{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T23:36:59Z","timestamp":1793230619217,"version":"4.5.0"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,10,7]],"date-time":"2023-10-07T00:00:00Z","timestamp":1696636800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,10,7]],"date-time":"2023-10-07T00:00:00Z","timestamp":1696636800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2023,10,7]],"date-time":"2023-10-07T00:00:00Z","timestamp":1696636800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,10,7]],"date-time":"2023-10-07T00:00:00Z","timestamp":1696636800000},"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":[[2024,3]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To perform a meta\u2010analysis of randomized controlled trials (RCTs) to compare the outcomes of arthroscopic rotator cuff repair (ARCR) with and without acellular collagen matrix patch (ACMP) augmentation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A literature search of 3 databases was performed based on the Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses guidelines. RCTs comparing ACMP augmentation and a control for ARCR were included. Clinical outcomes were compared using Revman, and a\n                      <jats:italic>P<\/jats:italic>\n                      value &lt; .05 was considered to be statistically significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Five RCTs with 307 patients were included. Overall, 11% of patients treated with ACMP augmentation and 34% of patients in the control group had a re\u2010tear (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .0006). The mean Constant score was 90.1 with ACMP augmentation, and 87.3 in controls (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .02). Additionally, there was a significant higher American Shoulder and Elbow Surgeons score with ACMP augmentation (87.7 vs 82.1,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The RCTs in the literature support the use of ACMP augment as a modality to reduce re\u2010tear rates and improve outcomes after ARCR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level II, Meta\u2010Analysis of Level II Studies meta\u2010analysis of Level II studies<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2023.09.025","type":"journal-article","created":{"date-parts":[[2023,10,9]],"date-time":"2023-10-09T05:06:58Z","timestamp":1696828018000},"page":"941-946","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":23,"title":["Acellular Collagen Matrix Patch Augmentation of Arthroscopic Rotator Cuff Repair Reduces Re\u2010Tear Rates: A Meta\u2010analysis of Randomized Control Trials"],"prefix":"10.1002","volume":"40","author":[{"given":"Eoghan T.","family":"Hurley","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Duke University School of Medicine Durham North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan S.","family":"Crook","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Duke University School of Medicine Durham North Carolina 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