{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T14:49:41Z","timestamp":1786632581409,"version":"build-2736575974"},"reference-count":53,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T00:00:00Z","timestamp":1780617600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T00:00:00Z","timestamp":1780617600000},"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, Sports Medicine, and Rehabil."],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the current evidence on patient\u2010reported outcomes and complications after arthroscopic partial repair and arthroscopic debridement for massive irreparable rotator cuff tears (MIRCTs) in patients aged 65\u2009years or older.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic search of MEDLINE, Embase, and Cochrane Library databases was conducted through September 2025 according to Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses guidelines. Eligible studies included randomized controlled trials, cohort studies, and case series (&gt;10 patients) reporting outcomes of arthroscopic partial repair or debridement in patients aged \u226565\u2009years with minimum 12\u2010month follow\u2010up. Two reviewers independently extracted data and assessed study quality using Cochrane Risk of Bias 2.0 (RoB 2.0) and Risk Of Bias In Nonrandomized Studies of Interventions (ROBINS\u2010I) tools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty\u2010six studies (n\u2009=\u2009942 patients) were included. Both interventions led to clinically meaningful improvements in pain and function. Mean visual analog scale pain score improvements ranged from 2.0 to 5.8 with partial repair and 4.0 to 6.5 with debridement. Mean Constant\u2010Murley score gains ranged from 15.0 to 33.6 with partial repair and 16.4 to 31.4 with debridement. Retear rates after partial repair were high (41.7%\u201087.3%) but not consistently associated with worse outcomes. Rates of infection and conversion to reverse shoulder arthroplasty were low across both interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Arthroscopic partial repair and arthroscopic debridement are both effective joint\u2010preserving options for managing massive irreparable rotator cuff tears in older patients, resulting in significant improvements in pain and function, with low complication rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, systematic review of Level I to IV studies.<\/jats:p>\n                  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