Evidence map›Paper›PMID 40258016›Full record

ArticlePloS one2025

Is it enough to utilize a single anchor for repair of rotator cuff tears ≤ 3 * 3 cm²?

Ala' Hawa, Alexander Tham, James Bilbrough, Christyon Hayek, Mina Shenouda, George A C Murrell

Erratum issuedAbstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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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.

  1. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Ala' HawaDepartment of Surgery, Orthopedics Division, Faculty of Medicine, Yarmouk University, Irbid, Jordan.ORCID 0000-0002-6982-3262
Alexander ThamOrthopedic Research Institute, St George Hospital Campus, University of New South Wales, Kogarah, New South Wales, Australia.ORCID 0000-0003-4601-1621
James BilbroughOrthopedic Research Institute, St George Hospital Campus, University of New South Wales, Kogarah, New South Wales, Australia.
Christyon HayekOrthopedic Research Institute, St George Hospital Campus, University of New South Wales, Kogarah, New South Wales, Australia.
Mina ShenoudaOrthopedic Research Institute, St George Hospital Campus, University of New South Wales, Kogarah, New South Wales, Australia.ORCID 0000-0003-3447-3853
George A C MurrellOrthopedic Research Institute, St George Hospital Campus, University of New South Wales, Kogarah, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBiomechanical studies showed that increasing number of anchors could improve the repair strength of the repaired cuff at time zero. PURPOSE: The aim of this study was to determine if utilizing only a single anchor for a cuff tear repair is sufficient or otherwise to give a similar retear rate and clinical outcome as multiple anchors in a matched group of patients. STUDY

designCohort study; Level of evidence, 3.

methodsRetrospective analysis of 346 matched consecutive patients (single anchor group, n = 173; multiple anchors group, n = 173) who had cuff tears ≤ 3*3 cm² (mediolateral * anteroposterior diameters) repaired by a single senior surgeon. Ultrasound was used to evaluate the integrity of repair 6 months post-surgery. Patient and surgeon reported outcomes were used to evaluate the clinical outcome of the method used for repair.

results6 months post-surgery; the retear rate for cuff tears ≤ 1*1 cm², tears ≤ 1 cm in mediolateral diameter and > 1 cm in anteroposterior diameter and tears > 1 cm in mediolateral diameter and ≤ 1 cm in anteroposterior diameter was similar in single and multiple anchors groups (4.8%) (3.3%) (P = 1.00), (10.8%) (7.9%) (P = 0.71) and (0%) (0%) respectively. Retear rate for cuff tears > 1*1 cm² was significantly higher in single anchor group (25.4%) compared to multiple anchors groups (10.9%) (P < 0.05). Operative time was significantly lower in single anchor group (14 minutes) compared to multiple anchors group (20 minutes) (P < 0.05) only for cuff tears ≤ 1*1 cm².

conclusion6-months post-surgery; there was no significant difference in retear rate or clinical outcome between patients with tears ≤ 3*3 cm² (mediolateral * anteroposterior diameters) who had their cuff tears repaired using a single anchor compared to those who had their cuff tears repaired using multiple anchors unless both the mediolateral and anteroposterior diameters of the tear were > 1 cm, for which the utilization of multiple anchors showed a significantly lower retear rate at 6 months post-surgery. Operative time was significantly shorter only when a single anchor was used for repair of tears ≤ 1*1 cm².

Indexed as

Rotator CuffRotator Cuff InjuriesSuture AnchorsAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment Outcome

Identifiers

PMID40258016
PMCPMC12011237

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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.