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회전근개 봉합술 후 운동 복귀에 대한 체계적인 고찰 및 메타 분석

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Author(s)
Du-Han KimKi-Cheor BaeChul-Hyun Cho
Keimyung Author(s)
Kim, Du HanBae, Ki CheorCho, Chul Hyun
Department
Dept. of Orthopedic Surgery (정형외과학)
Journal Title
Korean Journal of Sports Medicine
Issued Date
2019
Volume
37
Issue
4
Keyword
ArthroscopyAthletesMeta-analysisReturn to sportsRotator cuffSystematic review
Abstract
Purpose:
Given the increasing common use of rotator cuff repair (RCR), return to sport (RTS) remains an important challenge and measure of success for athletes undergoing RCR. To determine the rate of return to the same level of sports after repair of rotator cuff tears.

Methods:
The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were followed to perform this systematic review and meta-analysis of the results in the literature. The electronic databases of PubMed, Embase, Cochrane Library, and Scopus were used for the literature search. Study quality was evaluated according to the MINORS (Methodological Index for Nonrandomized Studies) checklist. Studies evaluating the rate of return to the same level of sports after repair of partial- or full-thickness rotator cuff tears were included.

Results:
Ten studies were reviewed, including 357 patients who were treated with RCR and who had a mean follow-up of 48.1 months (range, 16–74 months). The overall rate of RTS was 88.6%. Among them, 77.9% (95% confidence interval [CI], 67.1%–86.0%) of patients were able to return to the same level of sports according to the meta-analysis. Subgroup meta-analysis revealed that partial-thickness rotator cuff tear was 77.9% (95% CI, 70.0%–84.1%), and full-thickness was 69.6% (95% CI, 46.3%–85.9%), but there was no statistical significance (p>0.05).

Conclusion:
Most patients (88.6%) were able to return to sports after RCR and 78% of patients return to sports at the same level of play as before their injury.
Alternative Title
Return to Sports Following Rotator Cuff Repair: A Systematic Review and Meta-Analysis
Keimyung Author(s)(Kor)
김두한
배기철
조철현
Publisher
School of Medicine (의과대학)
Citation
Du-Han Kim et al. (2019). 회전근개 봉합술 후 운동 복귀에 대한 체계적인 고찰 및 메타 분석. Korean Journal of Sports Medicine, 37(4), 121–129. doi: 10.5763/kjsm.2019.37.4.121
Type
Article
ISSN
2288-6028
Source
http://www.kjsm.org/journal/view.html?uid=383
DOI
10.5763/kjsm.2019.37.4.121
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/42469
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
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