Evidence map›Paper›PMID 32124328›Full record

Observational studyMusculoskeletal surgery2021

Arthroscopic partial repair with versus without biodegradable subacromial spacer for patients with massive rotator cuff tears: a case-control study.

M-A Malahias, E Brilakis, G Avramidis, A Trellopoulos, E Antonogiannakis

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Musculoskeletal surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
3.3field-weighted citation impact, top 7% of its field
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

10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
  6. Article
  7. Article
  8. Treatment Options for Massive Irreparable Rotator Cuff Tears.Current reviews in musculoskeletal medicine · 2021
    Review
  9. Subacromial balloon spacer - Where are we now?Journal of clinical orthopaedics and trauma · 2021
    Article
  10. Article
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

5 authors at 1 institution in 1 country.

M-A MalahiasOrthopaedic Surgeon, 3rd Orthopaedic Department, HYGEIA Hospital, Erythrou Stavrou 4, 15123, Marousi, Athens, Greece. alexandermalahias@yahoo.gr.
E BrilakisOrthopaedic Surgeon, 3rd Orthopaedic Department, HYGEIA Hospital, Erythrou Stavrou 4, 15123, Marousi, Athens, Greece.
G AvramidisOrthopaedic Surgeon, 3rd Orthopaedic Department, HYGEIA Hospital, Erythrou Stavrou 4, 15123, Marousi, Athens, Greece.
A TrellopoulosOrthopaedic Surgeon, 3rd Orthopaedic Department, HYGEIA Hospital, Erythrou Stavrou 4, 15123, Marousi, Athens, Greece.
E AntonogiannakisOrthopaedic Surgeon, 3rd Orthopaedic Department, HYGEIA Hospital, Erythrou Stavrou 4, 15123, Marousi, Athens, Greece.
Hygeia Hospital · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo investigate whether arthroscopic partial repair with the additional use of a biodegradable subacromial spacer would be proven better treatment for irreparable massive rotator cuff tears (MRCT) compared to single arthroscopic partial repair.

methodsA matched-pairs case-control study of 32 patients suffering from irreparable MRCT who underwent an arthroscopic partial repair with (Group B: 16 patients) or without (Group A: 16 patients) InSpace Balloon (ISB

resultsThe two groups were matched in all baseline demographic and clinical characteristics (n.s.). All mean final quantitative postoperative clinical and functional scores of group A (partial repair and ISB) and group B (single partial repair), as well as active RoM, were significantly improved (t test) in comparison with the mean preoperative values (p < 0.05). No significant differences were observed between the two groups in relation to the two success rate criteria (ASES minimal clinically important difference or MCID > 17, Constant score MCID > 10.4), as well as pain relief and RoM 12 months after surgery.

conclusionArthroscopic partial repair, either with or without ISB implantation, resulted in significantly improved clinical and functional short-term outcomes for the treatment of MRCT. Patients who were treated with combined partial repair and ISB implantation had a potential propensity toward better functional outcomes and higher patient satisfaction compared to the single-partial-repair-treated group. However, given that these differences were not significant, we feel that further studies are required to clarify the potential therapeutic value of ISB implantation in the treatment of irreparable MRCT. LEVEL OF EVIDENCE: Level III. CLINICAL TRIALS' REGISTRY: German Clinical Trials Register (WHO International Clinical Trials Registry Platform). ID number: DRKS00014725. Date of registration: 07/05/2018.

Indexed as

Rotator Cuff InjuriesArthroscopyCase-Control StudiesHumansRange of Motion, ArticularRetrospective StudiesTreatment OutcomeArthroscopic partial repairComparative case–control studyInSpace BalloonIrreparable massive rotator cuff tearSHOULDER arthroscopySubacromial biodegradable spacer

Identifiers

PMID32124328
OpenAlexW3010257852

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.