Evidence map›Paper›PMID 30989274›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2019

No healing improvement after rotator cuff reconstruction augmented with an autologous periosteal flap.

C Holwein, B von Bibra, P M Jungmann, D C Karampinos, K Wörtler, M Scheibel, A B Imhoff, S Buchmann

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Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Trial
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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

8 authors.

C HolweinAbteilung und Poliklinik für Sportorthopädie Klinikum rechts der Isar Technische Universität München, Ismaninger Straße 22, 81675, Munich, Germany. christianholwein@gmx.de.
B von BibraAbteilung und Poliklinik für Sportorthopädie Klinikum rechts der Isar Technische Universität München, Ismaninger Straße 22, 81675, Munich, Germany.
P M JungmannKlinik für Neuroradiologie Universitätsspital Zürich, Frauenklinikstraße 10, 8091, Zurich, Switzerland.
D C KarampinosInstitut für diagnostische und interventionelle Radiologie Klinikum rechts der Isar Technische Universität München, Ismaninger Straße 22, 81675, Munich, Germany.
K WörtlerInstitut für diagnostische und interventionelle Radiologie Klinikum rechts der Isar Technische Universität München, Ismaninger Straße 22, 81675, Munich, Germany.
M ScheibelCentrum für Muskuloskeletale Chirurgie der Charité - Universitätsmedizin Berlin, Campus Virchow Klinikum, Augustenburger Platz 1, 13353, Berlin, Germany.
A B ImhoffAbteilung und Poliklinik für Sportorthopädie Klinikum rechts der Isar Technische Universität München, Ismaninger Straße 22, 81675, Munich, Germany.
S BuchmannOFZ Orthopädisches Fachzentrum Weilheim, Johann-Baur-Str. 5, Weilheim in Oberbayern, 82362, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo show descriptive clinical and magnetic resonance (MR) imaging results after an additional periosteal flap augmentation in mini-open rotator cuff reconstruction and to evaluate potential healing improvement at long-term follow-up.

methodsTwenty-three patients with degenerative rotator cuff tears were followed after receiving a mini-open single-row repair with a subtendinous periosteal flap augmentation. Data were collected preoperatively, after 12 months and after 11 years. Clinical examination, simple shoulder test (SST), Constant-Murley Score (CS), ultrasonography examination and 3T MR imaging were performed.

resultsOut of 23 patients, 20 were available for short-term and 19 for final follow-up at a median of 11.5 years (range 10.4-13.0). Questions answered with "yes" in SST improved from baseline 5.0 (range 1.0-8.0) to short 10.5 (range 8.0-12.0) and final follow-up 12.0 (range 7.0-12.0). CS improved from 53.5 (range 25.0-66.0) to 80.8 (range 75.9-89.3) and finally to 79.8 points (range 42.3-95.4). Improvement was highly significant (p < 0.05). Severe retears were found in 9/19 patients. Ossifications along the refixed tendon were noticed in 8/19 cases. Ossifications did not correlate with clinical outcome. At final follow-up, patients with retears seemed likely to have lower strength values in CS (mean ± SD) than patients without retears (7.3 ± 4.1 vs. 12.8 ± 5.3; p < 0.05).

conclusionNo positive effect on improving healing response in rotator cuff refixation with a periosteal flap augmentation could be found. Retear rate is comparable to that of conventional rotator cuff refixation in the published literature. Ossifications along the tendon, without negatively affecting the clinical outcome, were seen. This invasive technique cannot be advised and should not be used anymore. LEVEL OF EVIDENCE: IV.

Indexed as

Surgical FlapsSuture TechniquesAdultAgedArthroscopyFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedRotator CuffRotator Cuff InjuriesTreatment OutcomeUltrasonographyWound HealingPeriosteal flapRotator cuff healingRotator cuff repairTendon augmentation

Identifiers

PMID30989274

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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.