{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T11:56:22Z","timestamp":1788609382561,"version":"build-2803163510"},"reference-count":34,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T00:00:00Z","timestamp":1653264000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100014759","name":"Medical Scientific Research Foundation of Zhejiang Province, China","doi-asserted-by":"publisher","award":["2019KY150"],"award-info":[{"award-number":["2019KY150"]}],"id":[{"id":"10.13039\/501100014759","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100014759","name":"Medical Scientific Research Foundation of Zhejiang Province, China","doi-asserted-by":"publisher","award":["2020KY794"],"award-info":[{"award-number":["2020KY794"]}],"id":[{"id":"10.13039\/501100014759","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the factors associated with outcomes of arthroscopic surgical repair of rotator cuff tears (RCTs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This prospective study recruited patients, at least 18\u2009years old, who underwent arthroscopic rotator cuff repair for full\u2010thickness RCTs at the First People's Hospital of Hangzhou Xiaoshan between July 2019 and October 2020. Patient demographics, lifestyle habits, and medical histories were collected preoperatively; RCT sizes and affected tendons were determined intraoperatively. Outcomes were assessed by shoulder range of motion (ROM) determinations 1.5 and 3\u2009months postoperatively. The factors associated with ROM were determined using a binary logistic regression analysis, and the results were expressed as adjusted relative risks (<jats:italic>RRs<\/jats:italic>) and 95% confidence intervals (<jats:italic>CIs<\/jats:italic>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 132 patients with RCTs underwent arthroscopic surgery. Five were lost to follow\u2010up, leaving 127 patients (mean age, 59\u2009years; 58.3% women) who were included in the study analysis. The majority of the patients (54.5%) had RCTs that were classified as large or massive, and approximately 20% had tears involving multiple tendons; 80.3% of the patients had tears involving only a single tendon. Moreover, 29.9% of the patients had hypertension and 11.0% had diabetes. Among the patients, 23.0% were smokers and 34.6% drank alcohol. According to the multivariate analysis, none of the assessed factors were associated with shoulder ROM at the 1.5\u2010month follow\u2010up. At the 3\u2010month follow\u2010up, RCTs involving a single tendon demonstrated 3\u2010fold better abduction (<jats:italic>RR<\/jats:italic>\u00a0=\u00a04.00; 95% <jats:italic>CI<\/jats:italic>, 1.30\u201312.33; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.016) and 3.15\u2010fold better internal rotation (<jats:italic>RR<\/jats:italic>\u00a0=\u00a03.15; 95% <jats:italic>CI<\/jats:italic>, 1.19\u20138.36; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.021) than did RCTs involving multiple tendons. Patients who did not drink alcohol demonstrated 6.08\u2010fold better anteflexion (<jats:italic>RR<\/jats:italic>\u00a0=\u00a07.08; 95% <jats:italic>CI<\/jats:italic>, 2.11\u201323.73; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.002) and nearly 4\u2010fold better abduction (<jats:italic>RR<\/jats:italic>\u00a0=\u00a04.97; 95% <jats:italic>CI<\/jats:italic>, 1.62\u201315.23; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.005) than patients who drank alcohol.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>To improve outcomes, the results indicate that more targeted measures should be directed toward patients with multiple\u2010tendon RCTs and that preoperative alcohol abstinence education is needed for patients with RCTs.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13249","type":"journal-article","created":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T08:33:00Z","timestamp":1653294780000},"page":"1309-1316","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Factors Associated with Shoulder Range of Motion After Arthroscopic Rotator Cuff Repair: A Hospital\u2010Based Prospective Study"],"prefix":"10.1111","volume":"14","author":[{"given":"Zhennan","family":"Li","sequence":"first","affiliation":[{"name":"The Second Clinical Medicine College Zhejiang Chinese Medical University  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6162-8908","authenticated-orcid":false,"given":"Gangfeng","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The First People's Hospital of Xiaoshan District, Hangzhou, Zhejiang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuan","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The First People's Hospital of Xiaoshan District, Hangzhou, Zhejiang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fangqi","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The First People's Hospital of Xiaoshan District, Hangzhou, Zhejiang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiakuan","family":"Ye","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The First People's Hospital of Xiaoshan District, Hangzhou, Zhejiang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Guan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The First People's Hospital of Xiaoshan District, Hangzhou, Zhejiang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong","family":"Guan","sequence":"additional","affiliation":[{"name":"The Second Clinical Medicine College Zhejiang Chinese Medical University  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,5,23]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1148\/rg.264055087"},{"key":"e_1_2_7_3_1","first-page":"30","article-title":"The incidence of full thickness rotator cuff tears in a large cadaveric population","volume":"54","author":"Lehman C","year":"1995","journal-title":"Bull Hosp Jt Dis"},{"key":"e_1_2_7_4_1","first-page":"124","article-title":"The incidence of rotator cuff rupture. 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