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These were randomized to 2 groups in which an arthroscopic posterosuperior rotator cuff tear TOE repair was performed alone (Control group) or with BCI applied over the TOE repair (BCI group). The primary outcome was the retear rate (defined as Sugaya 4\u20105) determined by MRI at 12 months of follow\u2010up. Secondary outcomes were characteristics of the tendon (Sugaya grade and thickness of the healed tendon) and clinical outcomes (pain levels, EQ\u20105D\u20105L, American Shoulder and Elbow Surgeons, and Constant\u2013Murley scores) at 12 months of follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 124 randomized patients, 122 (60 in the BCI group and 62 in the Control group) were available for MRI evaluation 12.2 \u00b1 1.02 months after the intervention. There were no relevant differences in preoperative characteristics. Adding the BCI reduced the retear rate (8.3% [5\/60] in the BCI group vs 25.8% [16\/62] in the Control group,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .010; relative risk of retear of 0.32 [95% confidence interval 0.13\u20100.83]). Sugaya grade was also better in the BCI group (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.030). There were no differences between groups in the percentage of subjects who reached the MCID for CMS (76.7% vs 81.7%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .654) or American Shoulder and Elbow Surgeons (75% vs 80%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .829), in other clinical outcomes or in complication rates at 12.4 \u00b1 0.73 (range 11.5\u201017) months of follow\u2010up.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Augmentation with a BCI of a TOE repair in a medium\u2010to\u2010large posterosuperior rotator cuff tear reduces the retear rate at 12\u2010month follow\u2010up by two\u2010thirds, yielding similar improvements in clinical outcomes and without increased complication rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n  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Ciencias Sanitarias Y Medicosociales Universidad de Alcal\u00e1 de Henares Alcal\u00e1 de Henares Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ar\u00e1ntzazu","family":"Hernando S\u00e1nchez","sequence":"additional","affiliation":[{"name":"Shoulder and Elbow Unit Orthopaedic Surgery and Trauma Service Hospital Asepeyo Coslada Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raquel","family":"Ruiz D\u00edaz","sequence":"additional","affiliation":[{"name":"Shoulder and Elbow Unit Orthopaedic Surgery and Trauma Service Hospital Universitario Ram\u00f3n y Cajal Madrid Spain"},{"name":"Departamento de de Cirug\u00eda Ciencias Sanitarias Y Medicosociales Universidad de Alcal\u00e1 de Henares Alcal\u00e1 de Henares Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Vaquero Comino","sequence":"additional","affiliation":[{"name":"Shoulder and Elbow Unit Orthopaedic Surgery and Trauma 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