Evidence map›Paper›PMID 35022825›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2022

Rotator cuff repair protected with subacromial balloon spacer shows a low rate of non-healing.

Raffaele Garofalo, Angelo De Crescenzo, Alberto Fontanarosa, Marco Conti, Alessandro Castagna, Roberto Calbi

Abstract read
PubMed Publisher
In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. 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

6 authors.

Raffaele GarofaloDepartment of Orthopaedics and Traumatology, Ente Ecclesiastico Ospedale "F. Miulli", 70021, Acquaviva delle Fonti, Bari, Italy.
Angelo De CrescenzoDepartment of Orthopaedics and Traumatology, Ente Ecclesiastico Ospedale "F. Miulli", 70021, Acquaviva delle Fonti, Bari, Italy. dr.angelodecrescenzo@gmail.com.ORCID http://orcid.org/0000-0001-9474-2248
Alberto FontanarosaDepartment of Orthopaedics and Traumatology, Ente Ecclesiastico Ospedale "F. Miulli", 70021, Acquaviva delle Fonti, Bari, Italy.
Marco ContiShoulder and Elbow Unit, Department of Orthopaedics and Traumatology, Humanitas Research Hospital, 20089, Rozzano, Milano, Italy.
Alessandro CastagnaShoulder and Elbow Unit, Department of Orthopaedics and Traumatology, Humanitas Research Hospital, 20089, Rozzano, Milano, Italy.
Roberto CalbiDepartment of Radiology, Ente Ecclesiastico Ospedale "F. Miulli", 70021, Acquaviva delle Fonti, Bari, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to evaluate clinical outcomes and tendon integrity on magnetic resonance imaging (MRI) of chronic posterosuperior rotator cuff tears treated with single-row tensionless repair and subacromial balloon spacer as protection with a minimum follow-up of 2 years. The hypothesis of this study was that this procedure would have acceptable clinical outcomes and tendon-healing rate without increased complications.

methodsThis is a retrospective study of patients with chronic posterosuperior rotator cuff tears repaired with a single-row technique protected with a subacromial balloon device. Patients were followed up for a minimum of 2 years. Clinical outcomes were evaluated with American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES) and Numerical Rating Scale (NRS) for pain. MRI study was obtained likewise after at least 2 years to assess tendon-healing rate. Statistical comparison was performed between pre-operative and at least 2-year clinical and imaging follow-up.

resultsThirty-two patients were included in the study with a mean follow-up of 27 ± 7 (range 24-48). The mean age of this cohort was 58 ± 6 (range 41-66) including 15 males and 17 females. The tear size was on average 2.3 cm (range 2-4) and a mean of 2.1 triple-loaded anchors were used (range 2-3). The ASES score significantly increased from a mean of 39 ± 12 points to a mean of 89 ± 12 at the final follow-up (P < 0.001). Similarly, pain significantly reduced from a mean pre-operative NRS of 6.8 ± 1.4 to 0.8 ± 1.5 at the final follow-up (P < 0.001). MRI scans showed that repair occurred in 26 patients (81.3%). Significant higher ASES score was reached at final follow-up in patients with a "healed" (Sugaya I-III) tendon when compared to patients with an evidence of tendon discontinuity on MRI study (Sugaya IV-V), 93 ± 9 and 74 ± 13, respectively (P < 0.001).

conclusionsArthroscopic repair of chronic posterosuperior rotator cuff tears using a single-row tensionless repair and subacromial spacer as protection resulted in an 81.3% of tendon integrity at a mean follow-up of 27 months. Clinical outcomes and pain scores significantly improved without severe complications reported after a minimum follow-up of 2 years. LEVEL OF EVIDENCE: III.

Indexed as

Rotator Cuff InjuriesArthroscopyFemaleHumansMagnetic Resonance ImagingMalePainRetrospective StudiesRotator CuffTreatment OutcomeArthroscopic rotator cuff repairBalloon spacerMassive rotator cuff tearsShoulderSubacromial spacer

Identifiers

PMID35022825

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.