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DC Field | Value | Language |
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dc.contributor.author | Ruiz Ibán, Miguel Angel | - |
dc.contributor.author | Sanchez Alepuz, Eduardo | - |
dc.contributor.author | Diaz Heredia, Jorge | - |
dc.contributor.author | Hachem, Abdul-Ilah | - |
dc.contributor.author | Ezagüi Bentolila, Leon | - |
dc.contributor.author | Calvo, Angel | - |
dc.contributor.author | Verdú, Carlos | - |
dc.contributor.author | Rus Aznar, Ignacio de | - |
dc.contributor.author | Soler Romagosa, Francesc | - |
dc.date.accessioned | 2021-02-15T11:46:27Z | - |
dc.date.available | 2021-02-15T11:46:27Z | - |
dc.date.issued | 2020-06-01 | - |
dc.identifier.uri | http://hdl.handle.net/2445/173937 | - |
dc.description.abstract | Purpose: To evaluate if adding nanofractures to the footprint of a supraspinatus tear repair would have any effect in the outcomes at one-year follow-up. Methods: Multicentric, triple-blinded, randomized trial with 12-months follow-up. Subjects with isolated symptomatic reparable supraspinatus tears smaller than 3 cm and without grade 4 fatty infiltration were included. These were randomized to two groups: In the Control group an arthroscopic supraspinatus repair was performed; in the Nanofracture group the footprint was additionally prepared with nanofractures (1 mm wide, 9 mm deep microfractures). Clinical evaluation was done with Constant score, EQ-5D-3L, and Brief Pain Inventory. The primary outcome was the retear rate in MRI at 12-months follow-up. Secondary outcomes were: characteristics of the retear (at the footprint or at the musculotendinous junction) and clinical outcomes. Results: Seventy-one subjects were randomized. Two were lost to follow-up, leaving 69 participants available for assessment at 12-months follow-up (33 in the Control group and 36 in the Nanofracture Group). The Nanofracture group had lower retear rates than the Control group (7/36 [19.4%] vs 14/33 [42.4%], differences significant, p = 0.038). Retear rates at the musculotendinous junction were similar but the Nanofracture group had better tendon healing rates to the bone (34/36 [94.4%] vs. 24/33 [66.71%], p = 0.014). Clinically both groups had significant improvements, but no differences were found between groups. Conclusion: Adding nanofractures at the footprint during an isolated supraspinatus repair lowers in half the retear rate at 12-months follow-up. This is due to improved healing at the footprint. | - |
dc.format.extent | 8 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | Springer Nature | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.1007/s00167-020-06073-7 | - |
dc.relation.ispartof | Knee Surgery, Sports Traumatology, Arthroscopy, 2020 | - |
dc.relation.uri | https://doi.org/10.1007/s00167-020-06073-7 | - |
dc.rights | cc by (c) Ruiz Ibán et al., 2020 | - |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/es/ | - |
dc.source | Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) | - |
dc.subject.classification | Artroscòpia | - |
dc.subject.classification | Espatlla | - |
dc.subject.classification | Fractures | - |
dc.subject.other | Arthroscopy | - |
dc.subject.other | Shoulder | - |
dc.subject.other | Fractures | - |
dc.title | Footprint preparation with nanofractures in a supraspinatus repair cuts in half the retear rate at 1-year follow-up. A randomized controlled trial | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.date.updated | 2021-02-12T11:28:12Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 32488368 | - |
Appears in Collections: | Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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RuizIbán2020_Article_FootprintPreparationWithNanofr.pdf | 879.23 kB | Adobe PDF | View/Open |
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