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Does body mass index affect outcomes following arthroscopic superior capsular reconstruction using fascia lata autograft for massive irreparable rotator cuff tear?

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Abstract

Purpose

This study aimed to evaluate the effect of increased body mass index (BMI) on patient-reported outcomes (PROs) and clinically significant outcomes (CSOs) obtained > two years postoperatively following arthroscopic superior capsular reconstruction (ASCR).

Methods

A retrospective study was conducted on patients who underwent ASCR with a minimum two year follow-up. All patients were divided into normal (BMI < 25.0), overweight (BMI 25–30.0), and obese (BMI ≥ 30) according to preoperative BMI. Patients were assessed using the PROs preoperatively and at six months, one year, and two years postoperatively, including the visual analog scale (VAS), American Shoulder and Elbow Surgeons (ASES), and Constant–Murley scores. The time required to achieve each CSO was analyzed and compared. Multivariate analyses evaluated the predictor variables and time required to achieve CSOs.

Results

This study included 63 patients with a mean age of 64.8 ± 8.6 years, including 31 normal BMI, 25 overweight, and seven obese patients. Significant improvements in VAS and ASES scores after ASCR were observed in all three groups. Normal and overweight patients had significant improvements in the Constant score; however, no difference was observed in obese patients. No significant difference was observed in the probability distributions of CSOs between the BMI groups. Similarly, no significant differences were observed in the probability distributions of the CSOs, ASES, and Constant scores at each time point, among the BMI groups.

Conclusion

Patients in the normal and overweight groups had significant improvements in the VAS, ASES, and Constant scores after ASCR. Patients in the obese group had a significant improvement in VAS score; however, there is no difference for the ASES and Constant scores in the obese group. However, no differences were observed in all PROMs and the likelihood of achieving CSOs among the different BMI groups.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05535, Korea

    Hui Ben, Jia Guo, Dohun Kim, Min Geol Je, Kyoung Hwan Koh & In Ho Jeon

  2. Faculty of Medicine, Universitas Trisakti, Department of Orthopedic Surgery, St. Carolus Hospital, Jakarta, Indonesia

    Erica Kholinne

Authors
  1. Hui Ben
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  2. Erica Kholinne
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  3. Jia Guo
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  4. Dohun Kim
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  5. Min Geol Je
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  6. Kyoung Hwan Koh
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  7. In Ho Jeon
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Contributions

Hui Ben: conceptualization, investigation, methodology, writing—original draft; Erica Kholinne and Jia Guo: data curation, methodology, writing—review and editing; Dohun Kim and Min Geol Je: data collection, writing—review and editing; Kyoung-Hwan Koh: supervision, visualization, writing—review and editing; In-Ho Jeon: conceptualization, methodology, project administration, supervision, writing—review and editing

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Correspondence to In Ho Jeon.

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Institutional Review Board (IRB) approval number: AMC 2021-1321

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Ben, H., Kholinne, E., Guo, J. et al. Does body mass index affect outcomes following arthroscopic superior capsular reconstruction using fascia lata autograft for massive irreparable rotator cuff tear?. International Orthopaedics (SICOT) 48, 1079–1088 (2024). https://doi.org/10.1007/s00264-023-06065-5

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