Evidence map›Paper›PMID 39254725›Full record

SynthesisEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2024

Long head of biceps tendon autograft is effective in the management of large to massive rotator cuff tear: a systematic review.

Natalie Green, Robert W Jordan, Tanujan Thangarajah, Hubert Laprus, Jarret Woodmass, Peter D'Alessandro, Shahbaz S Malik

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
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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.

Natalie GreenThe Royal Orthopaedic Hospital, Birmingham, UK. natalie.green5@nhs.net.ORCID http://orcid.org/0000-0002-0273-9808
Robert W JordanUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Tanujan ThangarajahUniversity College London Hospitals NHS Foundation Trust, London, UK.
Hubert LaprusLuke's Hospital, Bielsko‑Biała, Poland.
Jarret WoodmassPan Am Clinic., Winnipeg, Canada.
Peter D'AlessandroOrthopaedic Research Foundation of Western Australia, Perth, Australia.
Shahbaz S MalikWorcestershire Acute Hospitals NHS Trust, Charles Hastings Way, Worcester, WR5 1DD, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this systematic review is to review the functional, clinical and radiological outcomes of patients undergoing large to massive rotator cuff repair with long head of biceps tendon (LHBT) autograft, as well as compare these to standard arthroscopic cuff repair.

methodsA review of the online Medline database was conducted on 20 October 2022 according to PRISMA guidelines and registered prospectively on the PROSPERO database. Clinical studies assessing patients with large to massive rotator cuff tears undergoing LHBT autograft repair were included. All studies reported on functional outcomes, range of movement (ROM) and radiological re-tear rates. The Methodological Index for Non-Randomised Studies (MINORS) tool was used to appraise all studies.

resultsThe search strategy identified ten studies for inclusion including a total of 594 patients. Five studies were comparable (346 patients), assessing LHBT autograft repair against arthroscopic rotator cuff repair without autograft. A variety of techniques of LHBT autograft were used across all studies, including bridging and augmentation styles. Radiographic comparison showed lower re-tear rates in the LHBT autograft group with two studies demonstrating statistically significant results. Pain scores, functional outcomes and ROM were significantly improved post-operatively in all studies for LHBT autograft patients, with no significant difference when compared to standard arthroscopic repair.

conclusionLHBT autograft looks to significantly improve functional scoring and range of motion in patients with large to massive rotator cuff tears. When compared to standard arthroscopic cuff repair, LHBT autograft appears to significantly reduce the re-tear rate. Further randomised studies are needed to assess the efficacy of this technique.

Indexed as

ArthroscopyAutograftsRange of Motion, ArticularRotator Cuff InjuriesHumansTendonsTransplantation, AutologousTreatment OutcomeArthroscopic repairAugmentationAutograftBridgingLarge or massive rotator cuff tearLong head of biceps tendonOpen repairShoulder surgery

Identifiers

PMID39254725

What OpenQuestion holds

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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.