Arthroscopic rotator cuff repair with and without acromioplasty for rotator cuff tear: A meta-analysis of randomized controlled trial

IntroductionAlthough acromioplasty is being widely performed with arthroscopic rotator cuff repair, it remains unknown whether it improves functional outcomes or decease retear rate. The aim of this meta-analysis is to compare the clinical outcome of arthroscopic rotator cuff repair with and without acromioplasty for the treatment of rotator cuff tear.MethodsA search was performed in the MEDLINE, EMBASE, and Ovid databases. All randomized controlled trials that reported the outcome of arthroscopic rotator cuff repair with and without acromioplasty were included in the meta-analysis. The outcomes were American Shoulder and Elbow Surgeons (ASES) score, Constant score, UCLA score, and retear rate. We then analyzed the data using RevMan (version 5.1).ResultsThe literature search identified a total of 5 studies with 447 patients that were included in the meta-analysis. There was no significant difference in the American shoulder and elbow surgeons, University of California-Los Angeles (UCLA), or constant scores between the acromioplasty and nonacromioplasty group.ConclusionOur meta-analysis does not demonstrate any difference in the functional outcome and retear rate of arthroscopic rotator cuff with or without acromioplasty.Level of evidenceLevel II. Therapeutic study.