AI Article Synopsis
- This study compared the rates of revision surgeries after rotator cuff repair (RCR) among patients who had biceps tenodesis (BT) versus those who did not.
- The analysis used a national database to track over 131,000 patients from 2015 to 2017, focusing on demographic factors, complications, and revision surgery rates after 2 and 4 years.
- Results showed that patients with BT had significantly lower odds (up to 35% reduction) of needing revision surgeries within 4 years, indicating that performing tenodesis during primary RCR might decrease the need for future shoulder surgeries.
Article Abstract
Introduction: We aimed to use a national database to compare the 4-year revision surgery rates after rotator cuff repair (RCR) in patients with concomitant biceps tenodesis (BT) versus those without BT.
Methods: A retrospective cohort analysis was conducted using the PearlDiver database from 2015 to 2017. Patients undergoing primary open and arthroscopic RCR with and without BT were identified. Demographic variables, 90-day complications, and 2- and 4-year revision surgery rates were analyzed, and a multivariable logistic regression was conducted.
Results: Of the 131,155 patients undergoing RCR, 24,487 (18.7%) underwent concomitant BT and 106,668 (81.3%) did not. After controlling for comorbidities and demographics, patients with concomitant BT were associated with lower odds of all-cause revision (OR; P-value [0.77; P < 0.001]), revision BT (0.65; P < 0.001), revision RCR (0.72; P < 0.001), and shoulder arthroplasty (0.81; P = 0.001) within 4 years when compared with those without concomitant BT.
Discussion: In our analysis, patients undergoing primary RCR with concomitant BT had 35% reduced odds of revision BT and 23% reduced odds of any all-cause revision within 4 years when compared with those without concomitant BT. This suggests that tenodesis at the time of primary RCR may be associated with a reduction in the utilization of ipsilateral shoulder revision surgery rates.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10956974 | PMC |
| http://dx.doi.org/10.5435/JAAOSGlobal-D-24-00046 | DOI Listing |
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