Evidence map›Paper›PMID 38902793›Full record

ArticleJournal of orthopaedic surgery and research2024

Comparison of functional outcomes following early and delayed arthroscopic repair for traumatic and non-traumatic rotator cuff injuries.

Aixin Liu, Baorui Zhang, Tong Lai, Mingxing Wang, Gongyi Wu, Shilin Liu, Tao Zhang

Abstract readComparative Study
In one paragraph

Article in Journal of orthopaedic surgery and research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 4 pooled it
–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

22 citing papers in PubMed, 4 syntheses or guidelines 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.

Aixin Liu *Department of Orthopaedic Surgery, Lu'an Hospital of Traditional Chinese Medicine Affiliated of Anhui University of Traditional Chinese Medicine, Lu'an, Anhui, 237000, China.
Baorui Zhang *Department of Rehabilitation, Lu'an Hospital of Traditional Chinese Medicine Affiliated of Anhui University of Traditional Chinese Medicine, Lu'an, Anhui, 237000, China.
Tong LaiDepartment of Rehabilitation, Lu'an Hospital of Traditional Chinese Medicine Affiliated of Anhui University of Traditional Chinese Medicine, Lu'an, Anhui, 237000, China.
Mingxing WangDepartment of Oncology, Lu'an Hospital of Traditional Chinese Medicine Affiliated of Anhui, University of Traditional Chinese Medicine, Lu'an, Anhui, 237000, China.
Gongyi WuDepartment of Orthopaedic Surgery, Lu'an Hospital of Traditional Chinese Medicine Affiliated of Anhui University of Traditional Chinese Medicine, Lu'an, Anhui, 237000, China.
Shilin LiuDepartment of Neurocritical Care Unit, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, 230001, China. shilin_sj@163.com.
Tao ZhangDepartment of Orthopaedic Surgery, Lu'an City Hospital of Traditional Chinese Medicine, Lu'an, Anhui, 237000, China. 1163022767@qq.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe effects of the timing of surgical repair on the outcomes of traumatic and non-traumatic rotator cuff injuries (RCI) remain elusive. Thus, this study aimed to compare differences in outcomes following the repair of traumatic and non-traumatic RCI at varying time points.

methodsThe study population comprised 87 patients with traumatic and non-traumatic RCI who underwent arthroscopic rotator cuff repair and were followed up for a minimum of 6 months. Next, the trauma and the non-trauma groups were stratified into subgroups according to the time of injury (early repair: occurring within 3 months; delayed repair: occurring after 3 months). Measurements before and after surgical interventions were compared to evaluate the effect of the duration of RCI on the functional status of patients in the trauma and non-trauma groups. Primary evaluation indices included the Visual Analog Scale (VAS) pain score, American Shoulder and Elbow Surgeons (ASES) score, Constant shoulder function score, and the University of California, Los Angeles (UCLA) shoulder score. Secondary evaluation indices consisted of shoulder range of motion (ROM), postoperative rotator cuff retear rate, and incidence of joint stiffness.

resultsAmong the 40 patients in the trauma group, 22 underwent early repair, whereas the remaining 18 underwent delayed repair. In the non-trauma group consisting of 47 patients, 18 underwent early repair, whereas the remaining 29 underwent delayed repair. The minimum clinical follow-up time was 6 months, with an average follow-up time of 10.2 months. During postoperative follow-up, 1 and 6 patients who underwent early and delayed repair experienced re-tear in the trauma group, respectively. Contrastingly, 3 and 8 patients who underwent early and delayed repair presented with re-tear in the non-trauma group, respectively.

conclusionEarly repair of traumatic RCI yielded superior outcomes, including improved range of motion, lower pain symptoms, and lower risk of postoperative re-tears compared to delayed repair. Additionally, non-surgical treatment is recommended as the preferred approach for patients with non-traumatic RCI.

Indexed as

ArthroscopyRange of Motion, ArticularRotator Cuff InjuriesAdultAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedRecovery of FunctionRotator CuffTime FactorsTime-to-TreatmentTreatment OutcomeFunctionOutcomesRotator cuff injuryRotator cuff repairTiming

Identifiers

PMID38902793
PMCPMC11191288

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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.