caa a22 4500 605460191 CHVBK 20210128100237.0 cr unu---uuuuu 210128e20150201xx s 000 0 eng 10.1007/s00167-014-3234-8 doi (NATIONALLICENCE)springer-10.1007/s00167-014-3234-8 Long-term outcome after arthroscopic rotator cuff treatment [Elektronische Daten] [Pietro Spennacchio, Giuseppe Banfi, Davide Cucchi, Riccardo D'Ambrosi, Paolo Cabitza, Pietro Randelli] Purpose: Arthroscopic techniques have become the gold standard in the operative management of several pathologic conditions of the shoulder. The purpose of this systematic review was to present the long-term outcomes following arthroscopic treatment of rotator cuff pathology. Methods: A comprehensive literature review was performed to identify studies reporting clinical or structural results of arthroscopic rotator cuff repairs (ARCRs) at least 5years after surgery. Results: Ten articles were selected, which described 483 procedures. Study type, surgical approaches, complications, evidences of structural integrity of the repaired lesions, preoperative and postoperative functional scores are identified, analyzed and discussed. Satisfactory results are presented by all authors, and significant postoperative improvement is reported by all the studies with available preoperative data; 16 of 483 cases were re-operated. Conclusion: Although high-level evidences are lacking, ARCR appears to be an effective and safe option to treat the symptoms of rotator cuff tears and to provide successful clinical results durable with time. Current evidences are insufficient to clearly define the relationship between structural integrity of repaired cuffs and long-term clinical outcome. The available data do not allow to draw conclusions regarding the long-term superiority of double-row versus single-row repairs. Level of evidence: Review of level II, III and IV studies, Level IV. European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2014 Rotator cuff tear nationallicence Arthroscopic repair nationallicence Long term nationallicence Clinical outcomes nationallicence Structural outcomes nationallicence Spennacchio Pietro IRCCS Policlinico San Donato, Piazza Edmondo Malan 2, 20097, San Donato, Milan, Italy aut Banfi Giuseppe IRCCS Istituto Ortopedico Galeazzi, Via Galeazzi 4, 20161, Milan, Italy aut Cucchi Davide IRCCS Policlinico San Donato, Piazza Edmondo Malan 2, 20097, San Donato, Milan, Italy aut D'Ambrosi Riccardo IRCCS Policlinico San Donato, Piazza Edmondo Malan 2, 20097, San Donato, Milan, Italy aut Cabitza Paolo IRCCS Policlinico San Donato, Università degli Studi di Milano, San Donato, Milan, Italy aut Randelli Pietro IRCCS Policlinico San Donato, Università degli Studi di Milano, San Donato, Milan, Italy aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/2(2015-02-01), 523-529 0942-2056 23:2<523 2015 23 167 https://doi.org/10.1007/s00167-014-3234-8 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 review-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-014-3234-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Spennacchio Pietro IRCCS Policlinico San Donato, Piazza Edmondo Malan 2, 20097, San Donato, Milan, Italy aut NATIONALLICENCE 700 1- Banfi Giuseppe IRCCS Istituto Ortopedico Galeazzi, Via Galeazzi 4, 20161, Milan, Italy aut NATIONALLICENCE 700 1- Cucchi Davide IRCCS Policlinico San Donato, Piazza Edmondo Malan 2, 20097, San Donato, Milan, Italy aut NATIONALLICENCE 700 1- D'Ambrosi Riccardo IRCCS Policlinico San Donato, Piazza Edmondo Malan 2, 20097, San Donato, Milan, Italy aut NATIONALLICENCE 700 1- Cabitza Paolo IRCCS Policlinico San Donato, Università degli Studi di Milano, San Donato, Milan, Italy aut NATIONALLICENCE 700 1- Randelli Pietro IRCCS Policlinico San Donato, Università degli Studi di Milano, San Donato, Milan, Italy aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/2(2015-02-01), 523-529 0942-2056 23:2<523 2015 23 167