Outcomes After Patch Use in Rotator Cuff Repair

被引:69
|
作者
Steinhaus, Michael E. [1 ]
Makhni, Eric C. [2 ]
Cole, Brian J. [2 ]
Romeo, Anthony A. [2 ]
Verma, Nikhil N. [2 ]
机构
[1] Hosp Special Surg, 535 E 70th St, New York, NY 10021 USA
[2] Rush Univ, Med Ctr, Dept Orthopaed, 1611 W Harrison St,Ste 300, Chicago, IL 60612 USA
基金
美国国家卫生研究院;
关键词
SMALL-INTESTINE SUBMUCOSA; ARTHROSCOPIC REPAIR; FOLLOW-UP; TEARS; AUGMENTATION; INTEGRITY; TENDON; RECONSTRUCTION; ALLOGRAFT; REPLACEMENT;
D O I
10.1016/j.arthro.2016.02.009
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Purpose: To provide a comprehensive review of clinical outcomes and retear rates after patch use in rotator cuff repair, and to determine the differences between available graft types and techniques. Methods: A systematic review was conducted from database (PubMed, Medline, Scopus, Embase) inception to January 2015 for English-language articles reporting outcome data with 9 months' minimum follow-up. Studies were assessed by 2 reviewers who collected pertinent data, with outcomes combined to generate frequency-weighted means. Results: Twenty-four studies met the inclusion criteria. The frequency-weighted mean age was 61.9 years with 35.4 months' follow-up. The mean improvements in postoperative range of motion in the forward elevation, abduction, external rotation, and internal rotation planes were 58.6 degrees, 66.2 degrees, 16.6 degrees, and 16.1 degrees, respectively, and postoperative abduction strength improved by 3.84 kg. American Shoulder and Elbow Surgeons, University of Californiae-Los Angeles, Constant, Penn, and Oxford scores improved by 39.3, 10.7, 40.8, 34.4, and 17.6, respectively. Augmentation and interposition techniques showed similar improvements in range of motion, strength, and patient-reported outcomes (PROs), whereas xenografts showed less improvement in PROs compared with other graft types. Studies reported improvements in pain and activities of daily living (ADLs), with greater than 90% overall satisfaction, although few patients (13%) were able to return to preinjury activity. Whereas interposition and augmentation techniques showed similar improvements in pain and ADLs, xenografts showed less improvement in ADLs than other graft types. The overall retear rate was 25%, with rates of 34% and 12% for augmentation and interposition, respectively, and rates of 44%, 23%, and 15% for xenografts, allografts, and synthetic grafts, respectively. Conclusions: We report improvements in clinical and functional outcomes, with similar results for augmentation and interposition techniques, whereas xenografts showed less improvement than synthetic grafts and allografts in PROs and ADLs. Retear rates may be lower with the interposition technique or in patients with synthetic grafts or allografts.
引用
收藏
页码:1676 / 1690
页数:15
相关论文
共 50 条
  • [21] Infection after rotator cuff repair
    Settecerri, JJ
    Pitner, MA
    Rock, MG
    Hanssen, AD
    Cofield, RH
    JOURNAL OF SHOULDER AND ELBOW SURGERY, 1999, 8 (01) : 1 - 5
  • [22] Impact of smoking on patient outcomes after arthroscopic rotator cuff repair
    Naimark, Micah
    Robbins, Christopher B.
    Gagnier, Joel J.
    Landfair, Germanual
    Carpenter, James
    Bedi, Asheesh
    Miller, Bruce S.
    BMJ OPEN SPORT & EXERCISE MEDICINE, 2018, 4 (01):
  • [23] Pain after rotator cuff repair
    Roberson, Troy
    Throckmorton, Thomas
    CURRENT ORTHOPAEDIC PRACTICE, 2016, 27 (02): : 156 - 160
  • [24] Clinical outcomes and tendon lengthening after arthroscopic rotator cuff repair
    Harada, Yohei
    Yokoya, Shin
    Sumimoto, Yasuhiko
    Adachi, Nobuo
    JOURNAL OF SHOULDER AND ELBOW SURGERY, 2023, 32 (06) : 1214 - 1221
  • [25] Prognostic Factors for Clinical Outcomes After Arthroscopic Rotator Cuff Repair
    Malavolta, Eduardo Angeli
    Assuncao, Jorge Henrique
    Andrade-Silva, Fernando Brandao
    Gracitelli, Mauro Emilio Conforto
    Kiyomoto, Henry Dan
    Ferreira Neto, Arnaldo Amado
    ORTHOPAEDIC JOURNAL OF SPORTS MEDICINE, 2023, 11 (04)
  • [26] Rehabilitation Strategies After Rotator Cuff Repair: How to Optimize Outcomes
    Cuff, Derek J.
    Santoni, Brandon G.
    TECHNIQUES IN SHOULDER AND ELBOW SURGERY, 2016, 17 (04): : 149 - 152
  • [27] Outcomes After Revision Arthroscopic Rotator Cuff Repair: A Systematic Review
    Hurley, Eoghan T.
    Krez, Alexandra N.
    Wu, Kevin A.
    Levin, Jay
    Crook, Bryan S.
    Anakwenze, Oke A.
    Klifto, Christopher S.
    AMERICAN JOURNAL OF SPORTS MEDICINE, 2024, 52 (06): : 1635 - 1640
  • [28] Clinical outcomes of rotator cuff repair in athletes
    Seiter, Max
    Nolte, Philip C.
    Elrick, Bryant P.
    Millett, Peter J.
    ANNALS OF JOINT, 2020, 5
  • [29] Outcomes of arthroscopic rotator cuff repair with muscle advancement for massive rotator cuff tears
    Yokoya, Shin
    Nakamura, Yoshihiro
    Harada, Yohei
    Ochi, Mitsuo
    Adachi, Nobuo
    JOURNAL OF SHOULDER AND ELBOW SURGERY, 2019, 28 (03) : 445 - 452
  • [30] Patch Augmentation in Rotator Cuff Repair Surgery with Elder Patients
    Leuzinger, J.
    Sternberg, C.
    Smolen, D.
    Jakob, R.
    ZEITSCHRIFT FUR ORTHOPADIE UND UNFALLCHIRURGIE, 2016, 154 (05): : 504 - 512