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Periimplant osteolysis does not affect the outcome of rotator cuff repair: a systematic review and meta-analysis

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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

The goal of this study was to perform a systematic review and meta-analysis to compare the clinical and radiologic outcomes of rotator cuff repair, depending on the presence of developed periimplant osteolysis (PIO) after using suture anchors.

Methods

The electronic databases of MEDLINE, EMBASE, and the Cochrane Central Register of Controlled Trials were searched for articles published up until October 2019 to find relevant articles comparing the outcomes of rotator cuff repair between the periimplant osteolysis group and non-periimplant osteolysis group. Data searching, extraction, analysis, and quality assessment were performed according to the Cochrane Collaboration guidelines. The results are presented as risk ratio (RR) for binary outcomes and standardised mean difference (SMD) for continuous outcomes with 95% confidence intervals (CI).

Results

Six clinical studies were included. No significant differences were found between the group with periimplant osteolysis and the group without periimplant osteolysis regarding retear rate (RR = 1.34; 95% CI 0.93–1.94; I2 = 28%), postoperative clinical scores (SMD = 0.29; 95% CI − 0.26 to 0.83; I2 = 80%) and range of motion (ROM); forward flexion (SMD = 0.39; 95% CI − 0.16 to 0.93; I2 = 0%), external rotation (SMD = − 0.10; 95% CI − 0.64 to 0.45; I2 = 0%) and internal rotation (SMD = − 0.37; 95% CI − 0.92 to 0.17; I2 = 0%).

Conclusion

The presence of periimplant osteolysis after rotator cuff repair with suture anchor does not affect the clinical outcomes such as retear rate, clinical scoring, and ROM. However, as there was no standard consensus on the criteria for evaluating periimplant osteolysis, this result may not fully reflect the effect of periimplant osteolysis depending on its severity.

Level of evidence

Level IV.

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Funding

No funds were received in support of this work.

Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, The Armed Forces Daegu Hospital, Gyeongsan, Republic of Korea

    Hyo Yeol Lee, Jun Ho Nam & Dong-Yeong Lee

  2. Department of Orthopaedic Surgery, BioMedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea

    Sang Jin Cheon & Haneol Seo

  3. Faculty of Nanotechnology Engineering, University of Waterloo, Waterloo, ON, Canada

    Beom Yeol Lee

  4. Department of Orthopaedic Surgery, Daegu Catholic University Medical Center, Daegu, Republic of Korea

    Jun Ho Nam

  5. Department of Orthopaedic Surgery, Barun Hospital, Jinju, 52725, Republic of Korea

    Dong-Yeong Lee

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  1. Hyo Yeol Lee
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Contributions

HYL designed the study, systematic search, and drafted the paper. SJC designed and supervised the study; HS and JHN performed the data extraction and analysis. BYL made contribution to data analysis and interpretation and co-drafted the paper. DYL designed the study, systematic search, co-drafted the paper. All the authors read and approved the final manuscript.

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Correspondence to Dong-Yeong Lee.

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As this is a review article, Institutional Review Board approval was not required for this study.

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Lee, H.Y., Cheon, S.J., Seo, H. et al. Periimplant osteolysis does not affect the outcome of rotator cuff repair: a systematic review and meta-analysis. Knee Surg Sports Traumatol Arthrosc 29, 3910–3920 (2021). https://doi.org/10.1007/s00167-020-06328-3

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