Utilize este identificador para referenciar este registo: https://hdl.handle.net/1822/51859

TítuloReverse shoulder arthroplasty for irreparable massive rotator cuff tears: a systematic review with meta-analysis and meta-regression
Autor(es)Sousa, Nuno Eduardo Sevivas
Ferreira, Nuno Diogo Neto
Andrade, Renato
Moreira, Pedro
Portugal, Raquel
Alves, Diogo
Silva, Manuel Vieira da
Sousa, Nuno
Salgado, A. J.
Espregueira-Mendes, João
Palavras-chaveMassive
Chronic
Irreparable
Rotator cuff tears
Pseudoparalytic shoulder
Reverse shoulder arthroplasty
Level IV
Meta-Analysis
Data2017
EditoraElsevier
RevistaJournal of Shoulder and Elbow Surgery
CitaçãoSevivas, N., Ferreira, N., Andrade, R., Moreira, P., Portugal, R., Alves, D., ... & Espregueira-Mendes, J. (2017). Reverse shoulder arthroplasty for irreparable massive rotator cuff tears: a systematic review with meta-analysis and meta-regression. Journal of shoulder and elbow surgery, 26(9), e265-e277
Resumo(s)Background: Massive rotator cuff tears (MRCTs) are very large tears that are often associated with an uncertain prognosis. Indeed, some MRCTs even without osteoarthritis are considered irreparable, and nonanatomic solutions are needed to improve the patient's symptoms. Reverse shoulder arthroplasty (RSA) is an option that can provide a more predictable pain relief and recovery of function. Nonetheless, outcomes after RSA for irreparable MRCTs have not been well defined. The aim of this study was to quantitatively aggregate the findings associated with the use of RSA in this subset of patients and analyze the effect on patient functional status and pain. Methods: A comprehensive search was performed until October 2015 using MEDLINE, Scopus, Cochrane Database of Systematic Reviews, and Central Register of Controlled Trials databases. Studies that assessed the outcomes of RSA in patients with irreparable MRCT without osteoarthritis (with at least 2 years of follow-up) were included. If the results of MRCT without osteoarthritis were not possible to subgroup, the study was excluded. Methodologic quality was assessed using the Coleman Methodology Score. Results: Included were 6 studies (266 shoulders) with a follow-up ranging from 24 to 61.4 months. The mean Coleman Methodology Score was 58.2 +/- 11.8 points. There was an overall improvement from preoperative to postoperative assessments of the clinical score (Cohen d = 1.35, P < .001), forward flexion (d = 0.50, P = .009), external rotation (d = 0.40, P < .001), function (d = 1.04, P < .001), and pain (d = -0.89, P < .001). Conclusion: Patients with irreparable MRCT without presence of osteoarthritis have a high likelihood of achieving a painless shoulder and functional improvements after RSA. Level of evidence: Level IV; Meta-Analysis
TipoArtigo
URIhttps://hdl.handle.net/1822/51859
DOI10.1016/j.jse.2017.03.039
ISSN1058-2746
Versão da editorahttp://www.jshoulderelbow.org/article/S1058-2746(17)30246-X/abstract
Arbitragem científicayes
AcessoAcesso restrito autor
Aparece nas coleções:ICVS - Artigos em revistas internacionais / Papers in international journals

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