Evidence map›Paper›PMID 36709237›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2023

Superior capsular reconstruction using hybrid graft for irreparable massive rotator cuff tear.

Jong Pil Yoon, Dong-Hyun Kim, Jee Wook Yoon, Youngsoo Jung, Kyeong Hyeon Park, Jihwan Lee, Seok Won Chung

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Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 11% 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Pooled it
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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

7 authors at 2 institutions in 1 country.

Jong Pil YoonDepartment of Orthopedic Surgery, School of Medicine, Kyungpook National University, Daegu, Korea.
Dong-Hyun KimDepartment of Orthopedic Surgery, School of Medicine, Kyungpook National University, Daegu, Korea.
Jee Wook YoonDepartment of Orthopedic Surgery, School of Medicine, Kyungpook National University, Daegu, Korea.
Youngsoo JungDepartment of Orthopedic Surgery, School of Medicine, Kyungpook National University, Daegu, Korea.
Kyeong Hyeon ParkDepartment of Orthopedic Surgery, School of Medicine, Kyungpook National University, Daegu, Korea.
Jihwan LeeDepartment of Orthopaedic Surgery, School of Medicine, Center for Shoulder and Elbow Surgery, Konkuk University School of Medicine, 120-1 Neungdong-Ro (Hwayang-Dong), Gwangjin-Gu, Seoul, 143-729, Korea.
Seok Won ChungDepartment of Orthopaedic Surgery, School of Medicine, Center for Shoulder and Elbow Surgery, Konkuk University School of Medicine, 120-1 Neungdong-Ro (Hwayang-Dong), Gwangjin-Gu, Seoul, 143-729, Korea. smilecsw@gmail.com.ORCID http://orcid.org/0000-0002-8221-9289
Kyungpook National University Hospital · KRKonkuk University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the clinical and radiological outcomes of arthroscopic superior capsular reconstruction (SCR) using hybrid grafts composed of tensor fascia lata autografts and human dermal allografts.

methodsThis study included 30 patients with chronic irreparable posterosuperior rotator cuff tears (RCTs) who underwent arthroscopic SCR using a hybrid graft composed of tensor fascia lata autograft and human dermal allograft. Clinical outcomes were evaluated using the pain visual analogue scale score, shoulder range of motion, American Shoulder and Elbow Surgeons score, constant score, University of California-Los Angeles score, and simple shoulder test score preoperatively and at least 2 years after surgery. Radiographic analysis included the Hamada classification grade, acromiohumeral distance (AHD), and graft integrity at 2 years after surgery.

resultsAll patients exhibited significant clinical improvement in all functional outcome measurements, except external rotation (all P < 0.05). The number of patients who exhibited pseudoparalysis decreased from 7 (23.3%) to 2 (6.7%) postoperatively. Complications were not observed. Radiologically, the mean postoperative AHD increased significantly from 6.9 ± 1.6 cm to 8.8 ± 2.1 cm at 2 years postoperatively (P < 0.001). Twenty five out of the 30 (83.3%) patients showed successful graft healing, and all healing failures occurred on the humeral side. The differences between the healed-graft and failed-graft groups were significantly lower graft thickness (P = 0.001) and smaller AHD (P < 0.001) in the failed-graft group. Every functional outcome scores were not statistically different between healed-graft and failed-graft groups.

conclusionsAn arthroscopic SCR technique using a hybrid graft consisting of a tensor fascia lata autograft and human dermal allograft showed satisfactory clinical outcomes in patients with irreparable RCTs. LEVEL OF EVIDENCE: IV.

Indexed as

Rotator Cuff InjuriesShoulder JointArthroscopyHumansRange of Motion, ArticularTransplantation, AutologousTransplantation, HomologousTreatment OutcomeHuman dermal allograftHybrid graftIrreparable massive rotator cuff tearSuperior capsular reconstructionTensor fascia lata

Identifiers

PMID36709237
OpenAlexW4318348239

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Registered trials

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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.