Arthroscopic rotator cuff repair: a systematic review of overlapping meta-analyses

Review written by Andrew Cuff info

Key Points

  1. Early ROM does not increase re-tear rates post-operatively and is associated with improved ROM but not functional outcomes.
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BACKGROUND & OBJECTIVE

Rotator cuff tears are purported to be a common cause of shoulder pain. In recent years, the ability to accurately diagnose a rotator cuff tear as the source of someone’s shoulder pain has been challenged. Despite this, the number of repair operations is increasing. The aim of this systematic review of meta-analyses was to focus on arthroscopic repair to determine whether double-row or single-row was superior; whether the addition of platelet-rich plasma (PRP) conferred better outcomes; and whether early-mobilisation post-operatively was superior to delayed-mobilisation.

The number of rotator cuff repair operations taking place is increasing.
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This paper provides a useful starting point for discussion with surgeons if there are fears around re-tear rates post-operatively caused by early mobilisation.

METHODS

A systematic review was performed in accordance with PRISMA guidelines with a comprehensive search strategy within three scientific databases: the Cochrane library, MEDLINE, and Embase. Studies were included if they were written in the English language and were a meta-analysis

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