CC2023: A Systematic Review of Long-term Clinical and Radiological Outcomes of Arthroscopic and Open/Mini-open Rotator Cuff Repairs (June 2023)-A Systematic Review of Long-term Clinical and Radiological Outcomes of Arthroscopic and Open/Mini-open Rotator Cuff Repairs (June 2023)

A Systematic Review of Long-term Clinical and Radiological Outcomes of Arthroscopic and Open/Mini-open Rotator Cuff Repairs (June 2023)

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This systematic review compared the long-term clinical and radiological outcomes of arthroscopic rotator cuff repair (aRCR) and open/mini-open rotator cuff repair (oRCR) for full-thickness rotator cuff tears. Eleven studies were included in the review, with a total of 550 shoulders. The findings showed that both aRCR and oRCR resulted in significant improvements in shoulder function and pain scores after a mean follow-up of 14 years. The retear rate was 41%, with no significant difference between the aRCR and oRCR groups. Retear was associated with reduced shoulder function. There were no significant differences in postoperative functional scores, complications, and retear rates after failed cuff repairs between the two surgical techniques. The review concluded that both aRCR and oRCR can be used, based on factors such as patient or surgeon preference and cost. However, further studies using more robust study designs are recommended to determine if one surgical technique is superior to the other.

Keywords

systematic review

arthroscopic rotator cuff repair

open/mini-open rotator cuff repair

full-thickness rotator cuff tears

long-term outcomes

shoulder function

pain scores

retear rate

postoperative complications

surgical techniques