Mid- to long-term outcomes of latissimus dorsi tendon transfer for massive irreparable posterosuperior rotator cuff tears: a systematic review and meta-analysis

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dc.catalogadorpva
dc.contributor.authorVelásquez García, Ausberto
dc.contributor.authorNieboer, Micah J.
dc.contributor.authorMarinis Acle, Rodrigo Ignacio de
dc.contributor.authorMorrey, Mark E.
dc.contributor.authorValenti, Philippe
dc.contributor.authorSánchez-Sotelo, Joaquín
dc.date.accessioned2023-11-27T16:51:35Z
dc.date.available2023-11-27T16:51:35Z
dc.date.issued2023
dc.description.abstractBackground: This study aims to analyze the mid- to long-term results of the latissimus dorsi tendon for the treatment of massive posterosuperior irreparable rotator cuff tears as reported in high-quality publications and to determine its efficacy and safety.Methods: A systematic review was performed according to the PRISMA guidelines. PubMed, Scopus, and EMBASE databases were searched until December 2022 to identify studies with a minimum 4-year follow-up. Clinical and radiographic outcomes, complications, and revision surgery data were collected. The publications included were analyzed quantitatively using the DerSimonian Laird random-effects model to estimate the change in outcomes from the preoperative to the postoperative condition. The proportion of complications and revisions were pooled using the Freeman-Tukey double arcsine transformation.Results: Of the 618 publications identified through database search, 11 articles were considered eligible. A total of 421 patients (432 shoulders) were included in this analysis. Their mean age was 59.5 ± 4 years. Of these, 277 patients had mid-term follow-up (4 to 9 years), and 144 had long-term follow-up (more than 9 years). Postoperative improvements were considered significant for the following outcome parameters: Constant-Murley Score (0-100 scale), with a mean difference (MD) = 28 points (95% CI 21, 36; I2= 89%; P<.001); visual analog scale, with a standardized MD = 2.5 (95%CI 1.7, 3.3; P<.001; I2= 89%; P<.001); forward flexion, with a MD = 43° (95% CI 21°, 65°; I2=95% P<.001); abduction, with a MD = 38° (95% CI 20°, 56°; I2=85%; P < .01), and external rotation, with a MD = 8° (95% CI 1°, 16°; I2=87%; P= .005). The overall reported mean complication rate was 13% (95% CI 9%, 19%; I2=0%), while the reported mean revision rate was 6% (95% CI: 3%, 9%; I2=0%).Conclusions: Our pooled estimated results seem to indicate that latissimus dorsi tendon transfer significantly improves patient-reported outcomes, pain relief, range of motion, and strength, with modest rates of complications and revision surgery at mid- to long-term follow-up. In well-selected patients, latissimus dorsi tendon transfer may provide favorable outcomes for irreparable posterosuperior cuff tears.
dc.fechaingreso.objetodigital2023-11-27
dc.fuente.origenORCID
dc.identifier.doi10.1016/j.jse.2023.10.002
dc.identifier.urihttps://doi.org/10.1016/j.jse.2023.10.002
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/75429
dc.identifier.wosidWOS:001225790600001
dc.information.autorucEscuela de Medicina; Marinis Acle, Rodrigo Ignacio de; 0000-0003-1888-8928; 237996
dc.language.isoen
dc.nota.accesoContenido parcial
dc.pagina.final33
dc.pagina.inicio1
dc.revistaJournal of Shoulder and Elbow Surgeryes_ES
dc.rightsacceso restringido
dc.subjectLatissimus dorsi tendon transferes_ES
dc.subjectIrreparable posterosuperior rotator cuff teares_ES
dc.subjectLDTTes_ES
dc.subjectIRCTes_ES
dc.subjectPatient-reported outcomeses_ES
dc.subjectRange of motiones_ES
dc.subjectTendon transferes_ES
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleMid- to long-term outcomes of latissimus dorsi tendon transfer for massive irreparable posterosuperior rotator cuff tears: a systematic review and meta-analysises_ES
dc.typepreprint
sipa.codpersvinculados237996
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