{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T00:11:47Z","timestamp":1792455107946,"version":"4.5.0"},"reference-count":46,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,3,28]],"date-time":"2024-03-28T00:00:00Z","timestamp":1711584000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,3,28]],"date-time":"2024-03-28T00:00:00Z","timestamp":1711584000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to propose a modified Patte classification system for tendon retraction, including the cut\u2010off points for predicting reparability and rotator cuff healing after arthroscopic rotator cuff repair (ARCR) and assess its prediction accuracy and measurement reliability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This retrospective study included 463 consecutive patients scheduled to undergo ARCR for full\u2010thickness supraspinatus tears. Receiver operating characteristic (ROC) curve analysis was used to determine the cut\u2010off points for predicting reparability and tendon healing. The modified Patte classification system, in which these cut\u2010off points were combined with the original Patte classification, classified the tendon retraction as stages I\u2013V. The prediction accuracy of reparability and tendon healing was assessed using the area under the curve (AUC). Measurement reliability was determined using Cohen's\n                      <jats:italic>\u03ba<\/jats:italic>\n                      statistics.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 402 included patients, 32 rotator cuff tears were irreparable and 71 of the remaining 370 were diagnosed with healing failure. ROC analysis determined the cut\u2010off point of reparability at the medial one\u2010fifth and that of tendon healing at the medial one\u2010third of the humeral head. The AUC of the modified Patte classification for predicting reparability and tendon healing was 0.897 (excellent) and 0.768 (acceptable), respectively. Intra\u2010rater reliability was almost perfect (mean\n                      <jats:italic>\u03ba<\/jats:italic>\n                      value: 0.875), and inter\u2010rater reliability was substantial (0.797).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Diagnostic performance of the modified Patte classification system was excellent for reparability and acceptable for rotator cuff healing, with high measurement reliability. The modified Patte classification system can be easily implemented in clinical practice for planning surgical procedures and counselling patients in the day\u2010by\u2010day clinical work.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ksa.12162","type":"journal-article","created":{"date-parts":[[2024,3,28]],"date-time":"2024-03-28T03:43:36Z","timestamp":1711597416000},"page":"1579-1590","source":"Crossref","is-referenced-by-count":8,"title":["A modified Patte classification system for rotator cuff tendon retraction to predict reparability and tendon healing in arthroscopic rotator cuff repair"],"prefix":"10.1002","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8436-5848","authenticated-orcid":false,"given":"Yoshitsugu","family":"Takeda","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Tokushima Red Cross Hospital Komatsushima Tokushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koji","family":"Fujii","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Tokushima Red Cross Hospital Komatsushima Tokushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoto","family":"Suzue","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Tokushima Red Cross Hospital Komatsushima Tokushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiteru","family":"Kawasaki","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Tokushima Red Cross Hospital Komatsushima Tokushima 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