Arthroscopic Single-Row Versus Double-Row Rotator Cuff Repair: A Meta-analysis of the Randomized Clinical Trials
ABSTRACT PURPOSE: The purpose of this meta-analysis was to critically assess whether there are differences in clinical outcomes between single-row and double-row rotator cuff repair in prospective randomized Level I studies. METHODS: Using Medline, Scopus, Scirus, CINAHL (Cumulative Index to Nursing and Allied Health Literature), and the Cochrane Library, as well as a hand search, we searched for randomized prospective trials comparing single-row and double-row rotator cuff repair. The functional outcome scores included the American Shoulder and Elbow Surgeons shoulder scale, the Constant shoulder score, and the University of California, Los Angeles shoulder rating scale. A test of heterogeneity was performed to determine whether there was a difference across the included studies. RESULTS: Five studies met our inclusion criteria. A test of heterogeneity showed no difference across these studies. The functional American Shoulder and Elbow Surgeons; Constant; and University of California, Los Angeles outcomes scores showed no difference between single- and double-row rotator cuff repair. CONCLUSIONS: We found no significant differences in clinical outcomes between single-row and double-row rotator cuff repair in a meta-analysis of Level I studies. LEVEL OF EVIDENCE: Level I, meta-analysis of Level I randomized controlled studies.
- Arthroscopy The Journal of Arthroscopic and Related Surgery 09/2013; 29(9):1464-5. DOI:10.1016/j.arthro.2013.07.002 · 3.19 Impact Factor
Article: Author's Reply.Arthroscopy The Journal of Arthroscopic and Related Surgery 09/2013; 29(9):1465. DOI:10.1016/j.arthro.2013.07.001 · 3.19 Impact Factor
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ABSTRACT: To determine whether subjective (pain by visual analog scale) or objective (strength by dynamometer) measures correlate with disease-specific measures and quality-of-life metrics in arthroscopic rotator cuff repair. The study population included patients who underwent primary arthroscopic rotator cuff repair at a single institution between 2006 and 2009. Within these parameters, data from 166 patients was obtained. Data were collected prospectively and reviewed retrospectively. Preoperative and 1-year postoperative data were compared. Correlation was determined in (1) disease-specific metrics including American Shoulder and Elbow Surgeons (ASES) score, Constant score (CS), and Simple Shoulder Test (SST) score and (2) quality of life measured by the Short Form 12. Preoperative strength and pain are closely associated with postoperative changes (P < 1 × 10(-5), with β coefficients of 0.8 to 1.0). Change in ASES score was most closely associated with change in pain and change in CS with change in strength (R(2) = 0.82 and R(2) = 0.54, respectively). Only the SST score was found to be statistically linked to changes in both strength and pain (P < .05). Patients, despite sex and age, with good preoperative strength and high preoperative pain will benefit most from arthroscopic rotator cuff repair. The CS best captures changes in strength, and the ASES score best captures changes in pain. Only changes in the SST score show a statistically significant link with changes in both strength and pain. Level IV.Arthroscopy The Journal of Arthroscopic and Related Surgery 09/2013; DOI:10.1016/j.arthro.2013.08.001 · 3.19 Impact Factor