Do functional outcomes and cuff integrity correlate after single- versus double-row rotator cuff repair? A systematic review and meta-analysis study

被引：33
作者：
Sobhy M.H. [1 ]
Khater A.H. [1 ]
Hassan M.R. [2 ]
El Shazly O. [1 ]
机构：
[1] Orthopedic Department, Faculty of Medicine, Ain Shams University, 38 Abbassyia Sq., El Waily, Cairo
[2] Specialist at the Egyptian Ministry of Health, Cairo
来源：
European Journal of Orthopaedic Surgery & Traumatology | 2018年 / 28卷 / 4期
关键词：
Double row; Meta-analysis; Rotator cuff repair; Single row; Systematic review;
D O I：
10.1007/s00590-018-2145-7
中图分类号：
学科分类号：
摘要：
Purpose: The purpose of this study is to perform a systematic review and meta-analysis of all available level I prospective randomized controlled trials comparing arthroscopic single-row (SR) with double-row (DR) rotator cuff repairs by both clinical outcomes and radiological re-tear rates. Methods: PubMed, EMBASE, Google Scholar, and Cochrane databases search was done for level I RCTs comparing clinical and radiological outcomes after SR versus DR rotator cuff repair. Clinical outcomes included UCLA, ASES, Constant, WORC, and SANE scores; structural outcomes included MRI, MRA, or US. Results: Seven level I studies were included (5 mid-term and 2 short-term). Postoperative ASES, Constant, WORC, and SANE scores showed nonsignificant slightly better function of DR groups. Only, UCLA score showed significantly better scores with DR repair (p = 0.007). Full-thickness re-tear incidence was reported in 15/174 (8.6%) in DR group and 20/175 (11.4%) in SR group (p = 0.44). Partial-thickness re-tear rate was reported in 18/174 patients (10.3%) in DR group and 41/175 patients (23.4%) in SR group (p = 0.009). Conclusion: Within the domain of level I mid-term and short-term studies, DR repair showed significant better UCLA score only. (ASES, Constant, WORC, and SANE scores showed no significance.) This may correlate weakly with the significant lower partial-thickness re-tear rates of DR repairs. In contrary, long-term level III studies showed a direct correlation of both functional outcomes and cuff structural integrity, with significant superiority of DR over SR repair techniques. Level of evidence: Level 1, systematic review and meta-analysis. © 2018, Springer-Verlag France SAS, part of Springer Nature.
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页码：593 / 605
页数：12
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