{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T10:30:44Z","timestamp":1780396244899,"version":"3.54.1"},"reference-count":34,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,2,5]],"date-time":"2022-02-05T00:00:00Z","timestamp":1644019200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2022,2,5]],"date-time":"2022-02-05T00:00:00Z","timestamp":1644019200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2022,2,5]],"date-time":"2022-02-05T00:00:00Z","timestamp":1644019200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,2,5]],"date-time":"2022-02-05T00:00:00Z","timestamp":1644019200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2021,11,22]],"date-time":"2021-11-22T00:00:00Z","timestamp":1637539200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100007307","name":"Arthrex","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100013615","name":"American Shoulder and Elbow Surgeons","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100013615","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["arthroscopysportsmedicineandrehabilitation.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare 90\u2010day postoperative complications, health care use, 2\u2010year and 5\u2010year rates of reoperation and manipulation under anesthesia, and costs at the 30\u2010day, 90\u2010day, and 1\u2010year postoperative intervals following open and arthroscopic rotator cuff repair (RCR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Patients who underwent an open or arthroscopic RCR with minimum 5\u2010year follow\u2010up were identified in a national database (PearlDiver Technologies) using Common Procedural Terminology and\n                      <jats:italic>International Classification of Diseases<\/jats:italic>\n                      codes. These patients were then stratified into 2 cohorts: open RCRs and arthroscopic RCRs. These cohorts were propensity\u2010matched based on age, sex, Charlson Comorbidity Index, smoking status, and obesity (body mass index&gt;30). 90\u2010day medical complications, 2\u2010year and 5\u2010year surgical complications, and reimbursements at the 30\u2010day, 90\u2010day and 1\u2010year postoperative intervals were assessed. Bivariate statistics were performed using \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      tests, Fisher exact tests, and Student\n                      <jats:italic>t<\/jats:italic>\n                      tests where appropriate. Reimbursements included the reimbursement for the index surgery as well as any reimbursements during the specified postoperative interval related to the index surgery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 3,266 patients who underwent open RCR were matched with 3,266 patients who underwent arthroscopic RCR. Compared with patients who underwent arthroscopic RCR, patients who underwent open RCR were at significantly increased risk of 90\u2010day surgical\u2010site infection (0.89% vs 0.34%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .004), undergoing manipulation under anesthesia (MUA) within 2 years of surgery (1.65% vs 0.95%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .012), and undergoing MUA within 5 years of surgery (1.75% vs 1.10%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .028). There were no significant differences in any other postoperative complications, reoperation rates, or reimbursements between open RCR and arthroscopic RCR (all,\n                      <jats:italic>P<\/jats:italic>\n                      &gt; .05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients undergoing open RCR were at increased risk of 90\u2010day surgical\u2010site infection and MUA both within 2 years and within 5 years of surgery in this study cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2021.11.012","type":"journal-article","created":{"date-parts":[[2022,2,5]],"date-time":"2022-02-05T15:52:30Z","timestamp":1644076350000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":9,"title":["Increased Risk of Surgical\u2010Site Infection and Need for Manipulation Under Anesthesia for Those Who Undergo Open Versus Arthroscopic Rotator Cuff Repair"],"prefix":"10.1002","volume":"4","author":[{"given":"Kevin Y.","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Johns Hopkins Columbia Maryland U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amil R.","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery George Washington School of Medicine and Health Sciences Washington DC U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy L.","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Johns Hopkins Columbia Maryland U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew J.","family":"Best","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Massachusetts General Hospital Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. Timothy","family":"Kreulen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Johns Hopkins Columbia Maryland U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meghana","family":"Jami","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Johns Hopkins Columbia Maryland U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward G.","family":"McFarland","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Johns Hopkins Columbia Maryland U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uma","family":"Srikumaran","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Johns Hopkins Columbia Maryland 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Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}