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Acromioplasty

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Edward G. Mcfarland – 1st expert on this subject based on the ideXlab platform

  • Is Acromioplasty necessary in the setting of full-thickness rotator cuff tears? A systematic review
    Journal of Orthopaedics and Traumatology, 2015
    Co-Authors: Filippo Familiari, Alan Gonzalez-zapata, Bruno Iannò, Olimpio Galasso, Giorgio Gasparini, Edward G. Mcfarland

    Abstract:

    Background The benefits of Acromioplasty in treating rotator cuff disease have been debated. We systematically reviewed the literature regarding whether Acromioplasty with concomitant coracoacromial(CA) release is necessary for the successful treatment of full-thickness rotator cuff tears. Materials and methods We identified randomized controlled trials that reported on patients who underwent rotator cuff repair with or without Acromioplasty and used descriptive statistics to summarize the findings. Results Four studies fulfilled the inclusion criteria. They reported on 354 patients (mean age, 59 years; range 3–81 years) with a mean follow-up of 22 months (range 12–24 months). There were two level-I and two level-II studies. Two studies compared rotator cuff repair with versus without Acromioplasty, and two studies compared rotator cuff repair with versus without subacromial decompression (Acromioplasty, CA ligament resection, and bursectomy). The procedures were performed arthroscopically, and the CA ligament was released in all four studies. There were no statistically significant differences in clinical outcomes between patients treated with Acromioplasty compared with those treated without Acromioplasty. Conclusions This systematic review of the literature does not support the routine use of partial Acromioplasty or CA ligament release in the surgical treatment of rotator cuff disease. In some instances, partial Acromioplasty and release of the CA ligament can result in anterior escape and worsening symptoms. Further research is needed to determine the optimum method for the operative treatment of full-thickness rotator cuff tears. Level of evidence Level I, systematic review of level I and II studies.

  • is Acromioplasty necessary in the setting of full thickness rotator cuff tears a systematic review
    Journal of Orthopaedics and Traumatology, 2015
    Co-Authors: Filippo Familiari, Bruno Iannò, Olimpio Galasso, Giorgio Gasparini, Alan Gonzalezzapata, Edward G. Mcfarland

    Abstract:

    Background
    The benefits of Acromioplasty in treating rotator cuff disease have been debated. We systematically reviewed the literature regarding whether Acromioplasty with concomitant coracoacromial(CA) release is necessary for the successful treatment of full-thickness rotator cuff tears.

  • limited lateral Acromioplasty for rotator cuff surgery
    Orthopedics, 2005
    Co-Authors: Edward G. Mcfarland, Hyung Bin Park, Atsushi Yokota, Harpreet S Gill

    Abstract:

    This article describes a modified technique for Acromioplasty performed during rotator cuff repair.

Filippo Familiari – 2nd expert on this subject based on the ideXlab platform

  • Is Acromioplasty necessary in the setting of full-thickness rotator cuff tears? A systematic review
    Journal of Orthopaedics and Traumatology, 2015
    Co-Authors: Filippo Familiari, Alan Gonzalez-zapata, Bruno Iannò, Olimpio Galasso, Giorgio Gasparini, Edward G. Mcfarland

    Abstract:

    Background The benefits of Acromioplasty in treating rotator cuff disease have been debated. We systematically reviewed the literature regarding whether Acromioplasty with concomitant coracoacromial(CA) release is necessary for the successful treatment of full-thickness rotator cuff tears. Materials and methods We identified randomized controlled trials that reported on patients who underwent rotator cuff repair with or without Acromioplasty and used descriptive statistics to summarize the findings. Results Four studies fulfilled the inclusion criteria. They reported on 354 patients (mean age, 59 years; range 3–81 years) with a mean follow-up of 22 months (range 12–24 months). There were two level-I and two level-II studies. Two studies compared rotator cuff repair with versus without Acromioplasty, and two studies compared rotator cuff repair with versus without subacromial decompression (Acromioplasty, CA ligament resection, and bursectomy). The procedures were performed arthroscopically, and the CA ligament was released in all four studies. There were no statistically significant differences in clinical outcomes between patients treated with Acromioplasty compared with those treated without Acromioplasty. Conclusions This systematic review of the literature does not support the routine use of partial Acromioplasty or CA ligament release in the surgical treatment of rotator cuff disease. In some instances, partial Acromioplasty and release of the CA ligament can result in anterior escape and worsening symptoms. Further research is needed to determine the optimum method for the operative treatment of full-thickness rotator cuff tears. Level of evidence Level I, systematic review of level I and II studies.

  • is Acromioplasty necessary in the setting of full thickness rotator cuff tears a systematic review
    Journal of Orthopaedics and Traumatology, 2015
    Co-Authors: Filippo Familiari, Bruno Iannò, Olimpio Galasso, Giorgio Gasparini, Alan Gonzalezzapata, Edward G. Mcfarland

    Abstract:

    Background
    The benefits of Acromioplasty in treating rotator cuff disease have been debated. We systematically reviewed the literature regarding whether Acromioplasty with concomitant coracoacromial(CA) release is necessary for the successful treatment of full-thickness rotator cuff tears.

Manuel Marin – 3rd expert on this subject based on the ideXlab platform

  • open anterior Acromioplasty with preservation of the coracoacromial ligament a modified surgical technique
    Journal of Shoulder and Elbow Surgery, 2003
    Co-Authors: Carlos Torrens, Joan Miquel Lopez, Enrique Verdier, Manuel Marin

    Abstract:

    Abstract The importance of the preservation of the subacromial arch has been stressed recently, especially in irreparable lesions of the rotator cuff to prevent anterosuperior migration of the humeral head. The purpose of this article is to describe the surgical technique of a modified open anterior Acromioplasty performed through an intra-acromial osteotomy that increases the subacromial space and preserves the insertion of the coracoacromial ligament on the undersurface of the acromion. To compare this new technique with classical Acromioplasty, a prospective but nonrandomized study was performed including 20 patients undergoing open anterior Acromioplasty and 22 patients undergoing a modified open anterior Acromioplasty. At a mean follow-up of 18 months, no differences related to shoulder function as evaluated by the Constant score were found between these two groups. This modified Acromioplasty increases the subacromial space, preserving the anatomy of the subacromial arch, and provides functional results as good as those obtained with classical open Acromioplasty. (J Shoulder Elbow Surg 2003;12:9-14)