Retear rates after rotator cuff surgery: a systematic review and meta-analysis

Background Rotator cuff retear (RCR) is one of the main postoperative drawbacks. RCR can be considered a multifactorial issue, which causes are related either to biological than biomechanical factors. The aim of this study was to define the incidence of RCR after surgical treatment at different time...

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Vydané v:BMC musculoskeletal disorders Ročník 22; číslo 1; s. 1 - 14
Hlavní autori: Longo, Umile Giuseppe, Carnevale, Arianna, Piergentili, Ilaria, Berton, Alessandra, Candela, Vincenzo, Schena, Emiliano, Denaro, Vincenzo
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: London BioMed Central 31.08.2021
BioMed Central Ltd
Springer Nature B.V
BMC
Predmet:
Age
Bias
Biomechanics
Care and treatment
Diabetes
Diagnosis
Diseases
Epidemiology
Handbooks
Injuries
Internal Medicine
Magnetic resonance imaging
Medicine
Medicine & Public Health
Meta-analysis
Musculoskeletal diseases
Orthopedics
Patient outcomes
Patients
physical therapy and occupational health
Rehabilitation
Relapse
Research Article
Rheumatology
Risk factors
Rotator cuff
Rotator cuff repair
Rotator cuff retear
Rotator cuff tear
Shoulder pain
Sports Medicine
Surgery
Surgical techniques
Systematic review
Tendons
Timing of retear
Ultrasonic imaging
Italy
Timing of retear
Rotator cuff tear
Rotator cuff retear
Rotator cuff
Risk factors
ISSN:1471-2474, 1471-2474
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Shrnutí:Background Rotator cuff retear (RCR) is one of the main postoperative drawbacks. RCR can be considered a multifactorial issue, which causes are related either to biological than biomechanical factors. The aim of this study was to define the incidence of RCR after surgical treatment at different time points and to identify the main factors influencing the postoperative rotator cuff (RC) healing. Methods A systematic review and meta-analysis were performed following the PRISMA guidelines. A comprehensive search of the literature was carried out in July 2020, using PubMed and Cochrane Library databases. Only level 1 and 2 clinical evidence studies were included. Studies were included if patients with preoperative repairable full-thickness RC tears were treated surgically, and if studies reported postoperative RCR confirmed by imaging diagnostic. The association between timing of retear and follow-up time points were investigated using an inverse-variance method of pooling data. A subgroup meta-analysis was performed using the DerSimonian and Laird method for the estimation of the between-study variance, i.e., τ 2 . The association between retear rate after surgery and patients’ age, preoperative tear size, fatty infiltration, postoperative rehabilitation protocol, surgical techniques, and RC repairs was determined by expressing the effect measure in terms of odds ratio (OR) with 95% confidence interval (CI). The Mantel-Haenszel method with 95% CIs was used. Results Thirty-one articles were included in this study. The percentage of RCR after surgery was 15% at 3 months follow-up, 21% at 3–6 months follow-up, 16% at 6–12 months follow-up, 21% at 12–24 months follow-up, 16% at follow-up longer than 24 months. The main factors influencing RC healing are both patient-related (i.e., age, larger tear size, fatty infiltration) and not patient-related (i.e., postoperative rehabilitation protocol, surgical techniques, and procedures). Conclusions Postoperative RC healing is influenced by patient-related and non-patient-related factors. Further high-level clinical studies are needed to provide highly relevant clinical results.
Bibliografia:ObjectType-Article-2
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ObjectType-Evidence Based Healthcare-1
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ISSN:1471-2474
1471-2474
DOI:10.1186/s12891-021-04634-6