Early clinical and patient-reported outcomes for arthroscopic and mini-open superior capsular reconstruction are similar for irreparable rotator cuff tears
The purpose of this study was to report and compare postoperative range of motion (ROM), patient-reported outcomes, and failure rates following superior capsular reconstruction (SCR) and to compare outcomes between arthroscopic and mini-open techniques. All SCR procedures utilising dermal allograft...
Gespeichert in:
| Veröffentlicht in: | Journal of ISAKOS 2023-10, Vol.8 (5), p.338-344 |
|---|---|
| Hauptverfasser: | , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 344 |
|---|---|
| container_issue | 5 |
| container_start_page | 338 |
| container_title | Journal of ISAKOS |
| container_volume | 8 |
| creator | Crook, Bryan S. Lorenzana, Daniel J. Danilkowicz, Richard Herbst, Kristen Wittstein, Jocelyn R. Toth, Alison P. Lassiter, Tally Lau, Brian C. |
| description | The purpose of this study was to report and compare postoperative range of motion (ROM), patient-reported outcomes, and failure rates following superior capsular reconstruction (SCR) and to compare outcomes between arthroscopic and mini-open techniques.
All SCR procedures utilising dermal allograft with a minimum of 6 months of follow-up at multiple institutions between November 2015 and October 2019 were retrospectively reviewed. Preoperative patient demographics, imaging measurements, surgical technique (arthroscopic versus mini-open), and outcomes including pain scores, conversion to reverse shoulder arthroplasty, subsequent surgery, and postoperative ROM were recorded. Outcomes for arthroscopic versus mini-open approaches were compared via t-test, Fisher's exact test, or chi square test, as appropriate, with differences of p |
| doi_str_mv | 10.1016/j.jisako.2023.06.005 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2835275386</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S2059775423005229</els_id><sourcerecordid>2835275386</sourcerecordid><originalsourceid>FETCH-LOGICAL-c357t-e80093a4fd38add02f1367816c584a53634a94ce6cafb979df141da78d32bc953</originalsourceid><addsrcrecordid>eNp9kcGK1jAURoMozjDOG4hk6aY1aZqm3QgyzKgw4EbX4Ta5xfy2Tb1JhXkWX9bUf5ylqwRyvvuRexh7LUUthezenepTSPAj1o1oVC26Wgj9jF02Qg-VMV3z_Omu2wt2nVIYhRZGKaPlS3ahTCvbRppL9vsWaH7gbg5rcDBzWD3fIAdcc0W4RcroedyziwsmPkXiQPk7xeTiFtxffCnRKm648rRvSKEwDra0z0Cc0MU1ZdpdDnEtWeQpLOF4OmYFKh1AMM7IKWbIR3afJp4RKL1iLyaYE14_nlfs293t15tP1f2Xj59vPtxXTmmTK-yFGBS0k1c9eC-aSarO9LJzum9Bq061MLQOOwfTOJjBT7KVHkzvVTO6Qasr9vY8d6P4c8eU7RKSw3mGFeOebNMr3Rit-q6g7Rl1ZQWJcLIbhQXowUphDzP2ZM9m7GHGis4WMyX25rFhHxf0T6F_Hgrw_gxg-eevgGSTKw4c-lBWmK2P4f8NfwDETqXG</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2835275386</pqid></control><display><type>article</type><title>Early clinical and patient-reported outcomes for arthroscopic and mini-open superior capsular reconstruction are similar for irreparable rotator cuff tears</title><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Alma/SFX Local Collection</source><creator>Crook, Bryan S. ; Lorenzana, Daniel J. ; Danilkowicz, Richard ; Herbst, Kristen ; Wittstein, Jocelyn R. ; Toth, Alison P. ; Lassiter, Tally ; Lau, Brian C.</creator><creatorcontrib>Crook, Bryan S. ; Lorenzana, Daniel J. ; Danilkowicz, Richard ; Herbst, Kristen ; Wittstein, Jocelyn R. ; Toth, Alison P. ; Lassiter, Tally ; Lau, Brian C.</creatorcontrib><description>The purpose of this study was to report and compare postoperative range of motion (ROM), patient-reported outcomes, and failure rates following superior capsular reconstruction (SCR) and to compare outcomes between arthroscopic and mini-open techniques.
All SCR procedures utilising dermal allograft with a minimum of 6 months of follow-up at multiple institutions between November 2015 and October 2019 were retrospectively reviewed. Preoperative patient demographics, imaging measurements, surgical technique (arthroscopic versus mini-open), and outcomes including pain scores, conversion to reverse shoulder arthroplasty, subsequent surgery, and postoperative ROM were recorded. Outcomes for arthroscopic versus mini-open approaches were compared via t-test, Fisher's exact test, or chi square test, as appropriate, with differences of p < 0.05 considered significant.
180 total patients were included, including 98 who underwent arthroscopic SCR and 82 who underwent mini-open SCR. Final follow-up was at a mean of 32 months (standard deviation = 11 months). SCR improved pain (visual analog scale = 4.4 pre-operatively vs. 1.4 post-operatively, p < 0.0001) and ROMin active forward flexion (136° pre-operatively vs. 150° post-operatively, p = 0.0012). No difference in post-operative pain visual analog scores was found between mini-open and arthroscopic cohorts (1.3 vs. 1.6, p = 0.3432) at a mean of 14 months post-operatively. At a mean of 32 months post-operatively, there were no differences in ASES, QuickDASH, SST, WORC, or SANE scores between open and arthroscopic cohorts. There was no difference in rates of failure between mini-open and arthroscopic cohorts (15.9% vs. 17.3%, p = 0.789).
This study confirmed that SCR improves pain and ROM in the short term. Mini-open SCR appears to provide similar improvements in pain and ROM compared with arthroscopic SCR, as well as patient-reported outcomes at 3 years. No difference in failure rates was detected between the 2 procedures.
Level 3 evidence.</description><identifier>ISSN: 2059-7754</identifier><identifier>EISSN: 2059-7762</identifier><identifier>DOI: 10.1016/j.jisako.2023.06.005</identifier><identifier>PMID: 37414217</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Arthroscopy ; Cuff tear arthropathy ; Rotator cuff ; Shoulder</subject><ispartof>Journal of ISAKOS, 2023-10, Vol.8 (5), p.338-344</ispartof><rights>2023 The Author(s)</rights><rights>Copyright © 2023 The Author(s). Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c357t-e80093a4fd38add02f1367816c584a53634a94ce6cafb979df141da78d32bc953</cites><orcidid>0000-0001-8096-3170 ; 0000-0001-6090-7980</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37414217$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Crook, Bryan S.</creatorcontrib><creatorcontrib>Lorenzana, Daniel J.</creatorcontrib><creatorcontrib>Danilkowicz, Richard</creatorcontrib><creatorcontrib>Herbst, Kristen</creatorcontrib><creatorcontrib>Wittstein, Jocelyn R.</creatorcontrib><creatorcontrib>Toth, Alison P.</creatorcontrib><creatorcontrib>Lassiter, Tally</creatorcontrib><creatorcontrib>Lau, Brian C.</creatorcontrib><title>Early clinical and patient-reported outcomes for arthroscopic and mini-open superior capsular reconstruction are similar for irreparable rotator cuff tears</title><title>Journal of ISAKOS</title><addtitle>J ISAKOS</addtitle><description>The purpose of this study was to report and compare postoperative range of motion (ROM), patient-reported outcomes, and failure rates following superior capsular reconstruction (SCR) and to compare outcomes between arthroscopic and mini-open techniques.
All SCR procedures utilising dermal allograft with a minimum of 6 months of follow-up at multiple institutions between November 2015 and October 2019 were retrospectively reviewed. Preoperative patient demographics, imaging measurements, surgical technique (arthroscopic versus mini-open), and outcomes including pain scores, conversion to reverse shoulder arthroplasty, subsequent surgery, and postoperative ROM were recorded. Outcomes for arthroscopic versus mini-open approaches were compared via t-test, Fisher's exact test, or chi square test, as appropriate, with differences of p < 0.05 considered significant.
180 total patients were included, including 98 who underwent arthroscopic SCR and 82 who underwent mini-open SCR. Final follow-up was at a mean of 32 months (standard deviation = 11 months). SCR improved pain (visual analog scale = 4.4 pre-operatively vs. 1.4 post-operatively, p < 0.0001) and ROMin active forward flexion (136° pre-operatively vs. 150° post-operatively, p = 0.0012). No difference in post-operative pain visual analog scores was found between mini-open and arthroscopic cohorts (1.3 vs. 1.6, p = 0.3432) at a mean of 14 months post-operatively. At a mean of 32 months post-operatively, there were no differences in ASES, QuickDASH, SST, WORC, or SANE scores between open and arthroscopic cohorts. There was no difference in rates of failure between mini-open and arthroscopic cohorts (15.9% vs. 17.3%, p = 0.789).
This study confirmed that SCR improves pain and ROM in the short term. Mini-open SCR appears to provide similar improvements in pain and ROM compared with arthroscopic SCR, as well as patient-reported outcomes at 3 years. No difference in failure rates was detected between the 2 procedures.
Level 3 evidence.</description><subject>Arthroscopy</subject><subject>Cuff tear arthropathy</subject><subject>Rotator cuff</subject><subject>Shoulder</subject><issn>2059-7754</issn><issn>2059-7762</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kcGK1jAURoMozjDOG4hk6aY1aZqm3QgyzKgw4EbX4Ta5xfy2Tb1JhXkWX9bUf5ylqwRyvvuRexh7LUUthezenepTSPAj1o1oVC26Wgj9jF02Qg-VMV3z_Omu2wt2nVIYhRZGKaPlS3ahTCvbRppL9vsWaH7gbg5rcDBzWD3fIAdcc0W4RcroedyziwsmPkXiQPk7xeTiFtxffCnRKm648rRvSKEwDra0z0Cc0MU1ZdpdDnEtWeQpLOF4OmYFKh1AMM7IKWbIR3afJp4RKL1iLyaYE14_nlfs293t15tP1f2Xj59vPtxXTmmTK-yFGBS0k1c9eC-aSarO9LJzum9Bq061MLQOOwfTOJjBT7KVHkzvVTO6Qasr9vY8d6P4c8eU7RKSw3mGFeOebNMr3Rit-q6g7Rl1ZQWJcLIbhQXowUphDzP2ZM9m7GHGis4WMyX25rFhHxf0T6F_Hgrw_gxg-eevgGSTKw4c-lBWmK2P4f8NfwDETqXG</recordid><startdate>20231001</startdate><enddate>20231001</enddate><creator>Crook, Bryan S.</creator><creator>Lorenzana, Daniel J.</creator><creator>Danilkowicz, Richard</creator><creator>Herbst, Kristen</creator><creator>Wittstein, Jocelyn R.</creator><creator>Toth, Alison P.</creator><creator>Lassiter, Tally</creator><creator>Lau, Brian C.</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8096-3170</orcidid><orcidid>https://orcid.org/0000-0001-6090-7980</orcidid></search><sort><creationdate>20231001</creationdate><title>Early clinical and patient-reported outcomes for arthroscopic and mini-open superior capsular reconstruction are similar for irreparable rotator cuff tears</title><author>Crook, Bryan S. ; Lorenzana, Daniel J. ; Danilkowicz, Richard ; Herbst, Kristen ; Wittstein, Jocelyn R. ; Toth, Alison P. ; Lassiter, Tally ; Lau, Brian C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c357t-e80093a4fd38add02f1367816c584a53634a94ce6cafb979df141da78d32bc953</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Arthroscopy</topic><topic>Cuff tear arthropathy</topic><topic>Rotator cuff</topic><topic>Shoulder</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Crook, Bryan S.</creatorcontrib><creatorcontrib>Lorenzana, Daniel J.</creatorcontrib><creatorcontrib>Danilkowicz, Richard</creatorcontrib><creatorcontrib>Herbst, Kristen</creatorcontrib><creatorcontrib>Wittstein, Jocelyn R.</creatorcontrib><creatorcontrib>Toth, Alison P.</creatorcontrib><creatorcontrib>Lassiter, Tally</creatorcontrib><creatorcontrib>Lau, Brian C.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of ISAKOS</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Crook, Bryan S.</au><au>Lorenzana, Daniel J.</au><au>Danilkowicz, Richard</au><au>Herbst, Kristen</au><au>Wittstein, Jocelyn R.</au><au>Toth, Alison P.</au><au>Lassiter, Tally</au><au>Lau, Brian C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early clinical and patient-reported outcomes for arthroscopic and mini-open superior capsular reconstruction are similar for irreparable rotator cuff tears</atitle><jtitle>Journal of ISAKOS</jtitle><addtitle>J ISAKOS</addtitle><date>2023-10-01</date><risdate>2023</risdate><volume>8</volume><issue>5</issue><spage>338</spage><epage>344</epage><pages>338-344</pages><issn>2059-7754</issn><eissn>2059-7762</eissn><abstract>The purpose of this study was to report and compare postoperative range of motion (ROM), patient-reported outcomes, and failure rates following superior capsular reconstruction (SCR) and to compare outcomes between arthroscopic and mini-open techniques.
All SCR procedures utilising dermal allograft with a minimum of 6 months of follow-up at multiple institutions between November 2015 and October 2019 were retrospectively reviewed. Preoperative patient demographics, imaging measurements, surgical technique (arthroscopic versus mini-open), and outcomes including pain scores, conversion to reverse shoulder arthroplasty, subsequent surgery, and postoperative ROM were recorded. Outcomes for arthroscopic versus mini-open approaches were compared via t-test, Fisher's exact test, or chi square test, as appropriate, with differences of p < 0.05 considered significant.
180 total patients were included, including 98 who underwent arthroscopic SCR and 82 who underwent mini-open SCR. Final follow-up was at a mean of 32 months (standard deviation = 11 months). SCR improved pain (visual analog scale = 4.4 pre-operatively vs. 1.4 post-operatively, p < 0.0001) and ROMin active forward flexion (136° pre-operatively vs. 150° post-operatively, p = 0.0012). No difference in post-operative pain visual analog scores was found between mini-open and arthroscopic cohorts (1.3 vs. 1.6, p = 0.3432) at a mean of 14 months post-operatively. At a mean of 32 months post-operatively, there were no differences in ASES, QuickDASH, SST, WORC, or SANE scores between open and arthroscopic cohorts. There was no difference in rates of failure between mini-open and arthroscopic cohorts (15.9% vs. 17.3%, p = 0.789).
This study confirmed that SCR improves pain and ROM in the short term. Mini-open SCR appears to provide similar improvements in pain and ROM compared with arthroscopic SCR, as well as patient-reported outcomes at 3 years. No difference in failure rates was detected between the 2 procedures.
Level 3 evidence.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>37414217</pmid><doi>10.1016/j.jisako.2023.06.005</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-8096-3170</orcidid><orcidid>https://orcid.org/0000-0001-6090-7980</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2059-7754 |
| ispartof | Journal of ISAKOS, 2023-10, Vol.8 (5), p.338-344 |
| issn | 2059-7754 2059-7762 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2835275386 |
| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Arthroscopy Cuff tear arthropathy Rotator cuff Shoulder |
| title | Early clinical and patient-reported outcomes for arthroscopic and mini-open superior capsular reconstruction are similar for irreparable rotator cuff tears |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-19T07%3A30%3A55IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Early%20clinical%20and%20patient-reported%20outcomes%20for%20arthroscopic%20and%20mini-open%20superior%20capsular%20reconstruction%20are%20similar%20for%20irreparable%20rotator%20cuff%20tears&rft.jtitle=Journal%20of%20ISAKOS&rft.au=Crook,%20Bryan%20S.&rft.date=2023-10-01&rft.volume=8&rft.issue=5&rft.spage=338&rft.epage=344&rft.pages=338-344&rft.issn=2059-7754&rft.eissn=2059-7762&rft_id=info:doi/10.1016/j.jisako.2023.06.005&rft_dat=%3Cproquest_cross%3E2835275386%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2835275386&rft_id=info:pmid/37414217&rft_els_id=S2059775423005229&rfr_iscdi=true |