PMID- 37453724
OWN - NLM
STAT- MEDLINE
DCOM- 20240202
LR  - 20240226
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 40
IP  - 2
DP  - 2024 Feb
TI  - Mini-Open Fascia Lata Interposition Graft Results In Superior 2-Year Clinical 
      Outcomes When Compared to Arthroscopic Partial Repair for Irreparable Rotator 
      Cuff Tear: A Single-Blind Randomized Controlled Trial.
PG  - 251-261
LID - S0749-8063(23)00537-6 [pii]
LID - 10.1016/j.arthro.2023.06.046 [doi]
AB  - PURPOSE: To evaluate and compare the results of surgical treatment for 
      irreparable rotator cuff tear (IRCT) by the mini-open interposition procedure 
      using fascia lata autograft against outcomes of the arthroscopic partial repair 
      technique. METHODS: An interventional, prospective, controlled, randomized, 
      single-blinded study involving 2 study groups was conducted. The graft group (n = 
      20) underwent the mini-open interposition procedure using fascia lata autograft. 
      The control group (n = 22) underwent arthroscopic partial repair. Patients were 
      evaluated using the University of California Los Angeles (UCLA) Shoulder scale, 
      the American Shoulder and Elbow Surgeons (ASES) score, the Constant-Murley 
      (Constant) score, the visual analogue scale (VAS) pain score, active range of 
      motion, frontal flexion strength, retear rates evaluated by magnetic resonance 
      imaging analysis, occurrence of complications, and the minimal clinically 
      important difference (MCID). RESULTS: The graft group had better UCLA (31.5 vs 
      28.18, P = .035) (100% exceeded the MCID for the graft group and 95% for the 
      control group), ASES (88.62 vs 77.06, P = .016) (100% exceeded the MCID for both 
      groups), Constant (78.85 vs 61.68, P < .001), and VAS (0.95 vs 2.59, P = .01) 
      scores at the 24-month follow-up. For active forward elevation range, both groups 
      showed no statistically significant differences (168.5 vs 164.54, P = .538). The 
      results for active external and internal rotation were better in the graft group 
      (60.25 vs 40, and 9.1 vs 6.9, P < .001), as was frontal flexion strength (4.24 vs 
      2.67, P = .005). The graft group also had lower retear rates (15% vs 45.5%, P = 
      .033). No complications were reported. CONCLUSIONS: Outcomes of surgeries for 
      IRCT by the mini-open interposition procedure using fascia lata autograft and by 
      the arthroscopic partial repair technique showed good results in both groups over 
      time and exceeded the MCID. However, most comparative outcomes between groups 
      showed better results for the interposition procedure. LEVEL OF EVIDENCE: Level 
      I, randomized controlled trial.
CI  - Copyright (c) 2023 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Ribeiro, Fabiano Reboucas
AU  - Ribeiro FR
AD  - Institute of Medical Assistance to the State Public Servant, Sao Paulo, Brazil. 
      Electronic address: fabiano.ortesp@gmail.com.
FAU - Nogueira, Monica Paschoal
AU  - Nogueira MP
AD  - Institute of Medical Assistance to the State Public Servant, Sao Paulo, Brazil.
FAU - Costa, Bruno Marcus
AU  - Costa BM
AD  - Institute of Medical Assistance to the State Public Servant, Sao Paulo, Brazil.
FAU - Tenor, Antonio Carlos Jr
AU  - Tenor AC Jr
AD  - Institute of Medical Assistance to the State Public Servant, Sao Paulo, Brazil.
FAU - Costa, Miguel Pereira da
AU  - Costa MPD
AD  - Institute of Medical Assistance to the State Public Servant, Sao Paulo, Brazil.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20230713
PL  - United States
TA  - Arthroscopy
JT  - Arthroscopy : the journal of arthroscopic & related surgery : official 
      publication of the Arthroscopy Association of North America and the International 
      Arthroscopy Association
JID - 8506498
SB  - IM
CIN - Arthroscopy. 2024 Feb;40(2):262-264. PMID: 38296434
MH  - Humans
MH  - *Rotator Cuff Injuries/surgery
MH  - Prospective Studies
MH  - Fascia Lata/transplantation
MH  - Single-Blind Method
MH  - *Shoulder Joint/surgery
MH  - Arthroscopy/methods
MH  - Treatment Outcome
MH  - Range of Motion, Articular
EDAT- 2023/07/16 01:07
MHDA- 2024/02/02 06:43
CRDT- 2023/07/15 19:26
PHST- 2023/01/13 00:00 [received]
PHST- 2023/06/21 00:00 [revised]
PHST- 2023/06/21 00:00 [accepted]
PHST- 2024/02/02 06:43 [medline]
PHST- 2023/07/16 01:07 [pubmed]
PHST- 2023/07/15 19:26 [entrez]
AID - S0749-8063(23)00537-6 [pii]
AID - 10.1016/j.arthro.2023.06.046 [doi]
PST - ppublish
SO  - Arthroscopy. 2024 Feb;40(2):251-261. doi: 10.1016/j.arthro.2023.06.046. Epub 2023 
      Jul 13.