Surgical management for massive rotator cuff tears: a network meta-analysis of randomized controlled trials
- Burns & Trauma Vol. 12, Issue 1, (2024)
- 作者机构：
1. Department of Orthopedics
2. Central South University
3. National Clinical Research Center for Geriatric Disorders
4. Department of Orthopaedic Surgery, The First Affiliated Hospital of Wenzhou Medical University
- 作者简介：
- 基金信息：
DOI：10.1093/burnst/tkad052
CLC：Published：2024，
Published Online：9 February 2024，
扫 描 看 全 文
Hongfu Jin, Zhenhan Deng, Jianfeng Sun, Djandan Tadum Arthur Vithran, Wenfeng Xiao, Yusheng Li, Surgical management for massive rotator cuff tears: a network meta-analysis of randomized controlled trials, Burns & Trauma, Volume 12, 2024, tkad052, https://doi.org/10.1093/burnst/tkad052
摘要
Abstract
BackgroundMultiple surgical strategies have been developed for treating massive rotator cuff tears (mRCTs). However
there is still no consensus on the best surgical option for mRCTs. Through a network meta-analysis
we aimed to comprehensively and systematically analyse the evidence in randomized controlled trials to help clinicians make evidence-based clinical decisions for patients with mRCTs.MethodsOur study was a network meta-analysis of the surgical management of mRCTs (PROSPERO Registration ID: CRD42023397971). We searched PubMed
EMBASE
Cochrane and Web of Science for randomized controlled trials that examined the efficacy of surgical management for mRCTs up to 3 November 2022. A three-step method was employed for the study process. Study selection
data extraction and risk of bias evaluation were conducted by two independent reviewers. R software (version 4.2.1) and Stata (version 15.1) were used for the data analysis.ResultsFrom 10
633 publications
we included 15 randomized controlled trials (996 participants) for the quantitative analysis. In terms of both long-term and short-term surgical effects
there were no statistically significant differences among surgical interventions such as patch-augmented rotator cuff repair (RCR)
RCR with platelet-rich plasma
arthroscopic decompression
bridging reconstruction
arthroscopic RCR with platelet-leukocyte membrane
open RCR
mini-open RCR
arthroscopic debridement
superior capsular reconstruction
arthroscopic suture-spanning augmented repair
subacromial balloon spacer and latissimus dorsi tendon transfer. Based on algorithms
the probability ranking suggests that patch augmentation is the most highly ranked surgical intervention for achieving better short-term surgical outcomes. Furthermore
arthroscopic-associated mini-open RCR was ranked as the highest surgical intervention for achieving better long-term surgical effects.ConclusionsBased on the available data from the included studies
similar surgical efficacies were observed among the reported intervention measures for mRCTs. The patch augmentation technique was found to potentially achieve better short-term surgical outcomes
which is consistent with previous reports. However
the best surgical interventions for achieving long-term surgical effects remain unknown. More high-quality research is needed to evaluate the efficacy and safety of these interventions and to guide clinical practice.
关键词
Keywords
Surgical managementMassive rotator cuff tearsShoulderNetwork meta-analysis
references
1.Godenèche A, Freychet B, Lanzetti RM, Clechet J, Carrillon Y, Saffarini M. Should massive rotator cuff tears be reconstructed even when only partially repairable? Knee surgery, sports traumatology, arthroscopy: official journal of the ESSKA. 2017;25:2164–73.
2.DeOrio JK, Cofield RH. Results of a second attempt at surgical repair of a failed initial rotator-cuff repair. J Bone Joint Surg Am. 1984;66:563–7.
3.Gerber C, Fuchs B, Hodler J. The results of repair of massive tears of the rotator cuff. J Bone Joint Surg Am. 2000;82:505–15.
4.Costouros JG, Porramatikul M, Lie DT, Warner JJ. Reversal of suprascapular neuropathy following arthroscopic repair of massive supraspinatus and infraspinatus rotator cuff tears. Arthroscopy: the journal of arthroscopic & related surgery: official publication of the Arthroscopy Association of North America and the International Arthroscopy Association. 2007;23:1152–61.
5.Parsons IM, Apreleva M, Fu FH, Woo SL. The effect of rotator cuff tears on reaction forces at the glenohumeral joint. J Orthop Res. 2002;20:439–46.
6.Dang A, Davies M. Rotator cuff disease: treatment options and considerations. Sports Med Arthrosc Rev. 2018;26:129–33.
7.Bedi A, Dines J, Warren RF, Dines DM. Massive tears of the rotator cuff. J Bone Joint Surg Am. 2010;92:1894–908.
8.Kim SJ, Kim SH, Lee SK, Seo JW, Chun YM. Arthroscopic repair of massive contracted rotator cuff tears: aggressive release with anterior and posterior interval slides do not improve cuff healing and integrity. J Bone Joint Surg Am. 2013;95:1482–8.
9.Mihata T, McGarry MH, Pirolo JM, Kinoshita M, Lee TQ. Superior capsule reconstruction to restore superior stability in irreparable rotator cuff tears: a biomechanical cadaveric study. Am J Sports Med. 2012;40:2248–55.
10.Omid R, Lee B. Tendon transfers for irreparable rotator cuff tears. The Journal of the American Academy of Orthopaedic Surgeons. 2013;21:492–501.
11.Namdari S, Voleti P, Baldwin K, Glaser D, Huffman GR. Latissimus dorsi tendon transfer for irreparable rotator cuff tears: a systematic review. J Bone Joint Surg Am. 2012;94:891–8.
12.Catapano M, de Sa D, Ekhtiari S, Lin A, Bedi A, Lesniak BP. Arthroscopic superior capsular reconstruction for massive, irreparable rotator cuff tears: a systematic review of modern literature. Arthroscopy: the journal of arthroscopic & related surgery: official publication of the Arthroscopy Association of North America and the International Arthroscopy Association. 2019;35:1243–53.
13.Bafeta A, Trinquart L, Seror R, Ravaud P. Reporting of results from network meta-analyses: methodological systematic review. BMJ. 2014;348:g1741.
14.DerSimonian R, Laird N. Meta-analysis in clinical trials. Control Clin Trials. 1986;7:177–88.
15.Berth A, Neumann W, Awiszus F, Pap G. Massive rotator cuff tears: functional outcome after debridement or arthroscopic partial repair. Journal of orthopaedics and traumatology: official journal of the Italian Society of Orthopaedics and Traumatology. 2010;11:13–20.
16.Ozturk BY, Ak S, Gultekin O, Baykus A, Kulduk A. Prospective, randomized evaluation of latissimus dorsi transfer and superior capsular reconstruction in massive, irreparable rotator cuff tears. J Shoulder Elb Surg. 2021;30:1561–71.
17.Jo CH, Shin JS, Lee YG, et al. Platelet-rich plasma for arthroscopic repair of large to massive rotator cuff tears: a randomized, single-blind, parallel-group trial. Am J Sports Med. 2013;41:2240–8.
18.Jo CH, Shin JS, Shin WH, Lee SY, Yoon KS, Shin S. Platelet-rich plasma for arthroscopic repair of medium to large rotator cuff tears: a randomized controlled trial. Am J Sports Med. 2015;43:2102–10.
19.Lee GW, Kim JY, Lee HW, Yoon JH, Noh KC. Clinical and anatomical outcomes of arthroscopic repair of large rotator cuff tears with allograft patch augmentation: a prospective, single-blinded, randomized controlled trial with a long-term follow-up. Clinics in orthopedic surgery. 2022;14:263–71.
20.Ma HH, Chen KH, Chiang ER, Chou TA, Ma HL. Does arthroscopic suture-spanning augmentation of single-row repair reduce the Retear rate of massive rotator cuff tear? Am J Sports Med. 2019;47:1420–6.
21.Wong I, Sparavalo S, King JP, Coady CM. Bridging allograft reconstruction is superior to maximal repair for the treatment of chronic, massive rotator cuff tears: results of a prospective, randomized controlled trial. Am J Sports Med. 2021;49:3173–83.
22.Oh JH, Park JS, Rhee SM, Park JH. Maximum bridging suture tension provides better clinical outcomes in Transosseous-equivalent rotator cuff repair: a clinical, prospective randomized comparative study. Am J Sports Med. 2020;48:2129–36.
23.Gumina S, Campagna V, Ferrazza G, Giannicola G, Fratalocchi F, Milani A, et al. Use of platelet-leukocyte membrane in arthroscopic repair of large rotator cuff tears: a prospective randomized study. J Bone Joint Surg Am. 2012;94:1345–52.
24.Ono Y, LeBlanc J, Bois AJ, Tsuchiya S, Thangarajah T, More KD, et al. Graft healing is More important than graft technique: superior capsular reconstruction versus bridging grafts-a prospective randomized controlled trial. Arthroscopy: the journal of arthroscopic & related surgery: official publication of the Arthroscopy Association of North America and the International Arthroscopy Association. 2022;38:3109–17.
25.Cai YZ, Zhang C, Jin RL, Shen T, Gu PC, Lin XJ, et al. Arthroscopic rotator cuff repair with graft augmentation of 3-dimensional biological collagen for moderate to large tears: a randomized controlled study. Am J Sports Med. 2018;46:1424–31.
26.Bryant D, Holtby R, Willits K, Litchfield R, Drosdowech D, Spouge A, et al. A randomized clinical trial to compare the effectiveness of rotator cuff repair with or without augmentation using porcine small intestine submucosa for patients with moderate to large rotator cuff tears: a pilot study. J Shoulder Elb Surg. 2016;25:1623–33.
27.Barber FA, Burns JP, Deutsch A, Labbé MR, Litchfield RB. A prospective, randomized evaluation of acellular human dermal matrix augmentation for arthroscopic rotator cuff repair. Arthroscopy: the journal of arthroscopic & related surgery: official publication of the Arthroscopy Association of North America and the International Arthroscopy Association. 2012;28:8–15.
28.Mohtadi NG, Hollinshead RM, Sasyniuk TM, Fletcher JA, Chan DS, Li FX. A randomized clinical trial comparing open to arthroscopic acromioplasty with mini-open rotator cuff repair for full-thickness rotator cuff tears: disease-specific quality of life outcome at an average 2-year follow-up. Am J Sports Med. 2008;36:1043–51.
29.Verma N, Srikumaran U, Roden CM, Rogusky EJ, Lapner P, Neill H, et al. InSpace implant compared with partial repair for the treatment of full-thickness massive rotator cuff tears: a Multicenter, single-blinded, randomized controlled trial. J Bone Joint Surg Am. 2022;104:1250–62.
30.Kovacevic D, Suriani RJ, Grawe BM, Yian EH, Gilotra MN, Hasan SA, et al. Management of irreparable massive rotator cuff tears: a systematic review and meta-analysis of patient-reported outcomes, reoperation rates, and treatment response. J Shoulder Elbow Surg. 2020;29:2459–75. https://doi.org/10.1016/j.jse.2020.07.030.
31.Maillot C, Martellotto A, Demezon H, Harly E, Le Huec JC. Multiple treatment comparisons for large and massive rotator cuff tears: a network meta-analysis. Clinical journal of sport medicine: official journal of the Canadian Academy of Sport Medicine. 2021;31:501–8. https://doi.org/10.1097/jsm.0000000000000786.
32.Davies A, Singh P, Reilly P, Sabharwal S, Malhas A. Superior capsule reconstruction, partial cuff repair, graft interposition, arthroscopic debridement or balloon spacers for large and massive irreparable rotator cuff tears: a systematic review and meta-analysis. J Orthop Surg Res. 2022;17:552.
33.Shim S, Yoon BH, Shin IS, Bae JM. Network meta-analysis: application and practice using Stata. Epidemiology and health. 2017;39:e2017047.
34.Xu S, Chen JY, Lie HME, Hao Y, Lie DTT. Minimal clinically important difference of Oxford, constant, and UCLA shoulder score for arthroscopic rotator cuff repair. J Orthop. 2020;19:21–7.
35.Bot SD, Terwee CB, van der Windt DA, Bouter LM, Dekker J, de Vet HC. Clinimetric evaluation of shoulder disability questionnaires: a systematic review of the literature. Ann Rheum Dis. 2004;63:335–41.
36.Villatte G, Erivan R, Nourissat G, Marcheix PS, Pereira B, Aubret S, et al. Allograft and autograft provide similar retear rates for the management of large and massive rotator cuff tears: a review and meta-analysis. Knee surgery, sports traumatology, arthroscopy: official journal of the ESSKA. 2022;30:2039–59.
37.Cobb TE, Dimock RAC, Memon SD, Consigliere P, Ajami S, Imam M, et al. Rotator cuff repair with patch augmentation: what do we know? The archives of bone and joint surgery. 2022;10:833–46.
38.de Andrade ALL, Garcia TA, Brandão HS, Sardeli AV, Mouraria GG, Belangero WD. Benefits of patch augmentation on rotator cuff repair: a systematic review and meta-analysis. Orthopaedic journal of sports medicine. 2022;10:23259671211071146.
39.Charles MD, Christian DR, Cole BJ. The role of biologic therapy in rotator cuff tears and repairs. Current reviews in musculoskeletal medicine. 2018;11:150–61.
40.Warth RJ, Dornan GJ, James EW, Horan MP, Millett PJ. Clinical and structural outcomes after arthroscopic repair of full-thickness rotator cuff tears with and without platelet-rich product supplementation: a meta-analysis and meta-regression. Arthroscopy: the journal of arthroscopic & related surgery: official publication of the Arthroscopy Association of North America and the International Arthroscopy Association. 2015;31:306–20.
41.Sclamberg SG, Tibone JE, Itamura JM, Kasraeian S. Six-month magnetic resonance imaging follow-up of large and massive rotator cuff repairs reinforced with porcine small intestinal submucosa. J Shoulder Elb Surg. 2004;13:538–41.
42.Goldenberg BT, Lacheta L, Dekker TJ, Spratt JD, Nolte PC, Millett PJ. Biologics to improve healing in large and massive rotator cuff tears: a critical review. Orthop Res Rev. 2020;12:151–60.
43.Ozcan MS, Varol A, Kilinc BE. Arthroscopic versus mini-open rotator cuff repair: should we ignore the mini-open surgery. Acta Chir Orthop Traumatol Cechoslov. 2021;88:369–74 Artroskopická vs. otevřená miniinvazivní reparace rotátorové manžety: měli bychom ignorovat miniinvazivní chirurgii?
44.Musil D, Sadovský P, Stehlík J. Massive tears of rotator cuff - comparison of mini-open and arthroscopic techniques. part 1. Mini-open technique. Acta Chir Orthop Traumatol Cechoslov. 2006;73:387–93. Masivní ruptura rotátorové manzety - srovnání mini-open a artroskopické rekonstrukce. Cást 1. Mini-open technika.
0
Views
0
下载量
0
CSCD
- Meta-XMLDownload
- BibTeXDownload
- EndnoteDownload
- RefMan Download
- NoteExpressDownload
- NoteFirstDownload
Publicity Resources
Related Articles
Related Author
Related Institution
- Technical support is provided by Beijing Founder electronics co., LTD 京ICP备09064830号-19
京公网安备11010802024621 - It is recommended to read the content of this site in Chrome&IE9+. Please switch to extreme mode in browser 360.
- Cookies We use cookies to help provide and enhance our service and tailor content. By continuing, you agree to the use of cookies.
