Evidence map›Paper›PMID 32358709›Full record

SynthesisMusculoskeletal surgery2020

Arthroscopic anatomic complete versus non-anatomic repair of massive rotator cuff tears: a systematic review of comparative trials.

M-A Malahias, D Chytas, L Kostretzis, I Gkiatas, S Kokkineli, E Antonogiannakis

Abstract readComparative StudySystematic Review
PubMed Publisher
In one paragraph

Synthesis in Musculoskeletal surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

6 authors.

M-A Malahias3rd Orthopaedic Department, Hygeia Hospital of Athens, Erythrou Stavrou 4, 15123, Marousi, Greece.
D ChytasDepartment of Anatomy, School of Medicine, European University Cyprus, 6, Diogenous Str., 2404, Nicosia, Cyprus. dimitrioschytas@gmail.com.
L KostretzisATOS Clinic, Bismarckstrasse 9, 69115, Heidelberg, Germany.
I GkiatasThe Stavros Niarchos Foundation Complex Joint Reconstruction Center, Hospital for Special Surgery, 535 E 70th St, New York, NY, 10021, USA.
S Kokkineli3rd Orthopaedic Department, Hygeia Hospital of Athens, Erythrou Stavrou 4, 15123, Marousi, Greece.
E Antonogiannakis3rd Orthopaedic Department, Hygeia Hospital of Athens, Erythrou Stavrou 4, 15123, Marousi, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Several clinical studies have compared the clinical and functional outcomes of arthroscopic anatomic complete repair and arthroscopic partial repair for massive rotator cuff tears (MRCTs). To our knowledge, no systematic review of these comparative trials has been published yet. A systematic analysis was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) using the MEDLINE/PubMed database and the Cochrane Database of Systematic Reviews. Six studies were eligible for analysis, and they were level III case-control studies. There were 223 cases of complete repair and 208 cases of partial repair (mean age range 59-67 years, mean follow-up range 24-45 months). All studies reported significant postoperative improvement in the reported subjective scores and range of motion in both groups. Complete repair was associated with at least equal or better functional outcomes compared to the partial repair. The rate of complications requiring reoperation in the complete and partial repair cohorts was 1.3% and 3.4%, respectively. Although the overall rate of radiographic integrity of the complete and partial repair cohorts was 61.1% and 26.7%, respectively, we found no clinical relevance in this finding. There is moderate-to-good quality evidence to support that both arthroscopic complete and partial repairs of MRCTs are associated with satisfactory functional outcomes and low rate of complications requiring reoperation. Complete repair is associated with at least equal or better functional outcomes compared to the partial repair and, therefore, it should remain the first line of treatment.

Indexed as

Adipose TissueAgedArthroscopyCase-Control StudiesClinical Trials as TopicHumansMiddle AgedPostoperative ComplicationsRange of Motion, ArticularReoperationRotator CuffRotator Cuff InjuriesSeverity of Illness IndexTreatment OutcomeAnatomic rotator cuff repairArthroscopic complete repairArthroscopic partial repairMassive rotator cuff tearNon-anatomic rotator cuff repair

Identifiers

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.