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
doi: 10.1371/journal.pone.0222953



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.


Systematic review and meta-analysis of randomized controlled trials.


Clinical setting.


Patients 18 years and older with a rotator cuff tear.


Arthroscopic/mini-open rotator cuff repair surgery followed by post operative rehabilitation.

Main outcome measures

Function and pain.


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).


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:

Arthroscopy – Metaanalysis – Publication ethics – Randomized controlled trials – Strength training – Surgical and invasive medical procedures – Surgical repair – Systematic reviews


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2019 Číslo 10