Arthroscopic surgery versus mini-open repair of the full thickness rotator cuff tear, which intervention has the best outcome? Review of the latest evidence

Authors

Keywords:

rotator cuff, arthroscopic, repair, mini open, full thickness tear

Abstract

The evolution of arthroscopic surgery led to depending arthroscopic repair of rotator cuff tears. There is some controversy in the literature about the clinical outcomes. However, would the use of arthroscopic rotator cuff repairs provide better clinical outcomes? The general themes in this review will be Postoperative Pain and Functional outcome, Re-tear rate, adhesive capsulitis, Operative time and The Cost of arthroscopic versus mini-open rotator cuff repair.

The search strategy included the evidence based reports relevant to the surgical management (Open and Arthroscopic) of the Rotator cuff tears. The Inclusion criteria were the available evidence from randomised controlled trial, systematic reviews and meta-analyses.

Most of the available evidences demonstrated no significant difference between the arthroscopic and mini-open repair in the primary outcomes. There was a lack of high evidence regarding the re-tear rate of the postoperative rotator cuff repair, the risk of adhesive capsulitis in both interventions and the cost.

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References

Köse, K.Ç., et al., Mini-open versus all-arthroscopic rotator cuff repair: Comparison of the operative costs and the clinical outcomes. Advances in Therapy, 2008. 25(3): p. 249-259.

Kang, L., et al., Early Outcome of Arthroscopic Rotator Cuff Repair: A Matched Comparison With Mini-Open Rotator Cuff Repair. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 2007. 23(6): p. 573-582.e2.

Huang, R., et al., Systematic Review of All-Arthroscopic Versus Mini-Open Repair of Rotator Cuff Tears: A Meta-Analysis. Sci Rep, 2016. 6: p. 22857.

Minagawa, H., et al., Prevalence of symptomatic and asymptomatic rotator cuff tears in the general population: From mass-screening in one village. Journal of Orthopaedics, 2013. 10(1): p. 8-12.

Yamamoto, A., et al., Prevalence and risk factors of a rotator cuff tear in the general population. Journal of Shoulder and Elbow Surgery, 2010. 19(1): p. 116-120.

Lambers Heerspink, F.O., et al., Comparing surgical repair with conservative treatment for degenerative rotator cuff tears: a randomized controlled trial. J Shoulder Elbow Surg, 2015. 24(8): p. 1274-81.

The Moon Shoulder, G., et al., Effectiveness of Physical Therapy in Treating Atraumatic Full Thickness Rotator Cuff Tears. A Multicenter Prospective Cohort Study. Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.], 2013. 22(10): p. 1371-1379.

Carr, A.J., et al., Clinical effectiveness and cost-effectiveness of open and arthroscopic rotator cuff repair [the UK Rotator Cuff Surgery (UKUFF) randomised trial]. Health Technol Assess, 2015. 19(80): p. 1-218.

McElvany, M.D., et al., Rotator cuff repair: published evidence on factors associated with repair integrity and clinical outcome. Am J Sports Med, 2015. 43(2): p. 491-500.

Carr, A., et al., Effectiveness of open and arthroscopic rotator cuff repair (UKUFF): a randomised controlled trial. Bone Joint J, 2017. 99-B(1): p. 107-115.

Adla, D.N., M. Rowsell, and R. Pandey, Cost-effectiveness of open versus arthroscopic rotator cuff repair. Journal of Shoulder and Elbow Surgery, 2010. 19(2): p. 258-261.

Abdul-Wahab, T.A., et al., Initial treatment of complete rotator cuff tear and transition to surgical treatment: systematic review of the evidence. Muscles Ligaments Tendons J, 2016. 6(1): p. 35-47.

Ji, X., et al., Arthroscopic Versus Mini-Open Rotator Cuff Repair: An Up-to-Date Meta-analysis of Randomized Controlled Trials. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 2015. 31(1): p. 118-124.

Morse, K., et al., Clinical Sports Medicine Update: Arthroscopic versus Mini-Open Rotator Cuff Repair. The American Journal of Sports Medicine, 2008. 36(9): p. 1824-1828.

Pearsall, A.W., K.A. Ibrahim, and S.G. Madanagopal, The results of arthroscopic versus mini-open repair for rotator cuff tears at mid-term follow-up. Journal of Orthopaedic Surgery and Research, 2007. 2: p. 24-24.

van der Zwaal, P., et al., Clinical outcome in all-arthroscopic versus mini-open rotator cuff repair in small to medium-sized tears: a randomized controlled trial in 100 patients with 1-year follow-up. Arthroscopy, 2013. 29(2): p. 266-73.

Shan, L., et al., All-arthroscopic versus mini-open repair of small to large sized rotator cuff tears: a meta-analysis of clinical outcomes. PLoS One, 2014. 9(4): p. e94421.

Shinoda, T., et al., A comparative study of surgical invasion in arthroscopic and open rotator cuff repair. Journal of Shoulder and Elbow Surgery, 2009. 18(4): p. 596-599.

Ji, X., et al., Arthroscopic versus mini-open rotator cuff repair: an up-to-date meta-analysis of randomized controlled trials. Arthroscopy, 2015. 31(1): p. 118-24.

Liu, J., et al., Comparison of clinical outcomes in all-arthroscopic versus mini-open repair of rotator cuff tears: A randomized clinical trial. Medicine, 2017. 96(11): p. e6322.

Kirkley, A., C. Alvarez, and S. Griffin, The development and evaluation of a disease-specific quality-of-life questionnaire for disorders of the rotator cuff: The Western Ontario Rotator Cuff Index. Clin J Sport Med, 2003. 13.

Dawson, J., R. Fitzpatrick, and A. Carr, A self-administered questionnaire for assessment of symptoms and function of the shoulder. J Bone Joint Surg Am, 1998. 80.

Dawson, J., R. Fitzpatrick, and A. Carr, QUESTIONNAIRE ON THE PERCEPTIONS OF PATIENTS ABOUT SHOULDER SURGERY. Journal of Bone & Joint Surgery, British Volume, 1996. 78-B(4): p. 593.

Cho, C.H., et al., Early postoperative outcomes between arthroscopic and mini-open repair for rotator cuff tears. Orthopedics, 2012. 35(9): p. e1347-52.

Zhang, Z., et al., Arthroscopic versus mini-open rotator cuff repair: a prospective, randomized study with 24-month follow-up. Eur J Orthop Surg Traumatol, 2014. 24(6): p. 845-50.

Kirkley, A., S. Griffin, and K. Dainty, Scoring systems for the functional assessment of the shoulder. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 2003. 19(10): p. 1109-1120.

Smith, M.V., et al., Upper Extremity-Specific Measures of Disability and Outcomes in Orthopaedic Surgery. The Journal of Bone and Joint Surgery. American volume., 2012. 94(3): p. 277-285.

Shea, B.J., et al., Development of AMSTAR: a measurement tool to assess the methodological quality of systematic reviews. BMC Med Res Methodol, 2007. 7

Shamseer, L., et al., Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. BMJ, 2015. 349: p. g7647

Brown, M.J., et al., Does Suture Technique Affect Re-Rupture in Arthroscopic Rotator Cuff Repair? A Meta-analysis. Arthroscopy, 2015. 31(8): p. 1576-82.

Hui, Y.J., et al., Immediate costs of mini-open versus arthroscopic rotator cuff repair in an Asian population. J Orthop Surg (Hong Kong), 2017. 25(1): p. 2309499016684496.

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Published

2023-04-10

How to Cite

Jameel Tahseen Mehsen, Zaid Saad Madhi, & Mohannad Ali Hasan. (2023). Arthroscopic surgery versus mini-open repair of the full thickness rotator cuff tear, which intervention has the best outcome? Review of the latest evidence. AVFT – Archivos Venezolanos De Farmacología Y Terapéutica, 40(6). Retrieved from http://saber.ucv.ve/ojs/index.php/rev_aavft/article/view/26060