Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025 · 文體未辨識（依標題推測）
Revision rates and progression to shoulder arthroplasty after arthroscopic repair of massive rotator cuff tears
肩 · 旋轉肌袖撕裂
中文閱讀摘要
系統性回顧與統合分析顯示，巨大旋轉肌韌帶撕裂之完整、部分修復及上囊重建術後，轉為反轉全肩關節置換或再手術率無統計顯著差異。
AI 依來源摘要整理，未經人工逐篇核對。閱讀結論前，請回溯研究族群、方法與限制。
原始摘要
Purpose
The purpose of this systematic review was to assess the rate of progression to reverse total shoulder arthroplasty (RTSA) and to other interventions as revision surgeries after an arthroscopic repair of a massive rotator cuff tear (MRCT). Additionally, the review aimed at defining the best arthroscopic approach for the treatment of MRCTs in terms of failure and revision rates.
Methods
The purpose of this systematic review and meta-analysis was to evaluate the rates of progression to reverse total shoulder arthroplasty in patients who underwent primary arthroscopic repair of an MRCT with different arthroscopic procedures. A meta-analysis was performed to compare the rate of progression to revision surgery and reverse total shoulder arthroplasty.
Results
Eighteen articles were included in the qualitative synthesis and 14 articles were included in the meta-analysis. Overall, 934 patients and 950 shoulders were involved in the review. Seven-hundred and thirty patients and 735 shoulders were included in the meta-analysis. The proportion of revisions to reverse total shoulder arthroplasty was 0.9%, 3.3% and 0.1% for complete repair, partial repair and superior capsular reconstruction, respectively. No statistically significant differences were found across the groups in terms of progression to reverse total shoulder arthroplasty (n.s.). The average proportions of revisions to interventions different than reverse total shoulder arthroplasty. were 0.9% for complete repair, 2.0% for partial repair and 2.0% for superior capsular reconstruction again, no statistically relevant difference was found among the groups (n.s.).
Conclusions
The current review finds no statistically significant differences in the progression to reverse total shoulder arthroplasty or other revision procedures among partial repair, complete repair and superior capsular reconstruction for massive irreparable rotator cuff tears. It is crucial to understand the long-term outcomes of different surgical techniques for massive rotator cuff tears, particularly regarding failure rates and progression to further procedures.
Level of evidence
Level IV.
至 Europe PMC 閱讀完整來源 ↗ · 擷取日期 2026-10-19
書目、來源與全文狀態
- DOI
- 10.1002/ksa.12651
- PMID／PMCID
- 40167158 / PMC12104790
- 作者
- Longo UG, Lalli A, Bandini B, Piccolomini A, Ullman NS, Vaiano A, D'Hooghe P
- 首次發表日期
- 2025-04-01Europe PMC 提供，部分日期可能依年份或月份推定。
- 卷／期／頁碼或文章編號
- 33 ／ 6 ／ 2255-2268
- 書目來源與查核日期
- Europe PMC · 2026-10-19僅核對書目欄位與來源連結；不代表已評讀研究品質。
- 全文與授權
- 來源列有免費全文（查核 2026-10-19），未逐篇測試 PDF 下載。 來源授權標示：cc by。
可回溯引用
Longo UG, Lalli A, Bandini B, Piccolomini A, Ullman NS, Vaiano A, D'Hooghe P. Revision rates and progression to shoulder arthroplasty after arthroscopic repair of massive rotator cuff tears. Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA. 2025;33(6):2255-2268. PMID: 40167158. PMCID: PMC12104790. doi:10.1002/ksa.12651
本站供教育與研究參考。單篇摘要、文體標籤與期刊影響係數不等於證據品質或個別病人的診療建議。