{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T11:33:18Z","timestamp":1776425598806,"version":"3.51.2"},"reference-count":34,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2012,12,2]],"date-time":"2012-12-02T00:00:00Z","timestamp":1354406400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>In this prospective case control study, the effectiveness of surgical management of irreparable rotator cuff tears in terms of patient's status and quality of life was evaluated in two groups of patients: one group receiving arthroscopic debridement associated with acromioplasty and bursectomy and the other receiving an arthroscopic partial repair of the rotator cuff tear.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Sixty\u2010eight patients (47\u00a0males and 21 females) undergoing arthroscopic shoulder surgery for massive irreparable rotator cuff tear were enrolled in our study. Patients were divided into two groups: Group AP (debridement associated with acromioplasty and bursectomy) and Group PR (partial repair). Pre\u2010 and post\u2010operative range of motion (ROM), modified\u2010UCLA shoulder score and strength measurement were performed. The RC\u2010QOL was used at the time of the last follow\u2010up to assess patients\u2019 perception of their quality of life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The final follow\u2010up was 7.8 (\u00b12.3, range 5\u20139) years. ROM measures were significantly increased from pre\u2010 to post\u2010operative evaluations, with significant intergroup differences (<jats:italic>P<\/jats:italic> &lt; 0.001). The overall modified\u2010UCLA shoulder score showed a mean pre\u2010operative value of 7.6 \u00b1 2.6 (95 % CI 6.7\u20138.5) for Group AP and 8.6 \u00b1 4.1 (95 % CI 7.0\u20139.9) (n.s.) for Group PR. The post\u2010operative values at the latest follow\u2010up showed a statistically significant improvement in both groups [21.4 \u00b1 3.7 (95 % CI 20.1\u201322.7) for Group AP and 28.8 \u00b1 4.2 (95 % CI 27.3\u201330.2) for Group PR] (<jats:italic>P<\/jats:italic> &lt; 0.0001), with a significant intergroup difference (<jats:italic>P<\/jats:italic> &lt; 0.0001). The RC\u2010QOL demonstrated a statistically significant difference between the groups [Group AP: 61.8 \u00b1 6.1(95 % CI 59.6\u201363.9); Group PR: 71.2 \u00b1 9.8 (95 % CI 67.7\u201374.6)] (<jats:italic>P<\/jats:italic> &lt; 0.0002).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Both techniques are effective in reducing patients\u2019 symptoms, with higher functional outcomes for partial repair. However, the choice of which technique to undertake should take into account the patients\u2019 features concerning the acromio\u2010humeral interval and levels of daily activities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Therapeutic case\u2013control study, Level III.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-012-2317-7","type":"journal-article","created":{"date-parts":[[2012,11,30]],"date-time":"2012-11-30T22:33:27Z","timestamp":1354314807000},"page":"494-501","source":"Crossref","is-referenced-by-count":65,"title":["Surgical management of irreparable rotator cuff tears"],"prefix":"10.1002","volume":"23","author":[{"given":"Francesco","family":"Franceschi","sequence":"first","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery Campus Biomedico University of Rome Via Alvaro del Portillo 200 Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rocco","family":"Papalia","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery Campus Biomedico University of Rome Via Alvaro del Portillo 200 Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastiano","family":"Vasta","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery Campus Biomedico University of Rome Via Alvaro del Portillo 200 Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Leonardi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery Campus Biomedico University of Rome Via Alvaro del Portillo 200 Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicola","family":"Maffulli","sequence":"additional","affiliation":[{"name":"Centre for Sports and Exercise Medicine Barts and The London School of Medicine and Dentistry Mile End Hospital 275 Bancroft Road E1 4DG London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincenzo","family":"Denaro","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery Campus Biomedico University of Rome Via Alvaro del Portillo 200 Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,12,2]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/msc.85"},{"key":"e_1_2_7_3_1","volume-title":"Joint motion. 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