Cirugía artroscópica versus reparación miniabierta del desgarro del manguito rotador de espesor total, ¿qué intervención tiene el mejor resultado? Revisión de la evidencia más reciente
Palabras clave:
manguito rotador, artroscópico, reparación, mini abierto, desgarro de espesor total.Resumen
La evolución de la cirugía artroscópica llevó a la reparación artroscópica dependiente de los desgarros del manguito rotador. Existe cierta controversia en la literatura sobre los resultados clínicos. Sin embargo, ¿el uso de reparaciones artroscópicas del manguito rotador proporcionaría mejores resultados clínicos? Los temas generales de esta revisión serán el dolor posoperatorio y el resultado funcional, la tasa de re-desgarro, la capsulitis adhesiva, el tiempo operatorio y el costo de la reparación artroscópica versus mini-abierta del manguito rotador.
La estrategia de búsqueda incluyó los informes basados en evidencia relevantes para el tratamiento quirúrgico (abierto y artroscópico) de los desgarros del manguito rotador. Los criterios de inclusión fueron la evidencia disponible de ensayos controlados aleatorios, revisiones sistemáticas y metanálisis.
La mayoría de las evidencias disponibles no demostraron diferencias significativas entre la reparación artroscópica y la miniabierta en los resultados primarios. Hubo una falta de evidencia alta con respecto a la tasa de re-desgarro de la reparación posoperatoria del manguito rotador, el riesgo de capsulitis adhesiva en ambas intervenciones y el costo.
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