Microfractures at the rotator cuff footprint: a randomised controlled study
Purpose Microfractures at the footprint may be a potential additional source of growth factor and enhance the tendon healing at the bone-tendon junction when repairing rotator cuff tears. Methods Fifty-seven patients who underwent shoulder arthroscopy for repair of complete rotator cuff tears were r...
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| Veröffentlicht in: | International orthopaedics 2013-11, Vol.37 (11), p.2165-2171 |
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| creator | Osti, Leonardo Del Buono, Angelo Maffulli, Nicola |
| description | Purpose
Microfractures at the footprint may be a potential additional source of growth factor and enhance the tendon healing at the bone-tendon junction when repairing rotator cuff tears.
Methods
Fifty-seven patients who underwent shoulder arthroscopy for repair of complete rotator cuff tears were randomly divided into two groups, using a block randomisation procedure. Patients underwent microfracture at the footprint in the treatment group. The patients in the control group (
n
= 29) did not receive that treatment. All patients had the same post-operative rehabilitation protocol.
Results
The two groups were homogeneous. There was a significant improvement from baseline to the last minimum follow-up of two years. At three months from the index procedure, visual analogue scale (VAS), range of motion (ROM) and University of California at Los Angeles (UCLA) and Constant scores were significantly better in group 1 than in group 2 (
P
|
| doi_str_mv | 10.1007/s00264-013-1952-z |
| format | Article |
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Microfractures at the footprint may be a potential additional source of growth factor and enhance the tendon healing at the bone-tendon junction when repairing rotator cuff tears.
Methods
Fifty-seven patients who underwent shoulder arthroscopy for repair of complete rotator cuff tears were randomly divided into two groups, using a block randomisation procedure. Patients underwent microfracture at the footprint in the treatment group. The patients in the control group (
n
= 29) did not receive that treatment. All patients had the same post-operative rehabilitation protocol.
Results
The two groups were homogeneous. There was a significant improvement from baseline to the last minimum follow-up of two years. At three months from the index procedure, visual analogue scale (VAS), range of motion (ROM) and University of California at Los Angeles (UCLA) and Constant scores were significantly better in group 1 than in group 2 (
P
< .05). At the last follow-up (minimum two years), clinical and functional outcomes were further improved in both the groups but inter-group differences were not significant. No technique-related complications were recorded.
Conclusions
Microfractures at the footprint are simple, safe, inexpensive and effective at producing less pain in the short term in patients who undergo rotator cuff repair, but at two years they do not result in significantly different outcomes, either clinically or at imaging, compared to traditional rotator cuff repair.</description><identifier>ISSN: 0341-2695</identifier><identifier>EISSN: 1432-5195</identifier><identifier>DOI: 10.1007/s00264-013-1952-z</identifier><identifier>PMID: 23760681</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Arthroplasty, Subchondral - economics ; Arthroplasty, Subchondral - methods ; Cost-Benefit Analysis ; Female ; Follow-Up Studies ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Paper ; Orthopedics ; Pain Measurement ; Range of Motion, Articular - physiology ; Rotator Cuff - surgery ; Rotator Cuff Injuries ; Shoulder Joint - physiology ; Shoulder Joint - surgery ; Treatment Outcome ; Wound Healing - physiology</subject><ispartof>International orthopaedics, 2013-11, Vol.37 (11), p.2165-2171</ispartof><rights>Springer-Verlag Berlin Heidelberg 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-21c0d5aca011c34b1c0c66d297ba29554363cccb2fe687fde8da7a1246ee68433</citedby><cites>FETCH-LOGICAL-c442t-21c0d5aca011c34b1c0c66d297ba29554363cccb2fe687fde8da7a1246ee68433</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3824902/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3824902/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,41488,42557,51319,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23760681$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Osti, Leonardo</creatorcontrib><creatorcontrib>Del Buono, Angelo</creatorcontrib><creatorcontrib>Maffulli, Nicola</creatorcontrib><title>Microfractures at the rotator cuff footprint: a randomised controlled study</title><title>International orthopaedics</title><addtitle>International Orthopaedics (SICOT)</addtitle><addtitle>Int Orthop</addtitle><description>Purpose
Microfractures at the footprint may be a potential additional source of growth factor and enhance the tendon healing at the bone-tendon junction when repairing rotator cuff tears.
Methods
Fifty-seven patients who underwent shoulder arthroscopy for repair of complete rotator cuff tears were randomly divided into two groups, using a block randomisation procedure. Patients underwent microfracture at the footprint in the treatment group. The patients in the control group (
n
= 29) did not receive that treatment. All patients had the same post-operative rehabilitation protocol.
Results
The two groups were homogeneous. There was a significant improvement from baseline to the last minimum follow-up of two years. At three months from the index procedure, visual analogue scale (VAS), range of motion (ROM) and University of California at Los Angeles (UCLA) and Constant scores were significantly better in group 1 than in group 2 (
P
< .05). At the last follow-up (minimum two years), clinical and functional outcomes were further improved in both the groups but inter-group differences were not significant. No technique-related complications were recorded.
Conclusions
Microfractures at the footprint are simple, safe, inexpensive and effective at producing less pain in the short term in patients who undergo rotator cuff repair, but at two years they do not result in significantly different outcomes, either clinically or at imaging, compared to traditional rotator cuff repair.</description><subject>Adult</subject><subject>Aged</subject><subject>Arthroplasty, Subchondral - economics</subject><subject>Arthroplasty, Subchondral - methods</subject><subject>Cost-Benefit Analysis</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Orthopedics</subject><subject>Pain Measurement</subject><subject>Range of Motion, Articular - physiology</subject><subject>Rotator Cuff - surgery</subject><subject>Rotator Cuff Injuries</subject><subject>Shoulder Joint - physiology</subject><subject>Shoulder Joint - surgery</subject><subject>Treatment Outcome</subject><subject>Wound Healing - physiology</subject><issn>0341-2695</issn><issn>1432-5195</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UctOwzAQtBCIlsIHcEE5cjH4FafhgIQqXqKIC5wtx482VRoX20Fqvx5XKRVcOHnXnp0dzwBwjtEVRqi4DggRziDCFOIyJ3BzAIaYUQLz1B6CIaIMQ8LLfABOQlgghAs-xsdgQGjBUSqH4OW1Vt5ZL1XsvAmZjFmcm8y7KKPzmeqszaxzceXrNt5kMvOy1W5ZB6Mz5droXdOkMsROr0_BkZVNMGe7cwQ-Hu7fJ09w-vb4PLmbQsUYiZBghXQulUQYK8qq1CrONSmLSpIyzxnlVClVEWv4uLDajLUsJCaMm3TBKB2B25531VVLo5VJMmQjksSl9GvhZC3-vrT1XMzcl6BjwkpEEsHljsC7z86EKNKHlGka2RrXBYEZS5sZQmWC4h6aXArBG7tfg5HYhiD6EEQKQWxDEJs0c_Fb337ix_UEID0gbG2dGS8WrvNt8uwf1m-8PpT5</recordid><startdate>20131101</startdate><enddate>20131101</enddate><creator>Osti, Leonardo</creator><creator>Del Buono, Angelo</creator><creator>Maffulli, Nicola</creator><general>Springer Berlin Heidelberg</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>7X8</scope><scope>5PM</scope></search><sort><creationdate>20131101</creationdate><title>Microfractures at the rotator cuff footprint: a randomised controlled study</title><author>Osti, Leonardo ; Del Buono, Angelo ; Maffulli, Nicola</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-21c0d5aca011c34b1c0c66d297ba29554363cccb2fe687fde8da7a1246ee68433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Arthroplasty, Subchondral - economics</topic><topic>Arthroplasty, Subchondral - methods</topic><topic>Cost-Benefit Analysis</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Paper</topic><topic>Orthopedics</topic><topic>Pain Measurement</topic><topic>Range of Motion, Articular - physiology</topic><topic>Rotator Cuff - surgery</topic><topic>Rotator Cuff Injuries</topic><topic>Shoulder Joint - physiology</topic><topic>Shoulder Joint - surgery</topic><topic>Treatment Outcome</topic><topic>Wound Healing - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Osti, Leonardo</creatorcontrib><creatorcontrib>Del Buono, Angelo</creatorcontrib><creatorcontrib>Maffulli, Nicola</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Osti, Leonardo</au><au>Del Buono, Angelo</au><au>Maffulli, Nicola</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Microfractures at the rotator cuff footprint: a randomised controlled study</atitle><jtitle>International orthopaedics</jtitle><stitle>International Orthopaedics (SICOT)</stitle><addtitle>Int Orthop</addtitle><date>2013-11-01</date><risdate>2013</risdate><volume>37</volume><issue>11</issue><spage>2165</spage><epage>2171</epage><pages>2165-2171</pages><issn>0341-2695</issn><eissn>1432-5195</eissn><abstract>Purpose
Microfractures at the footprint may be a potential additional source of growth factor and enhance the tendon healing at the bone-tendon junction when repairing rotator cuff tears.
Methods
Fifty-seven patients who underwent shoulder arthroscopy for repair of complete rotator cuff tears were randomly divided into two groups, using a block randomisation procedure. Patients underwent microfracture at the footprint in the treatment group. The patients in the control group (
n
= 29) did not receive that treatment. All patients had the same post-operative rehabilitation protocol.
Results
The two groups were homogeneous. There was a significant improvement from baseline to the last minimum follow-up of two years. At three months from the index procedure, visual analogue scale (VAS), range of motion (ROM) and University of California at Los Angeles (UCLA) and Constant scores were significantly better in group 1 than in group 2 (
P
< .05). At the last follow-up (minimum two years), clinical and functional outcomes were further improved in both the groups but inter-group differences were not significant. No technique-related complications were recorded.
Conclusions
Microfractures at the footprint are simple, safe, inexpensive and effective at producing less pain in the short term in patients who undergo rotator cuff repair, but at two years they do not result in significantly different outcomes, either clinically or at imaging, compared to traditional rotator cuff repair.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>23760681</pmid><doi>10.1007/s00264-013-1952-z</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | International orthopaedics, 2013-11, Vol.37 (11), p.2165-2171 |
| issn | 0341-2695 1432-5195 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3824902 |
| source | MEDLINE; Springer journals; PubMed Central; EZB Electronic Journals Library |
| subjects | Adult Aged Arthroplasty, Subchondral - economics Arthroplasty, Subchondral - methods Cost-Benefit Analysis Female Follow-Up Studies Humans Male Medicine Medicine & Public Health Middle Aged Original Paper Orthopedics Pain Measurement Range of Motion, Articular - physiology Rotator Cuff - surgery Rotator Cuff Injuries Shoulder Joint - physiology Shoulder Joint - surgery Treatment Outcome Wound Healing - physiology |
| title | Microfractures at the rotator cuff footprint: a randomised controlled study |
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