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MUSCULOSKELETAL SURGERY

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01-08-2020 | Painful Arc | Original Article

Non-anatomic arthroscopic repair of massive rotator cuff tears versus anatomic complete arthroscopic repair: a case-control study

Authors: M.-A. Malahias, G. Avramidis, E. Brilakis, A. Trellopoulos, E. Antonogiannakis

Published in: MUSCULOSKELETAL SURGERY | Issue 2/2020

Abstract

Purpose

To investigate whether a non-anatomic arthroscopic repair of massive rotator cuff tear (RCT) produces satisfactory clinical outcomes comparable to those of an anatomic complete arthroscopic repair.

Methods

A retrospective case-control study (prospectively collected data, mean follow-up: 32.7 months ± 29.5; range 12–80 months) was conducted with patients with massive RCT who underwent either an anatomic complete arthroscopic repair (group A: 34 patients) or a non-anatomic arthroscopic repair (partial repair or medialized repair, group B: 30 patients). The rate of success was calculated primarily by the number of patients per group who achieved a minimal clinically important difference between the preoperative and postoperative values of (a) the American Shoulder and Elbow Surgeons Shoulder Score, (b) the constant score and (c) secondarily, the visual analogue scale (VAS-pain). Active range of motion (shoulder forward flexion, abduction, external rotation in 0° and 90° abduction), muscle strength and external rotation lag sign were also assessed.

Results

No significant statistical differences amongst groups were found concerning the baseline demographic and clinical characteristics. All postoperative clinical and functional scores were significantly improved in both groups (p < 0.001). According to our primary and secondary success rate criteria, both treatments were found to be successful, whereas there was no significant difference amongst them.

Conclusions

Non-anatomic arthroscopic repair of massive RCT illustrated satisfactory outcomes, which are not significantly different from those reported after an anatomic complete arthroscopic repair.

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Title: Non-anatomic arthroscopic repair of massive rotator cuff tears versus anatomic complete arthroscopic repair: a case-control study
Authors: M.-A. Malahias
G. Avramidis
E. Brilakis
A. Trellopoulos
E. Antonogiannakis
Publication date: 01-08-2020
Publisher: Springer Milan
Keyword: Painful Arc
Published in: MUSCULOSKELETAL SURGERY / Issue 2/2020
Print ISSN: 2035-5106
Electronic ISSN: 2035-5114
DOI: https://doi.org/10.1007/s12306-019-00611-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Non-anatomic arthroscopic repair of massive rotator cuff tears versus anatomic complete arthroscopic repair: a case-control study

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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