ArticleScientific reports2025
Development and validation of a risk prediction model for re-tear after arthroscopic rotator cuff repair.
Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- [Development of a nomogram prediction model for re-tear after arthroscopic repair of massive rotator cuff tears].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026Article
- Development of a predictive model based on ultrasonographic features of brucella-associated periarthritis of the shoulder.Frontiers in cellular and infection microbiology · 2026Article
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5 authors.
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Abstract
Re-tear remains a frequent complication after arthroscopic rotator cuff repair (ARCR), adversely affecting functional recovery. This study aimed to develop and validate a clinical prediction model for re-tear risk following ARCR. This retrospective study included 570 patients undergoing ARCR from 2018 to 2023, randomly assigned to training (n = 399) and validation (n = 171) cohorts. Demographic, imaging, and intraoperative variables were analyzed. Independent predictors from multivariable logistic regression were used to construct a nomogram. Model performance was assessed by discrimination, calibration, and decision curve analysis (DCA). Six independent predictors were identified: age, maximal tear diameter, Patte grade III tendon retraction, high-grade fatty infiltration (Goutallier ≥ 3), positive tangent sign, and intraoperative repair tension. The nomogram showed good discrimination (AUC = 0.76 training; 0.74 validation) and calibration (Hosmer-Lemeshow P = 0.735 and 0.721, respectively). DCA demonstrated clinical utility across wide threshold probabilities, outperforming "treat-all" and "treat-none" strategies. This nomogram, integrating preoperative imaging and intraoperative findings, provides individualized re-tear risk estimates after ARCR, offering a practical tool for surgical planning and patient counseling.
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