Effect of Subacromial Bursa Augmentation on Self-Reported and Magnetic Resonance Imaging Outcomes in Arthroscopic Rotator Cuff Repair: A Prospective, Blinded Randomized Clinical Trial.

この研究はインパクトが大きい可能性があると判断されました。 OEのAIによるハイインパクト指標は、論文が掲載されたジャーナルと論文自体の科学的内容の両方からのシグナルを統合することで、論文の影響力を推定します。 最先端の自然言語処理を用いて開発されたOEハイインパクトモデルは、ジャーナルのインパクトファクターのみよりも、研究の将来の引用実績をより正確に予測します。 これにより、臨床的に意義のある研究をより早く認識することができ、読者は将来の診療を形成する可能性が最も高い論文に焦点を当てることができます。

研究概要

67 patients with full or near-full-thickness supraspinatus tears were randomized to receive arthroscopic rotator cuff repair (ARCR) with minced subacromial bursa reimplantation or standard ARCR without bursa reimplantation. The primary outcome of interest was MRI-based tendon healing using the Sugaya classification. Other outcomes of interest included American Shoulder and Elbow Surgeons (ASES) score, Simple Shoulder Test (SST), Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity and Global scores, and supraspinatus tendon thickness on MRI. Outcomes were assessed preoperatively and at approximately 2 weeks, 6 weeks, 3 months, 6 months, 12 months, and 24 months, with postoperative MRI performed at a minimum of 6 months. Overall, the results of the study revealed that patient-reported outcomes improved over time in both groups, but subacromial bursa augmentation did not produce clinically meaningful improvements in tendon healing or functional outcomes. These findings suggest that although the technique appears safe and feasible, routine bursal augmentation during ARCR is not supported by the current evidence.