Acellular Collagen Matrix Patch Augmentation of Arthroscopic Rotator Cuff Repair Reduces Re-Tear Rates: A Meta-analysis of Randomized Control Trials.
Arthroscopy
; 40(3): 941-946, 2024 03.
Article
in En
| MEDLINE
| ID: mdl-37816398
ABSTRACT
PURPOSE:
To perform a meta-analysis of randomized controlled trials (RCTs) to compare the outcomes of arthroscopic rotator cuff repair (ARCR) with and without acellular collagen matrix patch (ACMP) augmentation.METHODS:
A literature search of 3 databases was performed based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. RCTs comparing ACMP augmentation and a control for ARCR were included. Clinical outcomes were compared using Revman, and a P value < .05 was considered to be statistically significant.RESULTS:
Five RCTs with 307 patients were included. Overall, 11% of patients treated with ACMP augmentation and 34% of patients in the control group had a re-tear (P = .0006). The mean Constant score was 90.1 with ACMP augmentation, and 87.3 in controls (P = .02). Additionally, there was a significant higher American Shoulder and Elbow Surgeons score with ACMP augmentation (87.7 vs 82.1, P = .01).CONCLUSIONS:
The RCTs in the literature support the use of ACMP augment as a modality to reduce re-tear rates and improve outcomes after ARCR. LEVEL OF EVIDENCE Level II, Meta-Analysis of Level II Studies meta-analysis of Level II studies.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Lacerations
/
Rotator Cuff Injuries
/
Aminopyridines
Type of study:
Clinical_trials
/
Guideline
/
Systematic_reviews
Limits:
Humans
Language:
En
Journal:
Arthroscopy
Journal subject:
ORTOPEDIA
Year:
2024
Document type:
Article