PMID- 37716630
OWN - NLM
STAT- MEDLINE
DCOM- 20240202
LR  - 20240226
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 40
IP  - 2
DP  - 2024 Feb
TI  - No Difference In Clinical Outcomes Following Repair of Large Retracted Anterior 
      Rotator Cuff Tears Using Patch Augmentation With Human Dermal Allograft Versus 
      Anterior Cable Reconstruction With Biceps Tendon Autograft.
PG  - 294-302
LID - S0749-8063(23)00763-6 [pii]
LID - 10.1016/j.arthro.2023.08.077 [doi]
AB  - PURPOSE: To compare the clinical outcomes and tendon integrity after rotator cuff 
      repair combined with anterior cable reconstruction (ACR) using the proximal 
      biceps tendon and patch augmentation (PA) using a human dermal allograft (HDA) in 
      a large retracted anterior rotator cuff tear. METHODS: Patients who underwent 
      arthroscopic rotator cuff repair with 2 different augmentation procedures between 
      January 2017 and December 2020 were enrolled. The inclusion criteria were 
      patients who were treated by arthroscopic rotator cuff repair with ACR using the 
      proximal biceps tendon (ACR group) or patch augmentation using a an HDA (PA 
      group) and follow-up for at least 2 years. Clinical outcomes were assessed using 
      American Shoulder and Elbow Surgeons (ASES) score, Constant score, and the number 
      of patients who achieved minimal clinically important differences (MCID). 
      Magnetic resonance imaging was performed to evaluate tendon integrity after 
      surgery. RESULTS: A total of 92 patients were enrolled (ACR group = 55 patients 
      and PA group = 37 patients). The mean ASES and Constant scores significantly 
      improved in the ACR group (68.8 +/- 15.3 and 58.4 +/- 16.9 before surgery vs 91.4 +/- 
      6.3 and 87.8 +/- 6.0 after surgery, P < .001) and in the PA group (63.7 +/- 16.7 and 
      57.9 +/- 15.4 before surgery vs 93.1 +/- 6.3 and 88.3 +/- 6.2 after surgery, P < .001). 
      Overall, 78 patients (84.8%) achieved the MCID with 81.8% in the ACR group and 
      89.2% in the PA group, with no significant differences between the 2 groups (P = 
      .638). Ten patients (18.2%) had retear in the ACR group, and three patients 
      (8.1%) had retear in the PA group (P = .174). CONCLUSIONS: In large retracted 
      anterior rotator cuff tears, both augmentation techniques using biceps tendon 
      autograft and HDA provided satisfactory clinical outcomes that achieved the MCID 
      in 84.8%, range of motion restoration, and lower retear rates with no significant 
      differences between the two groups. LEVEL OF EVIDENCE: Level III, retrospective 
      case-control study.
CI  - Copyright (c) 2023 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Kim, Seong Hun
AU  - Kim SH
AD  - Department of Orthopedic Surgery, National Health Insurance Service Ilsan 
      Hospital, Gyeonggi, Republic of Korea.
FAU - Shin, Sang-Jin
AU  - Shin SJ
AD  - Department of Orthopedic Surgery, College of Medicine, Ewha Womans University 
      Seoul Hospital, Seoul, Republic of Korea. Electronic address: 
      sjshin622@ewha.ac.kr.
LA  - eng
PT  - Journal Article
DEP - 20230915
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):303-304. PMID: 38296436
MH  - Humans
MH  - *Rotator Cuff Injuries/surgery/pathology
MH  - Rotator Cuff/surgery/pathology
MH  - Retrospective Studies
MH  - Elbow
MH  - Case-Control Studies
MH  - Autografts
MH  - Tendons/surgery/pathology
MH  - Magnetic Resonance Imaging
MH  - Allografts/pathology
MH  - Treatment Outcome
MH  - Arthroscopy/methods
MH  - Range of Motion, Articular
EDAT- 2023/09/17 00:41
MHDA- 2024/02/02 06:42
CRDT- 2023/09/16 19:17
PHST- 2023/04/02 00:00 [received]
PHST- 2023/08/17 00:00 [revised]
PHST- 2023/08/20 00:00 [accepted]
PHST- 2024/02/02 06:42 [medline]
PHST- 2023/09/17 00:41 [pubmed]
PHST- 2023/09/16 19:17 [entrez]
AID - S0749-8063(23)00763-6 [pii]
AID - 10.1016/j.arthro.2023.08.077 [doi]
PST - ppublish
SO  - Arthroscopy. 2024 Feb;40(2):294-302. doi: 10.1016/j.arthro.2023.08.077. Epub 2023 
      Sep 15.