Key result
Resection of the lateral part of the acromion during open repair of chronic massive rotator cuff tears significantly improved shoulder function at 12 months compared to standard decompression (Constant score 10.1 vs 21.1, p=0.031).
Why the study?
Between 14% and 28% of patients with rotator cuff tendon ruptures have unsatisfactory treatment outcomes and require future reverse shoulder joint arthroplasty.
Does resection of the lateral part of the acromion improve functional outcomes in patients undergoing open repair of chronic massive rotator cuff tears compared to standard subacromial decompression?
Cohort (n=98)
Does resection of the lateral part of the acromion improve functional outcomes in patients undergoing open repair of chronic massive rotator cuff tears compared to standard subacromial decompression?
Absolute Event Rate: 10.1% vs 21.1%
p-value: p=0.031
Resection of the lateral part of the acromion during open repair of chronic massive rotator cuff tears improves functional outcomes at 6 and 12 months compared to standard subacromial decompression.
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May support lateral acromion resection in massive rotator cuff repair; leaves open need for randomized confirmation.
Страфун et al. (2023) conducted a cohort in Chronic massive rotator cuff tears (n=98). Subacromial decompression with resection of the lateral part of the acromion vs. Standard subacromial decompression was evaluated on Constant Shoulder Score at 12 months (p=0.031). Resection of the lateral part of the acromion during open repair of chronic massive rotator cuff tears significantly improved shoulder function at 12 months compared to standard decompression (Constant score 10.1 vs 21.1, p=0.031).
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