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Corresponding Author

Mohamed Mostafa Waheb Elgendy

Document Type

Original Article

Abstract

Background: The effectiveness of arthroscopic and mini-open rotator cuff surgeries is debated due to their excellent clinical outcomes.

Objective: To assess and estimate the findings of the functional tests. Of mini-open & arthroscopic RCR.

Methods: A comprehensive trial was performed on adult cases aged 47–60 years old with rotator cuff tears (the most affected muscle was supraspinatus), excluding severe or irreparable rips, to compare the clinical results among individuals who underwent all-arthroscopic rotator cuff repair with mini-open rotator cuff repair (RCR) with a mean operative time of 50–70 min. A comprehensive review of pertinent studies published from 2005 to 2023 was performed by systematically searching electronic databases comprising Embase, MEDLINE, Cochrane (CENTRAL), and CINAHL.

Results: Function after three and six months post-operatively was compared in four trials that compared arthroscopic and mini-open approaches. We disclosed a statistically significant alteration in the pooled results concerning clinical outcomes. Rotational Machinations (ROM) across groups (deficient quality, three randomized controlled trials, 462 persons, MD 3.71, 95% CI: 0.14 to 7.28, p = 0.04). Three randomized controlled trials (RCTs) involving 461 participants (MD2.94, 95% CI: -4.55 to 10.44, p=0.44) demonstrated no statistically significant variation in the groups' clinical outcomes related to forward flexion.

Conclusion: At follow-up, differences in discomfort, function, and mobility between arthroscopic and mini-open RCRs are not significant enough to warrant therapeutic consideration, so patient aesthetic priorities, surgeon expertise, and budget should be considered.

Keywords

Arthroscopy; Mini-Open; Rotator Cuff; Supraspinatus

Subject Area

Orthopedics

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