Curative efficacy of tenotomy versus tenodesis for long head of the biceps tendon lesions combined with rotator cuff repair: a Meta-analysis

doi:10.3969/j.issn.2095-4344.0327

Abstract

Abstract:

BACKGROUND: There are controversies about the curative efficacy of tenotomy versus tenodesis for long head of the biceps brachii tendon (LHBT) lesions combined with rotator cuff repair.
OBJECTIVE: To evaluate the treatment efficacy of tenotomy versus tenodesis for LHBT lesions combined with rotator cuff repair by a Meta-analysis.
METHODS: A computer-based search was conducted in CNKI, VIP, Medline, PubMed, Cochrane Library and Embase databases for the related articles published before December 2017. The keywords were “biceps, tenotomy, tenodesis, rotator cuff” in English and Chinese, respectively. The data screen and extraction were performed and then a Meta-analysis was conducted using Revman 5.3 software.
RESULTS AND CONCLUSION: A total of 12 studies were enrolled, involving 1 076 patients. Meta-analysis results showed that the Constant scores in the tenodesis group were significantly higher than those in the tenotomy group (P < 0.05). The incidence of Popeye deformity in the tenodesis group was significantly lower than that in the tenotomy group (P < 0.05). There were no significant differences in the postoperative visual analogue scale scores, American Shoulder and Elbow Surgeons scores and University of California Los Angeles scores, incidence of spasmodic pain of upper arm, patient satisfaction, or the range of motion and power of upper arm between two groups (P > 0.05). In summary, both tenotomy and tenodesis can effectively alleviate pain and improve function in patients with LHBT lesions combined with rotator cuff repair. There is no significant difference in prognosis between two groups. Tenodesis has a higher Constant score and lower risk of Popeye deformity, but has no clinical significance.

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程
ORCID: 0000-0001-7410-2841(易刚)

Key words: Tenotomy, Tenodesis, Shoulder Joint, Meta-Analysis

CLC Number:

R318

Yi Gang1, 2, Yang Jing1, 2, Zhang Lei1, 2, Fu Shi-jie1, 2, Zhou Xin1, 2, Liu Gang1, 2, Guo Xiao-guang1, 2, Liu Yang1, 2, Qin Bo1, 2. Curative efficacy of tenotomy versus tenodesis for long head of the biceps tendon lesions combined with rotator cuff repair: a Meta-analysis[J]. Chinese Journal of Tissue Engineering Research, 2018, 22(24): 3921-3929.

Figures/Tables 5

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