PMID- 35747636
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220716
IS  - 2666-061X (Electronic)
IS  - 2666-061X (Linking)
VI  - 4
IP  - 3
DP  - 2022 Jun
TI  - Subacromial Spacer Implantation During Arthroscopic Partial Repair in Patients 
      With Massive Irreparable Rotator Cuff Tears Provides Satisfactory Clinical and 
      Radiographic Outcomes: A Retrospective Comparative Study.
PG  - e1051-e1057
LID - 10.1016/j.asmr.2022.02.011 [doi]
AB  - PURPOSE: To compare the clinical and radiographic outcomes of partial rotator 
      cuff repair (RCR) with and without implantation of a biodegradable subacromial 
      spacer in the treatment of symptomatic irreparable massive rotator cuff tears 
      (MRCTs). METHODS: Patients with MRCT who underwent arthroscopic partial repair 
      alone (PR) or combined with subacromial spacer augmentation (PRS) were included. 
      Patient-reported outcomes, including visual analog scale (VAS), American Shoulder 
      and Elbow Surgeons (ASES), and Constant scores in addition to range of motion 
      (ROM) were collected preoperatively and at the final follow-up. Additionally, we 
      determined the percentages of all of the patients in groups that achieved the 
      minimal clinical important difference (MCID), substantial clinical benefit (SCB), 
      and patient-acceptable symptomatic state (PASS) for the VAS, ASES, and Constant 
      scores. Acromiohumeral distance (AHD) was determined as well. RESULTS: A total of 
      32 patients were included. Group PR included 20 patients with a median age of 68 
      years (range: 64-73) and median follow-up 28.0 months (14.0-60.0). Group PRS 
      included 12 patients with a median age of 68.5 years (range: 63-74) and median 
      follow-up of 17.0 months (12.0-32.0). At the final follow-up, the ASES, VAS, and 
      Constant scores were significantly higher in the PRS group (75.5 [55-88.3], 1.0 
      [0-3], and 70.0 [43-79], respectively, compared to the PR group (55.0 [37.5-65], 
      2.0 [0-4], and 55.0 [31-79], respectively; P < .05). The only statistically 
      significant differences were found between the PR and PRS groups in terms of the 
      proportions of the patients who achieved MCID for the ASES (70% vs. 100%; P = 
      .04) and in terms of the proportions of the patients who achieved SCB for the 
      ASES (60% vs 100%; P = .01) There was also statistically significant difference 
      between the PR and PRS groups, in terms of the proportions of the patients who 
      achieved PASS for the VAS and ASES ([30 % vs 66.7 %; P = .04] and [0 % vs 50 %; 
      P = .001], respectively). AHD was also improved in the PRS group (8.4 [7-9.5] vs 
      7.85 [5.5-9]; P < .05). ROM was greater in the PRS group at final follow-up with 
      median forward flexion degree, 140.0 degrees  (90 degrees -150 degrees ) versus 120.0 degrees  (80 degrees -153 degrees ) (P < 
      .001) and median abduction degree, 100.0 degrees  (70 degrees -130 degrees ) versus 90.0 degrees  (70 degrees -110 degrees ). 
      There was no difference in terms of external rotation between groups (3 degrees  [2 degrees -5 degrees ] 
      vs 3.0 degrees  (2 degrees -4 degrees ); P = .4). CONCLUSIONS: Arthroscopic partial RCR with implantation 
      of a subacromial spacer leads to satisfactory clinical and radiographic outcomes 
      in patients with symptomatic irreparable MRCT compared with patients treated with 
      partial repair alone. LEVEL OF EVIDENCE: Level III, retrospective comparative 
      study.
CI  - (c) 2022 The Authors.
FAU - Bilsel, Kerem
AU  - Bilsel K
AD  - Department of Orthopaedics and Traumatology, Bezmialem University, Istanbul, 
      Turkey.
FAU - Aliyev, Orkhan
AU  - Aliyev O
AD  - Department of Orthopaedics and Traumatology, Bezmialem University, Istanbul, 
      Turkey.
FAU - Altintas, Burak
AU  - Altintas B
AD  - Department of Orthopaedic Surgery, Albert Einstein College of Medicine, Bronx, 
      New York, 10461.
AD  - Division of Orthopaedic Surgery, Department of Surgery, Jacobi Medical 
      Center/NYCHHC, Bronx, New York, U.S.A.
AD  - Khyber Teaching Hospital, Peshawar, Pakistan.
FAU - Bagh Ali Shah, Syed Dil
AU  - Bagh Ali Shah SD
AD  - Khyber Teaching Hospital, Peshawar, Pakistan.
FAU - Ertogrul, Rodi
AU  - Ertogrul R
AD  - Department of Orthopaedics and Traumatology, Sisli Etfal Training and Research 
      Hospital, Istanbul, Turkey.
FAU - Kapicioglu, Mehmet
AU  - Kapicioglu M
AD  - Department of Orthopaedics and Traumatology, Bezmialem University, Istanbul, 
      Turkey.
LA  - eng
PT  - Journal Article
DEP - 20220413
PL  - United States
TA  - Arthrosc Sports Med Rehabil
JT  - Arthroscopy, sports medicine, and rehabilitation
JID - 101765256
PMC - PMC9210472
EDAT- 2022/06/25 06:00
MHDA- 2022/06/25 06:01
PMCR- 2022/04/13
CRDT- 2022/06/24 02:17
PHST- 2021/08/13 00:00 [received]
PHST- 2022/02/23 00:00 [accepted]
PHST- 2022/06/24 02:17 [entrez]
PHST- 2022/06/25 06:00 [pubmed]
PHST- 2022/06/25 06:01 [medline]
PHST- 2022/04/13 00:00 [pmc-release]
AID - S2666-061X(22)00028-1 [pii]
AID - 10.1016/j.asmr.2022.02.011 [doi]
PST - epublish
SO  - Arthrosc Sports Med Rehabil. 2022 Apr 13;4(3):e1051-e1057. doi: 
      10.1016/j.asmr.2022.02.011. eCollection 2022 Jun.