{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T10:13:53Z","timestamp":1788257633887,"version":"build-2803163510"},"reference-count":24,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare the postoperative American Shoulder and Elbow Surgeons (ASES) score and tendon integrity after early versus delayed arthroscopic repair of traumatic massive rotator cuff tears (RCTs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study included patients with traumatic massive RCTs who underwent arthroscopic treatment between November 2020 and May 2023. The inclusion criteria were as follows: (1) meeting the definition of traumatic RCT, (2) preoperative and 2\u2010year postoperative magnetic resonance imaging examinations, (3) patients with massive RCTs confirmed by arthroscopy, and (4) patients with at least 2\u2009years of clinical follow\u2010up. Patients were divided into an early repair group (&lt;3\u2009weeks after injury) and a delayed repair group (\u22653\u2009weeks after injury). The ASES score was used to assess functional outcomes. Magnetic resonance imaging was used to assess tendon integrity. The minimal clinically important difference (MCID) was calculated based on the \u0394ASES scores, and the proportion of patients exceeding the MCID threshold was determined. A linear regression model was employed to evaluate whether the timing of surgery remained independently associated with postoperative ASES scores after adjusting for confounding factors. Logistic regression analysis was used to explore factors associated with retears.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 78 patients met the inclusion criteria (42 in the early repair group and 36 in the delayed repair group). The baseline demographic characteristics of the 2 groups were comparable (mean age: 53.6 vs 56.2\u2009years; female proportion: 40.5% vs 50.0%; mean follow\u2010up duration: 37.8 vs 35.8\u2009months). Postoperatively, the ASES score was higher in the early repair group than in the delayed repair group (86.5\u2009\u00b1\u20096.7 vs 80.4\u2009\u00b1\u20098.2), and ASES improvement was also greater in the early group (60.4\u2009\u00b1\u20098.7 vs 53.1\u2009\u00b1\u200911.0). The cohort\u2010specific ASES MCID for change scores was 5.2 points, and 100% of patients achieved the MCID in both groups (early, 42\/42; delayed, 36\/36). Multivariate linear regression analysis showed that after adjusting for age, sex, Charlson Comorbidity Index score, and baseline score, delayed repair remained independently associated with a lower postoperative ASES score (regression coefficient\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22126.33; 95% confidence interval: \u22129.71 to \u22122.96). There was no statistically significant difference in the retear rate between the early repair group and the delayed repair group (38.1% vs 52.8%). Multivariate logistic regression analysis revealed that after adjusting for age, sex, Charlson Comorbidity Index, smoking history, and diabetes status, surgical timing was not an independent factor associated with retear (odds ratio\u2009=\u20091.63; 95% confidence interval: 0.61\u20104.35).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Early arthroscopic repair for traumatic massive RCTs yields better functional outcomes compared with delayed repair. All patients achieved MCID\u2010level improvement in ASES, irrespective of surgical timing. Retear rates were not statistically different between groups, although the study was underpowered to exclude a clinically relevant difference.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective comparative case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/arj.70476","type":"journal-article","created":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T09:22:02Z","timestamp":1788254522000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Early Repair of Traumatic Massive Rotator Cuff Tears Improves Functional Outcomes Compared With Delayed Repair"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-1021-3136","authenticated-orcid":false,"given":"Yunhang","family":"Geng","sequence":"first","affiliation":[{"name":"Department of Joint Surgery and Sports Medicine Affiliated Hospital of Jining Medical University  Jining Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guodong","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Joint Surgery and Sports Medicine Affiliated Hospital of Jining Medical University  Jining Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8186-4802","authenticated-orcid":false,"given":"Yuanmin","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Joint Surgery and Sports Medicine Affiliated Hospital of Jining Medical University  Jining Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,1]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1302\/0301-620X.101B5.BJJ-2018-0867.R1","article-title":"Early repair of trauma\u2010related full\u2010thickness rotator cuff tears does not eliminate the problem of healing failure","volume":"101","author":"Aagaard KE","year":"2019","journal-title":"Bone Joint J."},{"key":"e_1_2_8_3_1","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1016\/j.arthro.2012.06.024","article-title":"An evidenced\u2010based examination of the epidemiology and outcomes of traumatic rotator cuff tears","volume":"29","author":"Mall NA","year":"2013","journal-title":"Arthroscopy."},{"key":"e_1_2_8_4_1","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1016\/j.jse.2006.06.010","article-title":"Acute rotator cuff tear: Do we miss the early diagnosis? A prospective study showing a high incidence of rotator cuff tears after shoulder trauma","volume":"16","author":"Sorensen AKB","year":"2007","journal-title":"J Shoulder Elbow Surg."},{"key":"e_1_2_8_5_1","doi-asserted-by":"crossref","first-page":"1766","DOI":"10.1007\/s00167-011-1396-1","article-title":"A comparison of early versus delayed repair of traumatic rotator cuff tears","volume":"19","author":"Hantes ME","year":"2011","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"key":"e_1_2_8_6_1","doi-asserted-by":"crossref","first-page":"3899","DOI":"10.1007\/s00167-015-3840-0","article-title":"Similar results comparing early and late surgery in open repair of traumatic rotator cuff tears","volume":"24","author":"Zhaeentan S","year":"2016","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"key":"e_1_2_8_7_1","doi-asserted-by":"crossref","first-page":"2475","DOI":"10.1016\/j.jse.2021.03.134","article-title":"Early repair of traumatic rotator cuff tears improves functional outcomes","volume":"30","author":"Gutman MJ","year":"2021","journal-title":"J Shoulder Elbow Surg."},{"key":"e_1_2_8_8_1","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1007\/s00590-021-02962-w","article-title":"Early versus delayed repair of traumatic rotator cuff tears. Does timing matter on outcomes?","volume":"32","author":"Patel V","year":"2022","journal-title":"Eur J Orthop Surg Traumatol."},{"key":"e_1_2_8_9_1","doi-asserted-by":"crossref","first-page":"672","DOI":"10.1007\/s00167-022-07193-y","article-title":"No difference in clinical outcome after rotator cuff repair performed within or later than 3 months after trauma: A retrospective cohort study","volume":"31","author":"Dimmen S","year":"2023","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"key":"e_1_2_8_10_1","doi-asserted-by":"crossref","first-page":"629","DOI":"10.52628\/88.3.7184","article-title":"Does early repair of traumatic rotator cuff tears provide better outcomes? A systematic review","volume":"88","author":"Pinto I","year":"2022","journal-title":"Acta Orthop Belg."},{"key":"e_1_2_8_11_1","doi-asserted-by":"crossref","first-page":"1271","DOI":"10.1007\/s00264-024-06127-2","article-title":"Traumatic rotator cuff injury: Does delayed surgery worsen functional outcomes?","volume":"48","author":"de Sa R","year":"2024","journal-title":"Int Orthop."},{"key":"e_1_2_8_12_1","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1186\/s13018-024-04858-x","article-title":"Comparison of functional outcomes following early and delayed arthroscopic repair for traumatic and non\u2010traumatic rotator cuff injuries","volume":"19","author":"Liu A","year":"2024","journal-title":"J Orthop Surg Res."},{"key":"e_1_2_8_13_1","doi-asserted-by":"crossref","first-page":"1685","DOI":"10.1016\/j.jse.2015.06.005","article-title":"How to discriminate between acute traumatic and chronic degenerative rotator cuff lesions: An analysis of specific criteria on radiography and magnetic resonance imaging","volume":"24","author":"Loew M","year":"2015","journal-title":"J Shoulder Elbow Surg."},{"key":"e_1_2_8_14_1","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1007\/s00402-020-03656-4","article-title":"Definition of the terms \u201cacute\u201d and \u201ctraumatic\u201d in rotator cuff injuries: A systematic review and call for standardization in nomenclature","volume":"141","author":"Pogorzelski J","year":"2021","journal-title":"Arch Orthop Trauma Surg."},{"key":"e_1_2_8_15_1","doi-asserted-by":"crossref","first-page":"71","DOI":"10.2106\/00004623-200101000-00010","article-title":"Surgical repair of chronic rotator cuff tears. A prospective long\u2010term study","volume":"83","author":"Cofield RH","year":"2001","journal-title":"J Bone Joint Surg Am."},{"key":"e_1_2_8_16_1","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1016\/S1058-2746(03)00211-8","article-title":"Influence of cuff muscle fatty degeneration on anatomic and functional outcomes after simple suture of full\u2010thickness tears","volume":"12","author":"Goutallier D","year":"2003","journal-title":"J Shoulder Elbow Surg."},{"key":"e_1_2_8_17_1","doi-asserted-by":"crossref","first-page":"953","DOI":"10.2106\/00004623-200705000-00006","article-title":"Repair integrity and functional outcome after arthroscopic double\u2010row rotator cuff repair. A prospective outcome study","volume":"89","author":"Sugaya H","year":"2007","journal-title":"J Bone Joint Surg Am."},{"key":"e_1_2_8_18_1","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1007\/s00590-025-04404-3","article-title":"Delayed arthroscopic repair in massive traumatic rotator cuff tears: Is it worth repairing?","volume":"35","author":"Martinez\u2010Catalan N","year":"2025","journal-title":"Euro J Orthop Surg Traumatol: Orthop Traumatol."},{"key":"e_1_2_8_19_1","doi-asserted-by":"crossref","first-page":"5552","DOI":"10.3390\/jcm14155552","article-title":"Early rotator cuff repair yields lower retear rates and superior functional outcomes: A systematic review and meta\u2010analysis","volume":"14","author":"Baur A","year":"2025","journal-title":"J Clin Med."},{"key":"e_1_2_8_20_1","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1177\/0363546506297539","article-title":"Fatty infiltration and atrophy of the rotator cuff do not improve after rotator cuff repair and correlate with poor functional outcome","volume":"35","author":"Gladstone JN","year":"2007","journal-title":"Am J Sports Med."},{"key":"e_1_2_8_21_1","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1007\/s43465-022-00807-0","article-title":"Does the fatty infiltration influence the re\u2010tear rate and functional outcome after rotator cuff repair? A systematic review and meta\u2010analysis","volume":"57","author":"Yang Z","year":"2023","journal-title":"Indian J Orthop."},{"key":"e_1_2_8_22_1","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1186\/s13018-025-05702-6","article-title":"Fatty infiltration predicts retear and functional impairment following rotator cuff repair: Systematic review and meta\u2010analysis","volume":"20","author":"Wu H","year":"2025","journal-title":"J Orthop Surg Res."},{"key":"e_1_2_8_23_1","doi-asserted-by":"crossref","first-page":"2659","DOI":"10.1177\/0363546519865529","article-title":"Long\u2010term results of arthroscopic rotator cuff repair: Initial tear size matters: A prospective study on clinical and radiological results at a minimum follow\u2010up of 10 years","volume":"47","author":"Randelli PS","year":"2019","journal-title":"Am J Sports Med."},{"key":"e_1_2_8_24_1","doi-asserted-by":"crossref","first-page":"1017","DOI":"10.1016\/j.jos.2021.07.009","article-title":"Clinical outcomes in patients with retear after arthroscopic rotator cuff repair: A meta\u2010analysis","volume":"27","author":"Karasuyama M","year":"2022","journal-title":"J Orthop Sci."},{"key":"e_1_2_8_25_1","doi-asserted-by":"crossref","first-page":"2399","DOI":"10.1016\/j.arthro.2022.02.016","article-title":"Retear after arthroscopic rotator cuff repair results in functional outcome deterioration over time","volume":"38","author":"Jeong HJ","year":"2022","journal-title":"Arthroscopy."}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70476","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/arj.70476","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70476","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T09:22:06Z","timestamp":1788254526000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1002\/arj.70476"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,1]]},"references-count":24,"alternative-id":["10.1002\/arj.70476"],"URL":"https:\/\/doi.org\/10.1002\/arj.70476","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,1]]},"assertion":[{"value":"2025-08-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"arj.70476"}}