Alhussain Ahmed, Alhathlol Hussam A, Alsharif Abdulkareem A, Alsikhan Khalid M, Almagushi Nouf A
Orthopedic Surgery Department, King Abdulaziz Medical City, Riyadh, Saudi Arabia.
King Saud bin Abdulaziz University for Health Sciences, College of Medicine, Riyadh, Saudi Arabia.
JSES Int. 2025 Jan 2;9(3):683-690. doi: 10.1016/j.jseint.2024.12.005. eCollection 2025 May.
Obesity is a major global health burden and is linked to numerous comorbidities, including musculoskeletal disorders. Among these, rotator cuff disorders are a leading cause of shoulder pain. Although the impact of obesity on procedures such as hip and knee arthroplasty is well documented, its effect on rotator cuff repair has been less explored. This meta-analysis aimed to evaluate the influence of obesity on surgical and functional outcomes following rotator cuff repair.
The review was conducted following the PRISMA guidelines and registered in PROSPERO (CRD42024556254). A comprehensive search of PubMed, Google Scholar, and Web of Science was performed. The outcomes evaluated included functional outcomes such as the American Shoulder and Elbow Surgeons score and range of motion. For surgical outcomes, the variables evaluated included retear, readmission, and reoperation. Statistical analysis was performed via Review Manager (Cochrane Collaboration. Review Manager [RevMan], London, UK. Version 5.4 2020) and Comprehensive Meta-Analysis v3 software.
Twelve studies comprising 79098 patients were included. The obese patients had significantly poorer functional outcomes, with lower Single Assessment Numeric Evaluation and American Shoulder and Elbow Surgeons scores. Obese patients also had statistically significant impairments in the internal rotation function of the shoulder joint. These patients also exhibited a higher risk of readmission and reoperation. No significant differences were found in terms of operative time, postoperative pain, or surgical site infection.
Obesity negatively impacts the surgical and functional outcomes of rotator cuff repair, leading to worse functional scores, limited range of motion, and increased risks of readmission and reoperation. These findings underscore the importance of weight management strategies to optimize outcomes for obese patients undergoing rotator cuff repair.
肥胖是一项重大的全球健康负担，与包括肌肉骨骼疾病在内的多种合并症相关。其中，肩袖疾病是肩部疼痛的主要原因。尽管肥胖对髋关节和膝关节置换等手术的影响已有充分记录，但其对肩袖修复的影响研究较少。本荟萃分析旨在评估肥胖对肩袖修复术后手术和功能结局的影响。
本综述按照PRISMA指南进行，并在PROSPERO（CRD42024556254）中注册。对PubMed、谷歌学术和科学网进行了全面检索。评估的结局包括功能结局，如美国肩肘外科医师评分和活动范围。对于手术结局，评估的变量包括再撕裂、再次入院和再次手术。通过Review Manager（Cochrane协作网。Review Manager [RevMan]，英国伦敦。版本5.4 2020）和Comprehensive Meta - Analysis v3软件进行统计分析。
纳入了12项研究，共79098例患者。肥胖患者的功能结局明显较差，单项评估数值评分和美国肩肘外科医师评分较低。肥胖患者肩关节内旋功能也有统计学上的显著损害。这些患者再次入院和再次手术的风险也更高。在手术时间、术后疼痛或手术部位感染方面未发现显著差异。
肥胖对肩袖修复的手术和功能结局产生负面影响，导致功能评分更差、活动范围受限以及再次入院和再次手术的风险增加。这些发现强调了体重管理策略对于优化接受肩袖修复的肥胖患者结局的重要性。
