Aponte FJE, Sierra PM

Language: Spanish
References: 17
Page: 140-145
PDF size: 168.76 Kb.

ABSTRACT

Introduction: there is limited evidence comparing arthroscopy's clinical, functional, and radiographic outcomes versus the mini-open approach for treating partial and complete rotator cuff (MRC) injuries. Objective: to compare the arthroscopic vs mini-open approach's clinical, functional, and radiological results in the repair of MRC injuries. Material and methods: we conducted a retrospective study of 165 patients; 55 were treated with arthroscopy and 110 with mini-open. The UCLA and ASES scores were used to evaluate clinical outcomes; muscle strength was measured with a myometer. Radiographic evaluation was performed with NMR. Data were collected before the procedure and at 6, 12, and 18 months. Results: the UCLA and ASES scores were higher in group A at 12 months (p = 0.001, p = 0.0001). Group A patients had greater muscle strength at 12 months. However, this difference was lost at 18 months. There were no differences in the rate of residual lesions by MRI at 18 months. Conclusion: the arthroscopic approach to repairing rotator cuff injuries has clinical and functional outcomes similar to the mini-open approach.

REFERENCES

1. Lucena TR, Lam PH, Millar NL, Murrell GA. The temporal outcomes of open versus arthroscopic knotted and knotless rotator cuff repair over 5 years. Shoulder Elbow. 2015; 7 (4): 244-255. doi: 10.1177/1758573215581775.

2. MacDermid JC, Holtby R, Razmjou H, Bryant D; JOINTS Canada. All-arthroscopic versus mini-open repair of small or moderate-sized rotator cuff tears: a protocol for a randomized trial [NCT00128076]. BMC Musculoskelet Disord. 2006; 7: 25. doi: 10.1186/1471-2474-7-25.

3. Liu J, Fan L, Zhu Y, Yu H, Xu T, Li G. Comparison of clinical outcomes in all-arthroscopic versus mini-open repair of rotator cuff tears: A randomized clinical trial. Medicine (Baltimore). 2017; 96 (11): e6322. doi: 10.1097/MD.0000000000006322.

4. Candela V, Longo UG, Di Naro C, Facchinetti G, Marchetti A, Sciotti G et al. A historical analysis of randomized controlled trials in rotator cuff tears. Int J Environ Res Public Health. 2020; 17 (18): 6863. doi: 10.3390/ijerph17186863.

5. Pogorzelski J, Erber B, Themessl A, Rupp MC, Feucht MJ, Imhoff AB et al. Definition of the terms "acute" and "traumatic" in rotator cuff injuries: a systematic review and call for standardization in nomenclature. Arch Orthop Trauma Surg. 2021; 141 (1): 75-91. doi: 10.1007/s00402-020-03656-4.

6. Jensen AR, Taylor AJ, Sanchez-Sotelo J. Factors influencing the reparability and healing rates of rotator cuff tears. Curr Rev Musculoskelet Med. 2020; 13 (5): 572-583. doi: 10.1007/s12178-020-09660-w.

7. Huang R, Wang S, Wang Y, Qin X, Sun Y. Systematic review of all-arthroscopic versus mini-open repair of rotator cuff tears: a meta-analysis. Sci Rep. 2016; 6: 22857. doi: 10.1038/srep22857.

8. Nazari G, MacDermid JC, Bryant D, Dewan N, Athwal GS. Effects of arthroscopic vs. mini-open rotator cuff repair on function, pain & range of motion. A systematic review and meta-analysis. PLoS One. 2019; 14 (10): e0222953. doi: 10.1371/journal.pone.0222953.

9. Barnes LA, Kim HM, Caldwell JM, Buza J, Ahmad CS, Bigliani LU, et al. Satisfaction, function and repair integrity after arthroscopic versus mini-open rotator cuff repair. Bone Joint J. 2017; 99-B (2): 245-249. doi: 10.1302/0301-620X.99B2.BJJ-2016-0055.R1.

10. Zhang Z, Gu B, Zhu W, Zhu L, Li Q. Arthroscopic versus mini-open rotator cuff repair: a prospective, randomized study with 24-month follow-up. Eur J Orthop Surg Traumatol. 2014; 24 (6): 845-850. doi: 10.1007/s00590-013-1263-5.

11. Jeanfavre M, Husted S, Leff G. Exercise therapy in the non-operative treatment of full-thickness rotator cuff tears: a systematic review. Int J Sports Phys Ther. 2018; 13 (3): 335-378.

12. Retzky JS, Baker M, Hannan CV, Srikumaran U. Single Assessment Numeric Evaluation scores correlate positively with American Shoulder and Elbow Surgeons scores postoperatively in patients undergoing rotator cuff repair. J Shoulder Elbow Surg. 2020; 29 (1): 146-149. doi: 10.1016/j.jse.2019.05.039.

13. Hou J, Li Q, Yu M, Li F, Tang Y, Long Y et al. Validation of a mobile version of the American Shoulder and Elbow Surgeons standardized shoulder assessment form: an observational randomized crossover trial. JMIR Mhealth Uhealth. 2020; 8 (7): e16758. doi: 10.2196/16758.

14. Oosterwijk AM, Nieuwenhuis MK, Schouten HJ, van der Schans CP, Mouton LJ. Rating scales for shoulder and elbow range of motion impairment: Call for a functional approach. PLoS One. 2018; 13 (8): e0200710. doi: 10.1371/journal.pone.0200710.

15. Kose KC, Tezen E, Cebesoy O, Karadeniz E, Guner D, Adiyaman S et al. Mini-open versus all-arthroscopic rotator cuff repair: comparison of the operative costs and the clinical outcomes. Adv Ther. 2008; 25 (3): 249-259. doi: 10.1007/s12325-008-0031-0.

16. Jeong HY, Kim HJ, Jeon YS, Rhee YG. Factors predictive of healing in large rotator cuff tears: is it possible to predict retear preoperatively? Am J Sports Med. 2018; 46 (7): 1693-1700.

17. Liem D, Bartl C, Lichtenberg S, Magosch P, Habermeyer P. Clinical outcome and tendon integrity of arthroscopic versus mini-open supraspinatus tendon repair: a magnetic resonance imaging-controlled matched-pair analysis. Arthroscopy. 2007; 23 (5): 514-521. doi: 10.1016/j.arthro.2006.12.028.