Evidence map›Paper›PMID 41113037›Full record

ArticleAmerican journal of translational research2025

Effect of irrigation fluid temperature on postoperative swelling, pain, and long-term functional recovery following arthroscopic rotator cuff repair.

Shuo Ge, Renjie Lu, Jixiang Shi, Shaoyang Liu, Qingge Fu

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Article in American journal of translational research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Shuo GeDepartment of Orthopaedics, Putuo Hospital, Shanghai University of Traditional Chinese Medicine Shanghai 200062, China.
Renjie LuDepartment of Rehabilitation Medicine, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine Shanghai 200032, China.
Jixiang ShiDepartment of Orthopaedics, Putuo Hospital, Shanghai University of Traditional Chinese Medicine Shanghai 200062, China.
Shaoyang LiuDepartment of Orthopaedics, Putuo Hospital, Shanghai University of Traditional Chinese Medicine Shanghai 200062, China.
Qingge FuDepartment of Orthopaedics, Putuo Hospital, Shanghai University of Traditional Chinese Medicine Shanghai 200062, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effects of irrigation fluid temperature on postoperative swelling, pain, complications, and functional recovery in patients undergoing arthroscopic rotator cuff repair.

methodsThis retrospective study analyzed clinical data from 410 patients who underwent arthroscopic rotator cuff repair at Putuo Hospital between April 2020 and November 2024. Patients were divided into two groups according to irrigation fluid temperature: isothermic (37°C, n = 178) and room temperature (22-24°C, n = 232). Propensity score matching (PSM) was applied to balance baseline characteristics, yielding 164 patients per group. Primary outcomes included shoulder circumference at 7 and 14 days postoperatively, Visual Analog Scale (VAS) scores at 2, 12, and 24 hours postoperatively, incidence of postoperative hypothermia and shivering, and University of California, Los Angeles (UCLA; ≥ 26) and American Shoulder and Elbow Surgeons (ASES; ≥ 85) scores at 6 months. Logistic regression was used to compare outcomes between groups and identify prognostic factors.

resultsAfter PSM, the isothermic group had significantly smaller shoulder circumference at both 7 and 14 days postoperatively compared with the room temperature group (both P < 0.001). VAS scores at 12 hours postoperatively were also significantly lower in the isothermic group (P < 0.001). No significant between-group differences were found in postoperative hypothermia (P = 0.077) or shivering (P = 0.448). UCLA and ASES scores at 3 and 6 months showed no significant differences (all P > 0.05). Multivariate logistic regression identified body mass index (BMI) as an independent prognostic factor (OR = 0.592, 95% CI: 0.354-0.978, P = 0.043).

conclusionsIsothermic irrigation fluid significantly reduces early postoperative swelling and pain but does not appear to influence long-term functional recovery. Its effect on postoperative hypothermia and shivering is minimal. BMI was identified as an independent prognostic factor.

Indexed as

Arthroscopic rotator cuff repairfunctional recoveryhypothermiairrigation fluid temperaturepostoperativepainpostoperative swelling

Identifiers

PMID41113037
PMCPMC12531542

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