Efficacy of concomitant acromioplasty in the treatment of rotator cuff tears: A systematic review and meta-analysis
Scientific evidence is not clear regarding the routine use of acromioplasty in the treatment of rotator cuff repair. The aim of this study was to compare clinical outcomes between patients undergoing arthroscopic rotator cuff repair with and without concomitant acromioplasty. Medline, Cochrane Libra...
Gespeichert in:
| Veröffentlicht in: | PloS one 2018-11, Vol.13 (11), p.e0207306-e0207306 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | e0207306 |
|---|---|
| container_issue | 11 |
| container_start_page | e0207306 |
| container_title | PloS one |
| container_volume | 13 |
| creator | Cheng, Cong Chen, Bin Xu, Hongwei Zhang, Zhongwei Xu, Weibin |
| description | Scientific evidence is not clear regarding the routine use of acromioplasty in the treatment of rotator cuff repair. The aim of this study was to compare clinical outcomes between patients undergoing arthroscopic rotator cuff repair with and without concomitant acromioplasty.
Medline, Cochrane Library, and EMBASE databases were searched to identify eligible studies focused on arthroscopic rotator cuff repair with and without acromioplasty from January 2000 to February 2018. Postoperative functional outcomes, visual analog scale (VAS) for pain and reoperation rate were extracted for systemic analysis.
Six randomized controlled trials (RCTs) and one cohort study (CS), including 651 patients, fulfilled our selection criteria. The results showed a significant difference in American Shoulder and Elbow Surgeons (ASES) score, but not in the Constant score, University of California-Los Angeles (UCLA) score, or Simple Shoulder Test (SST) score, in the treatment of rotator cuff tear with or without concomitant acromioplasty at the final follow-up. In the subgroup analysis, the results showed no significant differences between the two treatments in reoperation rate at the final follow-up or VAS score at 6 months postoperatively and final follow-up, but there was a significant difference in VAS score at 12 months postoperatively in favor of acromioplasty treatment. The evidence quality for each outcome evaluated by the GRADE system was low.
In summary, our present study demonstrated that acromioplasty treatment is significantly superior to nonacromioplasty in shoulder pain relief at 12 months postoperatively and in ASES score improvement at the final follow-up in conjunction with rotator cuff repair. However, these significant differences were not clinically relevant. Thus, there were no differences in shoulder function or pain scores for patients undergoing rotator cuff repair with and without acromioplasty. Further high-quality studies with larger sample sizes and long-term follow-ups are needed to clarify this issue. |
| doi_str_mv | 10.1371/journal.pone.0207306 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_plos_</sourceid><recordid>TN_cdi_plos_journals_2133833802</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_2e2b6c86477e4d51a7cd1c0e09750332</doaj_id><sourcerecordid>2135131346</sourcerecordid><originalsourceid>FETCH-LOGICAL-c526t-c560a1aa0a1efbf043d6b3856c92a93661b95f369a67de3eb9d95d5e7a9ef1683</originalsourceid><addsrcrecordid>eNptUk1v1DAQjRCIfsA_QGCJSy-72JnEiTkgVVWBSpW4wNmaOOPWqyRebG9R_j3eblq1CMkaj-w3z2_GryjeCb4W0IhPG78LEw7rrZ9ozUveAJcvimOhoFzJksPLJ_lRcRLjhvMaWilfF0fAK1BK1cdFvLTWGTQz85YZPxk_uoRTYmhCTv12wJhm5iaWbomlQJhGytcZHXzC5AMzO2tZIgzxMztncY6JRkzOsEB3jv4wnHo2UsIVZrlzdPFN8criEOntsp8Wv75e_rz4vrr-8e3q4vx6ZepSphwlR4GYA9nOZsm97KCtpVElKpBSdKq2IBXKpiegTvWq7mtqUJEVsoXT4sOBdzv4qJd5RV0KgDYvXmbE1QHRe9zobXAjhll7dPr-wIcbjSG3MpAuqeykaWXVNFT1tcDG9MJw4qqpOcCe68vy2q4bqTd5SgGHZ6TPbyZ3q2_8nZYlNNDuCc4WguB_7ygmPbpoaBhwIr-7110LEFDJDP34D_T_3VUHVP7KGAPZRzGC672HHqr03kN68VAue_-0kceiB9PAX5FYxsM</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2133833802</pqid></control><display><type>article</type><title>Efficacy of concomitant acromioplasty in the treatment of rotator cuff tears: A systematic review and meta-analysis</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Public Library of Science (PLoS)</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><creator>Cheng, Cong ; Chen, Bin ; Xu, Hongwei ; Zhang, Zhongwei ; Xu, Weibin</creator><contributor>van der Linde, Just Alexander</contributor><creatorcontrib>Cheng, Cong ; Chen, Bin ; Xu, Hongwei ; Zhang, Zhongwei ; Xu, Weibin ; van der Linde, Just Alexander</creatorcontrib><description>Scientific evidence is not clear regarding the routine use of acromioplasty in the treatment of rotator cuff repair. The aim of this study was to compare clinical outcomes between patients undergoing arthroscopic rotator cuff repair with and without concomitant acromioplasty.
Medline, Cochrane Library, and EMBASE databases were searched to identify eligible studies focused on arthroscopic rotator cuff repair with and without acromioplasty from January 2000 to February 2018. Postoperative functional outcomes, visual analog scale (VAS) for pain and reoperation rate were extracted for systemic analysis.
Six randomized controlled trials (RCTs) and one cohort study (CS), including 651 patients, fulfilled our selection criteria. The results showed a significant difference in American Shoulder and Elbow Surgeons (ASES) score, but not in the Constant score, University of California-Los Angeles (UCLA) score, or Simple Shoulder Test (SST) score, in the treatment of rotator cuff tear with or without concomitant acromioplasty at the final follow-up. In the subgroup analysis, the results showed no significant differences between the two treatments in reoperation rate at the final follow-up or VAS score at 6 months postoperatively and final follow-up, but there was a significant difference in VAS score at 12 months postoperatively in favor of acromioplasty treatment. The evidence quality for each outcome evaluated by the GRADE system was low.
In summary, our present study demonstrated that acromioplasty treatment is significantly superior to nonacromioplasty in shoulder pain relief at 12 months postoperatively and in ASES score improvement at the final follow-up in conjunction with rotator cuff repair. However, these significant differences were not clinically relevant. Thus, there were no differences in shoulder function or pain scores for patients undergoing rotator cuff repair with and without acromioplasty. Further high-quality studies with larger sample sizes and long-term follow-ups are needed to clarify this issue.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0207306</identifier><identifier>PMID: 30439995</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Arthroscopy - methods ; Bias ; Biology and Life Sciences ; Clinical trials ; Cohort analysis ; Colleges & universities ; Databases, Bibliographic ; Elbow ; Hospitals ; Injuries ; Joint surgery ; Ligaments ; Manipulative therapy ; Medical personnel ; Medicine and Health Sciences ; Meta-analysis ; Orthopedics ; Pain ; Pain, Postoperative - pathology ; Pain, Postoperative - physiopathology ; Pain, Postoperative - therapy ; Patients ; Physical Sciences ; Quality ; Repair ; Research and Analysis Methods ; Rotator cuff ; Rotator Cuff - pathology ; Rotator Cuff - physiopathology ; Rotator Cuff - surgery ; Rotator Cuff Injuries - pathology ; Rotator Cuff Injuries - physiopathology ; Rotator Cuff Injuries - surgery ; Shoulder ; Studies ; Subgroups ; Surgeons ; Systematic review</subject><ispartof>PloS one, 2018-11, Vol.13 (11), p.e0207306-e0207306</ispartof><rights>2018 Cheng et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2018 Cheng et al 2018 Cheng et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c526t-c560a1aa0a1efbf043d6b3856c92a93661b95f369a67de3eb9d95d5e7a9ef1683</citedby><cites>FETCH-LOGICAL-c526t-c560a1aa0a1efbf043d6b3856c92a93661b95f369a67de3eb9d95d5e7a9ef1683</cites><orcidid>0000-0002-4770-6559</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6237382/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6237382/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30439995$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>van der Linde, Just Alexander</contributor><creatorcontrib>Cheng, Cong</creatorcontrib><creatorcontrib>Chen, Bin</creatorcontrib><creatorcontrib>Xu, Hongwei</creatorcontrib><creatorcontrib>Zhang, Zhongwei</creatorcontrib><creatorcontrib>Xu, Weibin</creatorcontrib><title>Efficacy of concomitant acromioplasty in the treatment of rotator cuff tears: A systematic review and meta-analysis</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Scientific evidence is not clear regarding the routine use of acromioplasty in the treatment of rotator cuff repair. The aim of this study was to compare clinical outcomes between patients undergoing arthroscopic rotator cuff repair with and without concomitant acromioplasty.
Medline, Cochrane Library, and EMBASE databases were searched to identify eligible studies focused on arthroscopic rotator cuff repair with and without acromioplasty from January 2000 to February 2018. Postoperative functional outcomes, visual analog scale (VAS) for pain and reoperation rate were extracted for systemic analysis.
Six randomized controlled trials (RCTs) and one cohort study (CS), including 651 patients, fulfilled our selection criteria. The results showed a significant difference in American Shoulder and Elbow Surgeons (ASES) score, but not in the Constant score, University of California-Los Angeles (UCLA) score, or Simple Shoulder Test (SST) score, in the treatment of rotator cuff tear with or without concomitant acromioplasty at the final follow-up. In the subgroup analysis, the results showed no significant differences between the two treatments in reoperation rate at the final follow-up or VAS score at 6 months postoperatively and final follow-up, but there was a significant difference in VAS score at 12 months postoperatively in favor of acromioplasty treatment. The evidence quality for each outcome evaluated by the GRADE system was low.
In summary, our present study demonstrated that acromioplasty treatment is significantly superior to nonacromioplasty in shoulder pain relief at 12 months postoperatively and in ASES score improvement at the final follow-up in conjunction with rotator cuff repair. However, these significant differences were not clinically relevant. Thus, there were no differences in shoulder function or pain scores for patients undergoing rotator cuff repair with and without acromioplasty. Further high-quality studies with larger sample sizes and long-term follow-ups are needed to clarify this issue.</description><subject>Arthroscopy - methods</subject><subject>Bias</subject><subject>Biology and Life Sciences</subject><subject>Clinical trials</subject><subject>Cohort analysis</subject><subject>Colleges & universities</subject><subject>Databases, Bibliographic</subject><subject>Elbow</subject><subject>Hospitals</subject><subject>Injuries</subject><subject>Joint surgery</subject><subject>Ligaments</subject><subject>Manipulative therapy</subject><subject>Medical personnel</subject><subject>Medicine and Health Sciences</subject><subject>Meta-analysis</subject><subject>Orthopedics</subject><subject>Pain</subject><subject>Pain, Postoperative - pathology</subject><subject>Pain, Postoperative - physiopathology</subject><subject>Pain, Postoperative - therapy</subject><subject>Patients</subject><subject>Physical Sciences</subject><subject>Quality</subject><subject>Repair</subject><subject>Research and Analysis Methods</subject><subject>Rotator cuff</subject><subject>Rotator Cuff - pathology</subject><subject>Rotator Cuff - physiopathology</subject><subject>Rotator Cuff - surgery</subject><subject>Rotator Cuff Injuries - pathology</subject><subject>Rotator Cuff Injuries - physiopathology</subject><subject>Rotator Cuff Injuries - surgery</subject><subject>Shoulder</subject><subject>Studies</subject><subject>Subgroups</subject><subject>Surgeons</subject><subject>Systematic review</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNptUk1v1DAQjRCIfsA_QGCJSy-72JnEiTkgVVWBSpW4wNmaOOPWqyRebG9R_j3eblq1CMkaj-w3z2_GryjeCb4W0IhPG78LEw7rrZ9ozUveAJcvimOhoFzJksPLJ_lRcRLjhvMaWilfF0fAK1BK1cdFvLTWGTQz85YZPxk_uoRTYmhCTv12wJhm5iaWbomlQJhGytcZHXzC5AMzO2tZIgzxMztncY6JRkzOsEB3jv4wnHo2UsIVZrlzdPFN8criEOntsp8Wv75e_rz4vrr-8e3q4vx6ZepSphwlR4GYA9nOZsm97KCtpVElKpBSdKq2IBXKpiegTvWq7mtqUJEVsoXT4sOBdzv4qJd5RV0KgDYvXmbE1QHRe9zobXAjhll7dPr-wIcbjSG3MpAuqeykaWXVNFT1tcDG9MJw4qqpOcCe68vy2q4bqTd5SgGHZ6TPbyZ3q2_8nZYlNNDuCc4WguB_7ygmPbpoaBhwIr-7110LEFDJDP34D_T_3VUHVP7KGAPZRzGC672HHqr03kN68VAue_-0kceiB9PAX5FYxsM</recordid><startdate>20181115</startdate><enddate>20181115</enddate><creator>Cheng, Cong</creator><creator>Chen, Bin</creator><creator>Xu, Hongwei</creator><creator>Zhang, Zhongwei</creator><creator>Xu, Weibin</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-4770-6559</orcidid></search><sort><creationdate>20181115</creationdate><title>Efficacy of concomitant acromioplasty in the treatment of rotator cuff tears: A systematic review and meta-analysis</title><author>Cheng, Cong ; Chen, Bin ; Xu, Hongwei ; Zhang, Zhongwei ; Xu, Weibin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c526t-c560a1aa0a1efbf043d6b3856c92a93661b95f369a67de3eb9d95d5e7a9ef1683</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Arthroscopy - methods</topic><topic>Bias</topic><topic>Biology and Life Sciences</topic><topic>Clinical trials</topic><topic>Cohort analysis</topic><topic>Colleges & universities</topic><topic>Databases, Bibliographic</topic><topic>Elbow</topic><topic>Hospitals</topic><topic>Injuries</topic><topic>Joint surgery</topic><topic>Ligaments</topic><topic>Manipulative therapy</topic><topic>Medical personnel</topic><topic>Medicine and Health Sciences</topic><topic>Meta-analysis</topic><topic>Orthopedics</topic><topic>Pain</topic><topic>Pain, Postoperative - pathology</topic><topic>Pain, Postoperative - physiopathology</topic><topic>Pain, Postoperative - therapy</topic><topic>Patients</topic><topic>Physical Sciences</topic><topic>Quality</topic><topic>Repair</topic><topic>Research and Analysis Methods</topic><topic>Rotator cuff</topic><topic>Rotator Cuff - pathology</topic><topic>Rotator Cuff - physiopathology</topic><topic>Rotator Cuff - surgery</topic><topic>Rotator Cuff Injuries - pathology</topic><topic>Rotator Cuff Injuries - physiopathology</topic><topic>Rotator Cuff Injuries - surgery</topic><topic>Shoulder</topic><topic>Studies</topic><topic>Subgroups</topic><topic>Surgeons</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cheng, Cong</creatorcontrib><creatorcontrib>Chen, Bin</creatorcontrib><creatorcontrib>Xu, Hongwei</creatorcontrib><creatorcontrib>Zhang, Zhongwei</creatorcontrib><creatorcontrib>Xu, Weibin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cheng, Cong</au><au>Chen, Bin</au><au>Xu, Hongwei</au><au>Zhang, Zhongwei</au><au>Xu, Weibin</au><au>van der Linde, Just Alexander</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Efficacy of concomitant acromioplasty in the treatment of rotator cuff tears: A systematic review and meta-analysis</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2018-11-15</date><risdate>2018</risdate><volume>13</volume><issue>11</issue><spage>e0207306</spage><epage>e0207306</epage><pages>e0207306-e0207306</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Scientific evidence is not clear regarding the routine use of acromioplasty in the treatment of rotator cuff repair. The aim of this study was to compare clinical outcomes between patients undergoing arthroscopic rotator cuff repair with and without concomitant acromioplasty.
Medline, Cochrane Library, and EMBASE databases were searched to identify eligible studies focused on arthroscopic rotator cuff repair with and without acromioplasty from January 2000 to February 2018. Postoperative functional outcomes, visual analog scale (VAS) for pain and reoperation rate were extracted for systemic analysis.
Six randomized controlled trials (RCTs) and one cohort study (CS), including 651 patients, fulfilled our selection criteria. The results showed a significant difference in American Shoulder and Elbow Surgeons (ASES) score, but not in the Constant score, University of California-Los Angeles (UCLA) score, or Simple Shoulder Test (SST) score, in the treatment of rotator cuff tear with or without concomitant acromioplasty at the final follow-up. In the subgroup analysis, the results showed no significant differences between the two treatments in reoperation rate at the final follow-up or VAS score at 6 months postoperatively and final follow-up, but there was a significant difference in VAS score at 12 months postoperatively in favor of acromioplasty treatment. The evidence quality for each outcome evaluated by the GRADE system was low.
In summary, our present study demonstrated that acromioplasty treatment is significantly superior to nonacromioplasty in shoulder pain relief at 12 months postoperatively and in ASES score improvement at the final follow-up in conjunction with rotator cuff repair. However, these significant differences were not clinically relevant. Thus, there were no differences in shoulder function or pain scores for patients undergoing rotator cuff repair with and without acromioplasty. Further high-quality studies with larger sample sizes and long-term follow-ups are needed to clarify this issue.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>30439995</pmid><doi>10.1371/journal.pone.0207306</doi><orcidid>https://orcid.org/0000-0002-4770-6559</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2018-11, Vol.13 (11), p.e0207306-e0207306 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2133833802 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS); PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Arthroscopy - methods Bias Biology and Life Sciences Clinical trials Cohort analysis Colleges & universities Databases, Bibliographic Elbow Hospitals Injuries Joint surgery Ligaments Manipulative therapy Medical personnel Medicine and Health Sciences Meta-analysis Orthopedics Pain Pain, Postoperative - pathology Pain, Postoperative - physiopathology Pain, Postoperative - therapy Patients Physical Sciences Quality Repair Research and Analysis Methods Rotator cuff Rotator Cuff - pathology Rotator Cuff - physiopathology Rotator Cuff - surgery Rotator Cuff Injuries - pathology Rotator Cuff Injuries - physiopathology Rotator Cuff Injuries - surgery Shoulder Studies Subgroups Surgeons Systematic review |
| title | Efficacy of concomitant acromioplasty in the treatment of rotator cuff tears: A systematic review and meta-analysis |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-05T01%3A20%3A30IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Efficacy%20of%20concomitant%20acromioplasty%20in%20the%20treatment%20of%20rotator%20cuff%20tears:%20A%20systematic%20review%20and%20meta-analysis&rft.jtitle=PloS%20one&rft.au=Cheng,%20Cong&rft.date=2018-11-15&rft.volume=13&rft.issue=11&rft.spage=e0207306&rft.epage=e0207306&rft.pages=e0207306-e0207306&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0207306&rft_dat=%3Cproquest_plos_%3E2135131346%3C/proquest_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2133833802&rft_id=info:pmid/30439995&rft_doaj_id=oai_doaj_org_article_2e2b6c86477e4d51a7cd1c0e09750332&rfr_iscdi=true |