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Return to Sports Following Rotator Cuff Repair: A Systematic Review and Meta-Analysis
Korean J Sports Med 2019;37:121-129
Published online December 1, 2019;  https://doi.org/10.5763/kjsm.2019.37.4.121
© 2019 The Korean Society of Sports Medicine.

Du-Han Kim, Ki-Cheor Bae, Chul-Hyun C ho

Department of Orthopedic Surgery, Keimyung University School of Medicine, Daegu, Korea
Correspondence to: Chul-Hyun Cho
Department of Orthopedic Surgery, Keimyung University School of Medicine, 56 Dalseong-ro, Jung-gu, Daegu 41931, Korea
Tel: +82-53-258-7924, Fax: +82-53-258-4773, E-mail: oscho5362@dsmc.or.kr
*This study was supported by research grant of Korean Society of Sports Medicine for 2018.
Received October 7, 2019; Revised November 13, 2019; Accepted November 15, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 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, 1674 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.
Keywords : Arthroscopy, Athletes, Meta-analysis, Return to sports, Rotator cuff, Systematic review
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