.202

5.  Complications after arthroscopic rotator cuff repair.

Authors:  Kenneth J Brislin; Larry D Field; Felix H Savoie
Journal:  Arthroscopy       Date:  2007-02       Impact factor: 4.772

Review 6.  Diagnosis and treatment of incomplete rotator cuff tears.

Authors:  H Ellman
Journal:  Clin Orthop Relat Res       Date:  1990-05       Impact factor: 4.176

7.  Arthroscopic debridement and acromioplasty versus mini-open repair in the treatment of significant partial-thickness rotator cuff tears.

Authors:  S C Weber
Journal:  Arthroscopy       Date:  1999-03       Impact factor: 4.772

8.  Shoulder after rotator cuff repair: MR imaging findings in asymptomatic individuals--initial experience.

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Journal:  Radiology       Date:  1999-12       Impact factor: 11.105

9.  Surgically repaired massive rotator cuff tears: MRI of tendon integrity, muscle fatty degeneration, and muscle atrophy correlated with intraoperative and clinical findings.

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  26 in total

1.  Arthroscopic transtendon repair of partial articular-sided supraspinatus tendon avulsion.

Authors:  Giovanni Battista Vinanti; Alberto Rossato; Daniele Scrimieri; Massimo Petrera
Journal:  Knee Surg Sports Traumatol Arthrosc       Date:  2016-04-22       Impact factor: 4.342

2.  Reliability of supraspinatus intramuscular fatty infiltration estimates on T1-weighted MRI in potential candidates for rotator cuff repair surgery: full-thickness tear versus high-grade partial-thickness tear.

Authors:  Derik L Davis; Mohit N Gilotra; Rodolfo Calderon; Andrew Roberts; S Ashfaq Hasan
Journal:  Skeletal Radiol       Date:  2021-05-06       Impact factor: 2.199

Review 3.  Improved outcomes with arthroscopic repair of partial-thickness rotator cuff tears: a systematic review.

Authors:  J Christoph Katthagen; Gabriella Bucci; Gilbert Moatshe; Dimitri S Tahal; Peter J Millett
Journal:  Knee Surg Sports Traumatol Arthrosc       Date:  2017-05-19       Impact factor: 4.342

4.  I.S.Mu.L.T - Rotator Cuff Tears Guidelines.

Authors:  Francesco Oliva; Eleonora Piccirilli; Michela Bossa; Alessio Giai Via; Alessandra Colombo; Claudio Chillemi; Giuseppe Gasparre; Leonardo Pellicciari; Edoardo Franceschetti; Clelia Rugiero; Alessandro Scialdoni; Filippo Vittadini; Paola Brancaccio; Domenico Creta; Angelo Del Buono; Raffaele Garofalo; Francesco Franceschi; Antonio Frizziero; Asmaa Mahmoud; Giovanni Merolla; Simone Nicoletti; Marco Spoliti; Leonardo Osti; Johnny Padulo; Nicola Portinaro; Gianfranco Tajana; Alex Castagna; Calogero Foti; Stefano Masiero; Giuseppe Porcellini; Umberto Tarantino; Nicola Maffulli
Journal:  Muscles Ligaments Tendons J       Date:  2016-02-13

5.  Completion repair exhibits increased healing characteristics compared with in situ repair of partial thickness bursal rotator cuff tears.

Authors:  Arel Gereli; Baris Kocaoglu; Tekin Kerem Ulku; Sena Silay; Evren Kilinc; Serap Uslu; Ufuk Nalbantoglu
Journal:  Knee Surg Sports Traumatol Arthrosc       Date:  2018-03-07       Impact factor: 4.342

Review 6.  Partial and Full-Thickness RCT: Modern Repair Techniques.

Authors:  Amit Nathani; Kevin Smith; Tim Wang
Journal:  Curr Rev Musculoskelet Med       Date:  2018-03

Review 7.  Rotator cuff tears: An evidence based approach.

Authors:  Senthil Nathan Sambandam; Vishesh Khanna; Arif Gul; Varatharaj Mounasamy
Journal:  World J Orthop       Date:  2015-12-18

8.  Microfractures at the rotator cuff footprint: a randomised controlled study.

Authors:  Leonardo Osti; Angelo Del Buono; Nicola Maffulli
Journal:  Int Orthop       Date:  2013-06-13       Impact factor: 3.075

9.  Surgery for rotator cuff tears.

Authors:  Teemu V Karjalainen; Nitin B Jain; Juuso Heikkinen; Renea V Johnston; Cristina M Page; Rachelle Buchbinder
Journal:  Cochrane Database Syst Rev       Date:  2019-12-09

10.  Partial articular supraspinatus tendon avulsion: Should we repair? A systematic review of the evidence.

Authors:  Duncan Tennent; Gemma Green
Journal:  Shoulder Elbow       Date:  2019-08-01
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