CC2023: Role of Delay Between Injury and Surgery on the Outcomes of Rotator Cuff Repair: A Systematic Review and Meta-analysis (April 2023)-Role of Delay Between Injury and Surgery on the Outcomes of Rotator Cuff Repair: A Systematic Review and Meta-analysis (April 2023)

Role of Delay Between Injury and Surgery on the Outcomes of Rotator Cuff Repair: A Systematic Review and Meta-analysis (April 2023)

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A systematic review and meta-analysis was conducted to assess the role of delay to surgery on the outcomes of rotator cuff repair (RCR). The study included a total of 33 studies with 8118 patients and found that delaying RCR for 3 to 6 months did not lead to higher retear rates or inferior patient-reported outcome measures (PROMs) compared to undergoing earlier surgery. However, delaying surgery for more than 1 year resulted in significantly higher retear rates. The study also found that patients with an intact cuff at follow-up had a significantly shorter time from injury to surgery compared to patients with a retear. The findings suggest that nonoperative treatment can be attempted for up to 6 months without increasing the likelihood of retears, but delaying surgery for more than 1 year may lead to inferior outcomes. It is important to note that the study is limited by the retrospective nature of the included studies, and larger prospective studies are needed to confirm these findings. Overall, the study provides valuable insights into the timing of surgery for rotator cuff repair and highlights the need for further research in this area.

Keywords

systematic review

meta-analysis

delay to surgery

rotator cuff repair

retear rates

patient-reported outcome measures

PROMs

nonoperative treatment

injury to surgery

prospective studies