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ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021

Stump classification was correlated with retear in the suture-bridge and double-row repair techniques for arthroscopic rotator cuff repair.

Naohide Takeuchi, Naoya Kozono, Akihiro Nishii, Koumei Matsuura, Eiichi Ishitani, Toshihiro Onizuka, Yoshihisa Zaitsu, Takamitsu Okada, Yasuhiro Mizuki, Takehiro Kimura and 9 more

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Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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0cells of the map it votes in
5citing 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

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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

5 citing papers in PubMed.

  1. Article
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  4. Article
  5. Rotator cuff repair protected with subacromial balloon spacer shows a low rate of non-healing.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022
    Article
4 · The record

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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

19 authors.

Naohide TakeuchiDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka City, Fukuoka, 812-8582, Japan. naohide@ortho.med.kyushu-u.ac.jp.ORCID http://orcid.org/0000-0002-9088-0835
Naoya KozonoDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka City, Fukuoka, 812-8582, Japan.
Akihiro NishiiDepartment of Orthopaedic Surgery, Kitakyushu Municipal Medical Center, Kitakyushu City, Fukuoka, 802-0077, Japan.
Koumei MatsuuraDepartment of Orthopaedic Surgery, Saiseikai Yahata General Hospital, Kitakyushu City, Fukuoka, 805-0050, Japan.
Eiichi IshitaniDepartment of Orthopaedic Surgery, Fukuoka Shion Hospital, Ogori City, Fukuoka, 838-0101, Japan.
Toshihiro OnizukaDepartment of Orthopaedic Surgery, Kyushu Rosai Hospital, Kitakyushu City, Fukuoka, 800-0296, Japan.
Yoshihisa ZaitsuDepartment of Orthopaedic Surgery, Mizoguchi Orthopaedic Hospital, Fukuoka City, Fukuoka, 810-0001, Japan.
Takamitsu OkadaDepartment of Orthopaedic Surgery, Nakabaru Hospital, Kasuya District, Fukuoka, 811-2233, Japan.
Yasuhiro MizukiDepartment of Orthopaedic Surgery, Sasebo Kyosai Hospital, Sasebo City, Fukuoka, 857-0879, Japan.
Takehiro KimuraDepartment of Orthopaedic Surgery, Moro-oka Orthopaedic Hospital, Chikushi District, Fukuoka, 811-1201, Japan.
Hidehiko YugeDepartment of Orthopaedic Surgery, Mizoguchi Orthopaedic Hospital, Fukuoka City, Fukuoka, 810-0001, Japan.
Taiki UchimuraDepartment of Orthopaedic Surgery, Sasebo Kyosai Hospital, Sasebo City, Fukuoka, 857-0879, Japan.
Kunio IuraDepartment of Orthopaedic Surgery, Fukuoka Orthopaedic Hospital, Fukuoka City, Fukuoka, 815-0063, Japan.
Tatsuya MoriDepartment of Orthopaedic Surgery, Kyushu Rosai Hospital, Kitakyushu City, Fukuoka, 800-0296, Japan.
Koki UedaDepartment of Orthopaedic Surgery, Sasebo Kyosai Hospital, Sasebo City, Fukuoka, 857-0879, Japan.
Go MiakeDepartment of Orthopaedic Surgery, Kyushu Rosai Hospital, Kitakyushu City, Fukuoka, 800-0296, Japan.
Takahiro SenjuDepartment of Orthopaedic Surgery, Sasebo Kyosai Hospital, Sasebo City, Fukuoka, 857-0879, Japan.
Kenji TakagishiDepartment of Orthopaedic Surgery, Sada Hospital, Fukuoka City, Fukuoka, 810-0004, Japan.
Yasuharu NakashimaDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka City, Fukuoka, 812-8582, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe Stump classification is significantly correlated with a retear after arthroscopic rotator cuff repair. However, no study has evaluated whether or not the stump classification is correlated with retear in the suture-bridge or double-row repair techniques. The aim of this study was to evaluate the relationship between a retear and the stump classification in the suture-bridge and double-row repair techniques.

methodsAmong 389 patients who underwent arthroscopic repairs of full-thickness rotator cuff tears using suture-bridge or double-row repair techniques, 326 patients (median age 67.0 years; range 25-85) were included. There were 51 small, 172 medium, 83 large, and 20 massive tears. Two hundred forty patients were treated with the suture-bridge technique, and 86 patients were treated with the double-row technique. The following variables were analyzed: age, sex, the Cofield classification, anteroposterior and mediolateral tear size on preoperative MRI, global fatty degeneration index, and the stump classification. Cuff integrity was evaluated on magnetic resonance imaging at 6 months after surgery. The patients were divided into the intact and retear groups and the relationship between the variables and retear was evaluated by multivariate logistic regression analysis.

resultsThe overall retear rate was 10.1%. In the multivariate logistic regression analysis, the independent predictors of a retear were the stump classification type 3 (Odds ratio: 4.71, p = 0.0246), global fatty degeneration index (Odds ratio: 3.87, p = 0.0030), and anteroposterior tear size (Odds ratio: 1.07, p = 0.0077) in the suture bridge technique. In the double-row technique, the independent predictors of retear were stump classification type 3 (Odds ratio: 7.82, p = 0.0348), and age (Odds ratio: 1.22, p = 0.0163).

conclusionThe stump classification was significantly correlated with retear in the suture-bridge and double-row repair technique. Stump classification type 3 was indicated to be an important risk factor for predicting retear. LEVEL OF EVIDENCE: III.

Indexed as

Rotator CuffRotator Cuff InjuriesAdultAgedAged, 80 and overArthroscopyHumansMagnetic Resonance ImagingMiddle AgedRetrospective StudiesSuturesSuture TechniquesTreatment OutcomeArthroscopic rotator cuff tearRetearRisk factorStump classification

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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.