Evidence map›Paper›PMID 30229445›Full record

SynthesisEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2019

Type 2 retear after arthroscopic single-row, double-row and suture bridge rotator cuff repair: a systematic review.

Yehia H Bedeir, Adam P Schumaier, Ghada Abu-Sheasha, Brian M Grawe

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  7. [Early effectiveness of arthroscopic modified tri-anchor double-pulley suture-bridge technique in repairing medium-sized supraspinatus tendon tears].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025
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  10. Review
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  17. Rotator cuff tears.Nature reviews. Disease primers · 2024
    Review
  18. [Early effectiveness of arthroscopic repair of supraspinatus tendon tears with douple-pulley suture-bridge].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Yehia H BedeirDepartment of Orthopaedic Surgery, Sports Medicine Division, University of Cincinnati Medical Center, 200 Albert Sabin Way, Cincinnati, OH, 45220, USA. yehiabedeir@hotmail.com.ORCID http://orcid.org/0000-0002-3559-2005
Adam P SchumaierDepartment of Orthopaedic Surgery, Sports Medicine Division, University of Cincinnati Medical Center, 200 Albert Sabin Way, Cincinnati, OH, 45220, USA.ORCID http://orcid.org/0000-0003-1950-1019
Ghada Abu-SheashaDepartment of Biomedical Informatics and Medical Statistics, Medical Research Institute, University of Alexandria, Alexandria, Egypt.
Brian M GraweDepartment of Orthopaedic Surgery, Sports Medicine Division, University of Cincinnati Medical Center, 200 Albert Sabin Way, Cincinnati, OH, 45220, USA.ORCID http://orcid.org/0000-0002-3778-7260

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aim/purposeTo provide a systematic review of the literature on patterns of retear after single-row (SR), double-row (DR) and suture bridge (SB) techniques.

methodsThe PubMed and MEDLINE databases were searched for published articles reporting both repair technique and retear pattern. Studies in languages other than English, those reporting open rotator cuff repair as the index procedure, as well as animal and cadaveric studies and those which did not describe patterns of retear, were excluded. MINORS scoring system was used to quantify potential bias in each study. Retears were classified into type 1 (failure at the tendon-bone interface) and type 2 (medial cuff failure). For all studies included, number and type of retears after different repair techniques were reported and analyzed.

resultsFourteen studies were included yielding a total of 260 rotator cuff retears. Repair technique had a significant impact on the estimated incidence rate of type 2 retear (p = .001). The estimated incidence rate of type 2 retear was 24% with SR (95% CI 14-38%), 43% with DR (95% CI 22-66%), 62% with SB (95% CI 54-70%) and 38% with SB (95% CI 23-57%).

conclusionDespite the lack of high-quality evidence, this study suggests that DR and SB techniques increase the risk of medial cuff failure. Modifications in surgical techniques in both DR and SB repairs can help decrease that risk. LEVEL OF EVIDENCE: Level IV, systematic review of investigations including level IV.

Indexed as

Suture TechniquesArthroscopyHumansRecurrenceRisk FactorsRotator Cuff InjuriesMedial cuff failureRecurrent cuff tearsRetear patternsRevision rotator cuff repairType 2 retears

Identifiers

What OpenQuestion holds

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Registered trials

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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.