Effects of arthroscopic vs. mini-open rotator cuff repair on function, pain & range of motion. A systematic review and meta-analysis
Autoři:
Goris Nazari aff001; Joy C. MacDermid aff001; Dianne Bryant aff001; Neha Dewan aff004; George S. Athwal aff002
Působiště autorů:
School of Physical Therapy, Faculty of Health Science, Western University, London, ON, Canada
aff001; Collaborative Program in Musculoskeletal Health Research, Bone and Joint Institute, Western University, London, ON Canada
aff002; Roth McFarlane Hand and Upper Limb Centre, St. Joseph’s Hospital, London, ON, Canada
aff003; Department of Health Sciences, Lakehead University, Canada
aff004
Vyšlo v časopise:
PLoS ONE 14(10)
Kategorie:
Research Article
prolekare.web.journal.doi_sk:
https://doi.org/10.1371/journal.pone.0222953
Souhrn
Objective
To assess the effectiveness of arthroscopic versus mini-open rotator cuff repair on function, pain and range of motion at 3-, 6- and 12-month follow ups.
Design
Systematic review and meta-analysis of randomized controlled trials.
Setting
Clinical setting.
Participants
Patients 18 years and older with a rotator cuff tear.
Intervention/Comparison
Arthroscopic/mini-open rotator cuff repair surgery followed by post operative rehabilitation.
Main outcome measures
Function and pain.
Results
Six RCTs (n = 670) were included. The pooled results, demonstrated no significant difference between arthroscopic and mini open approach to rotator cuff repair on function (very low quality, 4 RCTs, 495 patients, SMD 0.00, 3-month; very low quality, 4 RCTs, 495 patients, SMD -0.01, 6-month; very low quality, 3 RCTs, 462 patients, SMD -0.09, 12-months). For pain, the pooled results, were not statistically different between groups (very low quality, 3 RCTs, 254 patients, MD -0.21, 3-month; very low quality, 3 RCTs, 254 patients, MD -0.03, 6-month; very low quality, 2 RCTs, 194 patients, MD -0.35, 12-months).
Conclusion
The effects of arthroscopic compared to mini-open rotator cuff repair, on function, pain and range of motion are too small to be clinically important at 3-, 6- and 12-month follow ups.
Klíčová slova:
Systematic reviews – Surgical and invasive medical procedures – Publication ethics – Strength training – Randomized controlled trials – Surgical repair – Arthroscopy
Zdroje
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