ReviewJournal of shoulder and elbow arthroplasty2026
An analysis of failure rates for treatment options for large to massive irreparable rotator cuff tears: a systematic review.
Review in Journal of shoulder and elbow arthroplasty, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: A variety of treatment methods for irreparable rotator cuff tears (RCTs) have been proposed, yet there is no conclusive evidence showing any to be superior. This review aims to use failure rates to compare different treatment methods for irreparable RCTs with the goal of identifying which methods are superior. Methods: The studies in this review included patients with large to massive irreparable RCTs and reported failure rates. Seven treatment categories were identified: arthroscopic débridement, subacromial balloon spacer, interposition graft repair, partial repair, reverse total shoulder arthroplasty, superior capsule reconstruction, and tendon transfers. The failure rates for the groups were compiled and compared, as this was the only common outcome measurement between all studies. Results: One hundred thirty-six studies consisting of 4,963 shoulders were analyzed. Failure rate, defined as retears, reoperations, or clinical failures as reported, was calculated for each treatment method. The subacromial balloon spacer was found to have the highest failure rate ( Discussion: While this review did not identify a single best treatment for irreparable RCTs, it did provide valuable insights into the reliability of different treatments. The results were able to develop a hierarchy based on failure rate, which could help guide treatment for irreparable RCTs.
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