Multiple surgical treatment comparisons for irreparable rotator cuff tears: A network meta-analysis

作者全名："Zhou, Xin; Zhang, Xiaohua; Jin, Xianrong; Deng, Jialin; Zhang, Zhongzu; Yu, Yating"

作者地址："[Zhou, Xin; Zhang, Xiaohua; Jin, Xianrong; Deng, Jialin; Yu, Yating] Chongqing Univ, Dept Orthoped, Jiangjin Hosp, Ctr Hosp Jiangjin Dist, Chongqing, Peoples R China; [Zhang, Zhongzu] Chongqing Med Univ, Dept Orthoped, Yongchuan Hosp, Chongqing, Peoples R China; [Yu, Yating] Chongqing Univ, Dept Orthoped, Jiangjin Hosp, Ctr Hosp Jiangjin Dist, Chongqing 402260, Peoples R China"

通信作者："Yu, YT (通讯作者)，Chongqing Univ, Dept Orthoped, Jiangjin Hosp, Ctr Hosp Jiangjin Dist, Chongqing 402260, Peoples R China."

来源：MEDICINE

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001000519400031

JCR分区：Q2

影响因子：1.3

年份：2023

卷号：102

期号：22

开始页：　

结束页：　

文献类型：Review

关键词：irreparable; network meta-analysis; rotator cuff tears; surgical; systematic review

摘要："Background:To evaluate the effect of different surgical methods in the treatment of patients with irreparable rotator cuff tears (IRCTs) using a network meta-analysis. Methods:A search of the PubMed, EMbase, The Cochrane Library, VIP, WanFang Data, and CNKI databases was performed in January 2023 to search for randomized controlled trials and cohort studies of different surgical methods in the treatment of IRCTs. Risk assessment of the included randomized controlled trials was conducted using the risk of bias assessment tool recommended by the Cochrane Manual, and the Newcastle-Ottawa Scale was used for the risk assessment of cohort studies. Data were analyzed and plotted using Stata 15.0 software. Results:A total of 17 studies involving 2123 patients and 10 surgical methods were included in this study. According to the surface under the cumulative ranking curve, the probability ranking in descending order is latissimus dorsi transfer (LDT) + partial repair > LDT > reverse total shoulder arthroplasty > superior capsular reconstruction > patch > partial repair > debridement + tenotomy of the long head of the biceps > debridement > in space subacromial balloon spacer + tenotomy of the long head of the biceps > in space subacromial balloon spacer. Conclusion:Among the multiple surgical treatments for patients with IRCTs, LDT + partial repair may have the best effect, and more randomized controlled trials with larger sample sizes are needed for further verification."

基金机构："Natural Science Foundation of Chongqing, China [cstc2021jcyj-msxmX0904]"

基金资助正文："This work was Sponsored by Natural Science Foundation of Chongqing, China (Grant No. cstc2021jcyj-msxmX0904)."