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Surgical Treatment of Rotator Cuff Tears After 65 Years of Age: A Systematic Review

2017-04-28Journal article Open access
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dc.contributor.authorSilva, BM
dc.contributor.authorCartucho, A
dc.contributor.authorSarmento, M
dc.contributor.authorMoura, N
dc.date.accessioned2017-06-25T21:01:20Z
dc.date.available2017-06-25T21:01:20Z
dc.date.issued2017-04-28
dc.description.abstractINTRODUCTION: The objective of this study was to analyze current evidence regarding surgical management of rotator cuff tears in patients of 65 years of age and above. Our hypothesis was that surgical repair of rotator cuff tears, in patients older than 65 years, conveys good outcome scores. We have not found a similar systematic review in current literature. MATERIAL AND METHODS: Medline®, PubMed, Scopus, and the Cochrane Register of Controlled Trials were searched from January 1999 unto December 2015 for studies, regardless of language, including the words 'rotator cuff' and '65 years' or '70 years'. Inclusion criteria were studies (level I to IV) that reported clinical outcomes in patients older than 65 years, having undertaken surgical repair of a symptomatic rotator cuff tears. Arthroscopic, mini open and open techniques were included. Exclusion criteria were: studies with patients younger than 65 years, studies that did not use validated outcome evaluation scores as primary assessment tools and those with follow up under one year. This work followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses - PRISMA guidelines. Data abstracted included patient demographics, tear pattern, surgical procedures, clinical and repair results. Outcome scores were converted to percentages, allowing comparison of data between studies. RESULTS: After deep analysis, 14 studies met the inclusion criteria: 11 level IV studies, 1 level III study and 2 level II studies. Seven studies found statistically significant outcome improvements between pre and postoperative evaluations. All studies reported good or excellent surgical outcomes. DISCUSSION: Better results would probably be achieved if all studies had rigorous and homogeneous patient selection criteria, but the fact is, that even though this was not the case, the clinical scores remained favorable, and with statistically significant outcome improvement in all studies with prospectively collected data. CONCLUSION: Based on current literature, rotator cuff repair in patients older than 65 years imparts favorable improvement in clinical outcome scores and overall patient satisfaction.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationActa Med Port. 2017 Apr 28;30(4):320-329.pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/18568
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectArtroscopiapt_PT
dc.subjectIdosopt_PT
dc.subjectRevisão Sistemáticapt_PT
dc.subjectRotura da Coifa dos Rotadores/cirurgiapt_PT
dc.subjectAgedpt_PT
dc.subjectArthroscopypt_PT
dc.subjectRotator Cuff Injuries/surgerypt_PT
dc.subjectSystematic Reviewpt_PT
dc.titleSurgical Treatment of Rotator Cuff Tears After 65 Years of Age: A Systematic Reviewpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue4pt_PT
oaire.citation.startPage320-329pt_PT
oaire.citation.volume30pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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