{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T03:19:04Z","timestamp":1790479144893,"version":"4.1.0"},"reference-count":31,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2012,12,3]],"date-time":"2012-12-03T00:00:00Z","timestamp":1354492800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2012,12,3]],"date-time":"2012-12-03T00:00:00Z","timestamp":1354492800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2012,12,3]],"date-time":"2012-12-03T00:00:00Z","timestamp":1354492800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2012,12,3]],"date-time":"2012-12-03T00:00:00Z","timestamp":1354492800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to compare clinical outcomes in the first postoperative year of patients with full\u2010thickness small to medium\u2010sized tears undergoing all\u2010arthroscopic (AA) versus mini\u2010open (MO) rotator cuff repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>One hundred patients were randomized to either AA or MO rotator cuff repair at the time of surgery on an intention\u2010to\u2010treat basis. Patients were evaluated before and 6, 12, 26, and 52 weeks after surgery using the Disabilities of the Arm, Shoulder, and Hand (DASH) score as a primary outcome score and the Constant\u2013Murley score, visual analog scale (VAS)\u2014pain\/impairment score, and measurement of active forward flexion\/external rotation as secondary outcome measures. Ultrasound evaluation was used to assess structural integrity of the repair 1 year postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Forty\u2010seven patients were analyzed in the AA group and 48 in the MO group. Five patients were lost to follow\u2010up. Mean age was\u00a057.2 (SD 8.0) years in the AA group and 57.8 (SD 7.9) years in the MO group. Primary and secondary outcome measures significantly improved in both groups postoperatively. Overall mean primary and secondary postoperative outcome scores did not statistically significantly differ between the treatment groups (DASH between\u2010group mean difference: \u20133.4; 95% confidence interval [CI], \u201310.2 to 3.4;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .317). However, at the 6\u2010week follow\u2010up, DASH score, VAS\u2014pain and\u00a0\u2014impairment, and active forward flexion were significantly more improved in the AA group than in the MO group. A\u00a0retear was seen in 8 patients (17%) in the AA group and 6 patients (13%) in the MO group. Five patients in the AA group (11%) and 6 patients (13%) in the MO group developed adhesive capsulitis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Functional outcome, pain, range of motion, and complications do not significantly differ between patients treated with all\u2010arthroscopic repair and those treated with mini\u2010open repair in the first year after surgery. Patients do attain the benefits of treatment somewhat sooner (6 weeks) with the arthroscopic procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level II, randomized controlled trial without postoperative blinding.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2012.08.022","type":"journal-article","created":{"date-parts":[[2012,12,1]],"date-time":"2012-12-01T15:02:30Z","timestamp":1354374150000},"page":"266-273","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":101,"title":["Clinical Outcome in All\u2010Arthroscopic Versus Mini\u2010Open Rotator Cuff Repair in Small to Medium\u2010Sized Tears: A Randomized Controlled Trial in 100 Patients With 1\u2010Year Follow\u2010up"],"prefix":"10.1002","volume":"29","author":[{"given":"Peer","family":"van der Zwaal","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Medical Center Haaglanden The Hague The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bregje J.W.","family":"Thomassen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Medical Center Haaglanden The Hague The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc J.","family":"Nieuwenhuijse","sequence":"additional","affiliation":[{"name":"Leiden University Medical Center Leiden The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruud","family":"Lindenburg","sequence":"additional","affiliation":[{"name":"MSK Sonography Fysus Communications Pijnacker The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan\u2010Willem A.","family":"Swen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Medical Center Haaglanden The Hague The 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