Evidence map›Paper›PMID 29442181›Full record

SynthesisEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2018

Do functional outcomes and cuff integrity correlate after single- versus double-row rotator cuff repair? A systematic review and meta-analysis study.

Mohamed H Sobhy, Ahmed Hany Khater, Medhat Ragab Hassan, Ossama El Shazly

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04906538 (Objective Results of Anterior Cruciate Ligament Reconstruction With and Without Internal Suture Augmentation Technique), which is not on this map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04906538 phase2 / phase3completednot on this map

Objective Results of Anterior Cruciate Ligament Reconstruction With and Without Internal Suture Augmentation Technique

TypeinterventionalSponsorAin Shams UniversityRan2018 to 2021Enrolled38ConditionsAnterior Cruciate Ligament InjuriesArmsall- inside anterior cruciate ligament reconstruction
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Rotator cuff tears.Nature reviews. Disease primers · 2024
    Review
  11. Article
  12. Healthcare costs of failed rotator cuff repairs.JSES reviews, reports, and techniques · 2023
    Article
  13. Review
  14. Article
  15. Article
  16. [Effectiveness analysis of arthroscopic single/double-row suture techniques in repairing of moderate rotator cuff tears].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023
    Article
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Mohamed H SobhyOrthopedic Department, Faculty of Medicine, Ain Shams University, 38 Abbassyia Sq., El Waily, Cairo, Egypt. psobsy@gmail.com.ORCID http://orcid.org/0000-0001-7395-994X
Ahmed Hany KhaterOrthopedic Department, Faculty of Medicine, Ain Shams University, 38 Abbassyia Sq., El Waily, Cairo, Egypt.
Medhat Ragab HassanSpecialist at the Egyptian Ministry of Health, Cairo, Egypt.
Ossama El ShazlyOrthopedic Department, Faculty of Medicine, Ain Shams University, 38 Abbassyia Sq., El Waily, Cairo, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study is to perform a systematic review and meta-analysis of all available level I prospective randomized controlled trials comparing arthroscopic single-row (SR) with double-row (DR) rotator cuff repairs by both clinical outcomes and radiological re-tear rates.

methodsPubMed, EMBASE, Google Scholar, and Cochrane databases search was done for level I RCTs comparing clinical and radiological outcomes after SR versus DR rotator cuff repair. Clinical outcomes included UCLA, ASES, Constant, WORC, and SANE scores; structural outcomes included MRI, MRA, or US.

resultsSeven level I studies were included (5 mid-term and 2 short-term). Postoperative ASES, Constant, WORC, and SANE scores showed nonsignificant slightly better function of DR groups. Only, UCLA score showed significantly better scores with DR repair (p = 0.007). Full-thickness re-tear incidence was reported in 15/174 (8.6%) in DR group and 20/175 (11.4%) in SR group (p = 0.44). Partial-thickness re-tear rate was reported in 18/174 patients (10.3%) in DR group and 41/175 patients (23.4%) in SR group (p = 0.009).

conclusionWithin the domain of level I mid-term and short-term studies, DR repair showed significant better UCLA score only. (ASES, Constant, WORC, and SANE scores showed no significance.) This may correlate weakly with the significant lower partial-thickness re-tear rates of DR repairs. In contrary, long-term level III studies showed a direct correlation of both functional outcomes and cuff structural integrity, with significant superiority of DR over SR repair techniques. LEVEL OF EVIDENCE: Level 1, systematic review and meta-analysis.

Indexed as

FemaleHumansMaleMiddle AgedProspective StudiesRadiographyRandomized Controlled Trials as TopicRecurrenceRotator CuffRotator Cuff InjuriesRuptureTreatment OutcomeDouble rowMeta-analysisRotator cuff repairSingle rowSystematic review

Identifiers

PMID29442181

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.