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document
Arthroscopic rotator cuff repair with and without acromioplasty in the treatment of full-thickness rotator cuff tears : a multicenter , randomized controlled trial . BACKGROUND The primary objective of this prospective randomized controlled trial was to compare functional and quality-of-life indices and rates of revision surgery in arthroscopic rotator cuff repair with and without acromioplasty . METHODS Eighty-six patients consented and were randomly assigned intraoperatively to one of two study groups , and sixty-eight of them completed the study . The primary outcome was the Western Ontario Rotator Cuff ( WORC ) index . Secondary outcome measures included the American Shoulder and Elbow Surgeons ( ASES ) shoulder assessment form and a count of revisions required in each group . Outcome measures were completed preoperatively and at three , six , twelve , eighteen , and twenty-four months after surgery . RESULTS WORC and ASES scores improved significantly in each group over time ( p < 0.001 ) . There were no differences in WORC or ASES scores between the groups that had arthroscopic cuff repair with or without acromioplasty at any time point . There were no differences in scores on the basis of acromion type , nor were any interaction effects identified between group and acromion type . Four participants ( 9 % ) in the group that had arthroscopic cuff repair alone , one with a Type-2 and three with a Type-3 acromion , required additional surgery by the twenty-four-month time point . The number of patients who required additional surgery was greater ( p = 0.05 ) in the group that had arthroscopic cuff repair alone than in the group that had arthroscopic cuff repair and acromioplasty . CONCLUSIONS Our findings are consistent with previous research reports in which there was no difference in functional and quality-of-life indices for patients who had rotator cuff repair with or without acromioplasty . The higher reoperation rate was found in the group without acromioplasty . Further study that includes follow-up imaging and patient-reported outcomes over a greater follow-up period is needed .
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Intervention_Surgical
Arthroscopic rotator cuff repair with
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Intervention_Control
without acromioplasty
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Intervention_Surgical
arthroscopic rotator cuff repair with
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Intervention_Control
without acromioplasty
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Intervention_Surgical
arthroscopic cuff repair with
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Intervention_Control
without acromioplasty
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Intervention_Control
arthroscopic cuff repair
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Outcome_Other
functional and quality-of-life indices
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Outcome_Physical
rates of revision surgery
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Outcome_Other
Western Ontario Rotator Cuff ( WORC ) index
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Outcome_Physical
.
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Outcome_Other
American Shoulder and Elbow Surgeons ( ASES ) shoulder assessment form
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Outcome_Physical
and a
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Outcome_Other
count of revisions
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Outcome_Other
WORC
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Outcome_Other
ASES scores
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Outcome_Other
WORC
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Outcome_Other
ASES scores
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Outcome_Other
repair
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Outcome_Physical
additional surgery
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Outcome_Other
number of patients who required additional surgery
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Outcome_Other
functional and quality-of-life indices
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Outcome_Other
higher reoperation rate
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Participant_Condition
full-thickness rotator cuff tears
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Participant_Sample-size
Eighty-six
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Participant_Sample-size
sixty-eight