Evidence map›Paper›PMID 37009491›Full record

ReviewOrthopaedic journal of sports medicine2023

Local Intraoperative Marrow-Derived Augmentation for Primary Rotator Cuff Repair: An Updated Systematic Review and Meta-analysis of Studies From 2010 to 2022.

Stephen Le Breton, Julianne Forlizzi, Olivia Bono, Meghan MacAskill, Albert Mousad, Sophie Kush, Makenzie O'Brien, Alaia Christensen, Kai Mithoefer, Arun Ramappa and 2 more

Open access · goldAbstract readReview
In one paragraph

Review in Orthopaedic journal of sports medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
3.8field-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

2 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. 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

12 authors at 4 institutions in 1 country.

Stephen Le BretonNew England Baptist Hospital, Boston, Massachusetts, USA.
Julianne ForlizziNew England Baptist Hospital, Boston, Massachusetts, USA.
Olivia BonoNew England Baptist Hospital, Boston, Massachusetts, USA.
Meghan MacAskillNew England Baptist Hospital, Boston, Massachusetts, USA.
Albert MousadNew England Baptist Hospital, Boston, Massachusetts, USA.
Sophie KushNew England Baptist Hospital, Boston, Massachusetts, USA.
Makenzie O'BrienNew England Baptist Hospital, Boston, Massachusetts, USA.
Alaia ChristensenNew England Baptist Hospital, Boston, Massachusetts, USA.
Kai MithoeferNew England Baptist Hospital, Boston, Massachusetts, USA.
Arun RamappaNew England Baptist Hospital, Boston, Massachusetts, USA.
Glen RossNew England Baptist Hospital, Boston, Massachusetts, USA.
Sarav S ShahNew England Baptist Hospital, Boston, Massachusetts, USA.
New England Baptist Hospital · USAlbany Medical Center Hospital · USLake Erie College of Osteopathic Medicine · USTufts University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Recurrent tears of the rotator cuff pose a substantial problem despite advances in repair technique. Biologic augmentation via marrow stimulation or vented anchors may strengthen the suture-tendon junction and improve healing rates of native tissue, thereby enhancing outcomes of primary surgical repair. Purpose: To provide a focused systematic review and meta-analysis of local, intraoperative marrow-derived augmentation techniques in clinical primary rotator cuff repair. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic review of PubMed, Embase, and Cochrane was conducted following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. A total of 2131 studies from 2010 to 2022, focused on either marrow stimulation or vented anchors, were isolated and classified as either preclinical or clinical. Meta-analysis was performed for comparative marrow stimulation and vented anchor studies. Heterogeneity was tested through calculation of Results: A total of 13 clinical studies were included in the review. All 9 comparative studies included in the meta-analysis demonstrated high methodologic quality or a low risk of bias. The pooled retear rate across all 9 clinical studies for patients undergoing marrow stimulation was 11%. For the 5 studies in the meta-analysis, the pooled retear rates were 15% for marrow stimulation and 30% for controls. Meta-analysis demonstrated a significant difference in the overall retear rate that favored marrow stimulation (odds ratio [OR], 0.41; 95% CI, 0.25-0.66; Conclusion: Current evidence demonstrates that marrow-stimulation techniques may have a positive impact on healing and retear rate, while vented anchors have a muted impact relative to nonvented anchors. Although available evidence is limited and more research is needed, findings to date suggest that marrow stimulation techniques may be an inexpensive, straightforward technique to consider in qualifying patients to prevent rotator cuff retears.

Indexed as

crimson duvetmarrow stimulationmarrow ventingmeta-analysismicrofracturerotator cuff repairshouldersystematic reviewvented anchors

Identifiers

PMID37009491
PMCPMC10061649
OpenAlexW4361208615

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.