{"id":"https://openalex.org/W7220867167","doi":"https://doi.org/10.3389/fbioe.2026.1840528","title":"Concomitant acromioplasty is associated with enhanced structural healing, long-term durability, and functional outcomes in arthroscopic rotator cuff repair: a retrospective propensity score and causal machine-learning analysis","display_name":"Concomitant acromioplasty is associated with enhanced structural healing, long-term durability, and functional outcomes in arthroscopic rotator cuff repair: a retrospective propensity score and causal machine-learning analysis","publication_year":2026,"publication_date":"2026-10-07","ids":{"openalex":"https://openalex.org/W7220867167","doi":"https://doi.org/10.3389/fbioe.2026.1840528","pmid":"https://pubmed.ncbi.nlm.nih.gov/42909352","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13684357"},"language":"en","primary_location":{"id":"doi:10.3389/fbioe.2026.1840528","doi":"https://doi.org/10.3389/fbioe.2026.1840528","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fbioe.2026.1840528","pdf_url":"https://www.frontiersin.org/journals/bioengineering-and-biotechnology/articles/10.3389/fbioe.2026.1840528/pdf","source":{"id":"https://openalex.org/S2595131146","display_name":"Frontiers in Bioengineering and Biotechnology","issn_l":"2296-4185","issn":["2296-4185"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Bioengineering and Biotechnology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/bioengineering-and-biotechnology/articles/10.3389/fbioe.2026.1840528/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5083725761","display_name":"\u5b8b\u7389\u6210","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210088873","display_name":"Third Affiliated Hospital of Southern Medical University","ror":"https://ror.org/0050r1b65","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210088873"]},{"id":"https://openalex.org/I58200834","display_name":"Southern Medical University","ror":"https://ror.org/01vjw4z39","country_code":"CN","type":"education","lineage":["https://openalex.org/I58200834"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yucheng Song","raw_affiliation_strings":["Department of Shoulder and Elbow Surgery, Southern Medical University Third Hospital","Shoulder Research Institute, Academy of Orthopedics Guangdong Province"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Shoulder and Elbow Surgery, Southern Medical University Third Hospital","institution_ids":["https://openalex.org/I4210088873","https://openalex.org/I58200834"]},{"raw_affiliation_string":"Shoulder Research Institute, Academy of Orthopedics Guangdong Province","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5157813484","display_name":"Liang Zhao","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210088873","display_name":"Third Affiliated Hospital of Southern Medical University","ror":"https://ror.org/0050r1b65","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210088873"]},{"id":"https://openalex.org/I58200834","display_name":"Southern Medical University","ror":"https://ror.org/01vjw4z39","country_code":"CN","type":"education","lineage":["https://openalex.org/I58200834"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Liang Zhao","raw_affiliation_strings":["Department of Shoulder and Elbow Surgery, Southern Medical University Third Hospital","Shoulder Research Institute, Academy of Orthopedics Guangdong Province"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Shoulder and Elbow Surgery, Southern Medical University Third Hospital","institution_ids":["https://openalex.org/I4210088873","https://openalex.org/I58200834"]},{"raw_affiliation_string":"Shoulder Research Institute, Academy of Orthopedics Guangdong Province","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100447866","display_name":"Can Liu","orcid":"https://orcid.org/0000-0001-9471-8002","observed_orcids":["https://orcid.org/0000-0001-9471-8002","https://orcid.org/0009-0003-0448-5383"]},"institutions":[{"id":"https://openalex.org/I4210088873","display_name":"Third Affiliated Hospital of Southern Medical University","ror":"https://ror.org/0050r1b65","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210088873"]},{"id":"https://openalex.org/I58200834","display_name":"Southern Medical University","ror":"https://ror.org/01vjw4z39","country_code":"CN","type":"education","lineage":["https://openalex.org/I58200834"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Can Liu","raw_affiliation_strings":["Department of Shoulder and Elbow Surgery, Southern Medical University Third Hospital","Shoulder Research Institute, Academy of Orthopedics Guangdong Province"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Shoulder and Elbow Surgery, Southern Medical University Third Hospital","institution_ids":["https://openalex.org/I4210088873","https://openalex.org/I58200834"]},{"raw_affiliation_string":"Shoulder Research Institute, Academy of Orthopedics Guangdong Province","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5115547284","display_name":"Yijun Wang","orcid":"https://orcid.org/0000-0001-6214-2395","observed_orcids":["https://orcid.org/0000-0001-6214-2395","https://orcid.org/0009-0005-2208-0640"]},"institutions":[{"id":"https://openalex.org/I4210088873","display_name":"Third Affiliated Hospital of Southern Medical University","ror":"https://ror.org/0050r1b65","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210088873"]},{"id":"https://openalex.org/I58200834","display_name":"Southern Medical University","ror":"https://ror.org/01vjw4z39","country_code":"CN","type":"education","lineage":["https://openalex.org/I58200834"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Yijun Wang","raw_affiliation_strings":["Department of Shoulder and Elbow Surgery, Southern Medical University Third Hospital","Shoulder Research Institute, Academy of Orthopedics Guangdong Province"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Shoulder and Elbow Surgery, Southern Medical University Third Hospital","institution_ids":["https://openalex.org/I4210088873","https://openalex.org/I58200834"]},{"raw_affiliation_string":"Shoulder Research Institute, Academy of Orthopedics Guangdong Province","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5115547284"],"corresponding_institution_ids":["https://openalex.org/I4210088873","https://openalex.org/I58200834"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.78163636,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"14","issue":null,"first_page":"1840528","last_page":"1840528"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10280","display_name":"Shoulder Injury and Treatment","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10280","display_name":"Shoulder Injury and Treatment","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10630","display_name":"Orthopedic Surgery and Rehabilitation","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12411","display_name":"Shoulder and Clavicle Injuries","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/acromioplasty","display_name":"acromioplasty","score":0.9950000047683716},{"id":"https://openalex.org/keywords/arthroscopic-rotator-cuff-repair","display_name":"arthroscopic rotator cuff repair","score":0.9980000257492065},{"id":"https://openalex.org/keywords/rotator-cuff-retear","display_name":"rotator cuff retear","score":0.8360000252723694},{"id":"https://openalex.org/keywords/functional-outcome","display_name":"functional outcome","score":0.796999990940094},{"id":"https://openalex.org/keywords/critical-shoulder-angle","display_name":"critical shoulder angle","score":0.9509999752044678},{"id":"https://openalex.org/keywords/treatment-heterogeneity","display_name":"treatment effect heterogeneity","score":0.9290000200271606},{"id":"https://openalex.org/keywords/shoulder-surgery","display_name":"shoulder surgery","score":0.45399999618530273}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8646000027656555},{"id":"https://openalex.org/C2776984999","wikidata":"https://www.wikidata.org/wiki/Q4676186","display_name":"Acromioplasty","level":3,"score":0.6887000203132629},{"id":"https://openalex.org/C2776511800","wikidata":"https://www.wikidata.org/wiki/Q1764136","display_name":"Rotator cuff","level":2,"score":0.6801999807357788},{"id":"https://openalex.org/C2779384505","wikidata":"https://www.wikidata.org/wiki/Q17007513","display_name":"Concomitant","level":2,"score":0.6488999724388123},{"id":"https://openalex.org/C17923572","wikidata":"https://www.wikidata.org/wiki/Q7250160","display_name":"Propensity score matching","level":2,"score":0.5317000150680542},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.461899995803833},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.4465999901294708},{"id":"https://openalex.org/C2776030733","wikidata":"https://www.wikidata.org/wiki/Q3518022","display_name":"Rotator cuff injury","level":3,"score":0.43799999356269836},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4357999861240387},{"id":"https://openalex.org/C111278954","wikidata":"https://www.wikidata.org/wiki/Q17069312","display_name":"Minimal clinically important difference","level":3,"score":0.42419999837875366},{"id":"https://openalex.org/C26831200","wikidata":"https://www.wikidata.org/wiki/Q16963953","display_name":"Marginal structural model","level":3,"score":0.41760000586509705},{"id":"https://openalex.org/C2781184374","wikidata":"https://www.wikidata.org/wiki/Q42586","display_name":"Elbow","level":2,"score":0.3880999982357025},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.3763999938964844},{"id":"https://openalex.org/C2911216061","wikidata":"https://www.wikidata.org/wiki/Q1660341","display_name":"Shoulder Impingement Syndrome","level":3,"score":0.3686999976634979},{"id":"https://openalex.org/C2779162959","wikidata":"https://www.wikidata.org/wiki/Q708232","display_name":"Arthroscopy","level":2,"score":0.35600000619888306},{"id":"https://openalex.org/C207103383","wikidata":"https://www.wikidata.org/wiki/Q3930246","display_name":"Hazard ratio","level":3,"score":0.3465000092983246},{"id":"https://openalex.org/C2779915747","wikidata":"https://www.wikidata.org/wiki/Q17058619","display_name":"Inverse probability weighting","level":3,"score":0.33070001006126404},{"id":"https://openalex.org/C2779100052","wikidata":"https://www.wikidata.org/wiki/Q7502725","display_name":"Shoulder surgery","level":2,"score":0.3285999894142151},{"id":"https://openalex.org/C2780221984","wikidata":"https://www.wikidata.org/wiki/Q131191","display_name":"Body mass index","level":2,"score":0.32030001282691956},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3181999921798706},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.3127000033855438},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.30889999866485596},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.2827000021934509},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.27090001106262207},{"id":"https://openalex.org/C168031717","wikidata":"https://www.wikidata.org/wiki/Q1530280","display_name":"Balance (ability)","level":2,"score":0.2676999866962433},{"id":"https://openalex.org/C2779185355","wikidata":"https://www.wikidata.org/wiki/Q5036401","display_name":"Capsulitis","level":3,"score":0.2624000012874603}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.3389/fbioe.2026.1840528","doi":"https://doi.org/10.3389/fbioe.2026.1840528","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fbioe.2026.1840528","pdf_url":"https://www.frontiersin.org/journals/bioengineering-and-biotechnology/articles/10.3389/fbioe.2026.1840528/pdf","source":{"id":"https://openalex.org/S2595131146","display_name":"Frontiers in Bioengineering and Biotechnology","issn_l":"2296-4185","issn":["2296-4185"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Bioengineering and Biotechnology","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13684357","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13684357/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13684357/pdf/fbioe-14-1840528.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Front Bioeng Biotechnol","raw_type":"Text"},{"id":"pmid:42909352","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42909352","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in bioengineering and biotechnology","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:0c596578d86e4388bb2cb7f21c24f283","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/0c596578d86e4388bb2cb7f21c24f283","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Bioengineering and Biotechnology, Vol 14 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fbioe.2026.1840528","doi":"https://doi.org/10.3389/fbioe.2026.1840528","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fbioe.2026.1840528","pdf_url":"https://www.frontiersin.org/journals/bioengineering-and-biotechnology/articles/10.3389/fbioe.2026.1840528/pdf","source":{"id":"https://openalex.org/S2595131146","display_name":"Frontiers in Bioengineering and Biotechnology","issn_l":"2296-4185","issn":["2296-4185"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Bioengineering and Biotechnology","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.98580002784729,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7220867167.pdf","grobid_xml":"https://content.openalex.org/works/W7220867167.grobid-xml"},"referenced_works_count":37,"referenced_works":["https://openalex.org/W2061116301","https://openalex.org/W2102245134","https://openalex.org/W2178228351","https://openalex.org/W2766928156","https://openalex.org/W2889454725","https://openalex.org/W2897409892","https://openalex.org/W2920991333","https://openalex.org/W3017095422","https://openalex.org/W3025355071","https://openalex.org/W3136863770","https://openalex.org/W3208088432","https://openalex.org/W3215954095","https://openalex.org/W4281989976","https://openalex.org/W4282841291","https://openalex.org/W4283711599","https://openalex.org/W4313886843","https://openalex.org/W4386247189","https://openalex.org/W4386776117","https://openalex.org/W4389117200","https://openalex.org/W4390534709","https://openalex.org/W4390604322","https://openalex.org/W4391109531","https://openalex.org/W4391257999","https://openalex.org/W4399141972","https://openalex.org/W4399565533","https://openalex.org/W4399801297","https://openalex.org/W4402260389","https://openalex.org/W4403261097","https://openalex.org/W4403278405","https://openalex.org/W4403330764","https://openalex.org/W4406183823","https://openalex.org/W4406215639","https://openalex.org/W4406666335","https://openalex.org/W4409602925","https://openalex.org/W4410279512","https://openalex.org/W4410552201","https://openalex.org/W4411052944"],"related_works":["https://openalex.org/W2900497741","https://openalex.org/W2396972606","https://openalex.org/W2269566668","https://openalex.org/W4400420875","https://openalex.org/W4414745232","https://openalex.org/W4391538926","https://openalex.org/W2490258205","https://openalex.org/W4402401926","https://openalex.org/W2135515580","https://openalex.org/W2969828047"],"abstract_inverted_index":{"Background:":[0],"The":[1,222],"clinical":[2,274],"value":[3],"of":[4,23,54,66,285,296],"acromioplasty":[5],"(AC)":[6],"combined":[7],"with":[8,118,172,202,219,244,292],"arthroscopic":[9,30,252],"rotator":[10],"cuff":[11],"repair":[12],"(RCR)":[13],"remains":[14],"controversial.":[15],"This":[16],"study":[17],"evaluates":[18],"the":[19,98,216,261,264,283],"associations":[20,218],"and":[21,68,71,75,100,210,232,248,295],"heterogeneity":[22,198,281],"treatment":[24,55,102,197,280],"response":[25],"for":[26,276],"concomitant":[27],"AC":[28,173,241,262],"during":[29],"RCR.":[31,253],"Methods:":[32],"We":[33],"retrospectively":[34],"analysed":[35],"734":[36],"patients":[37,201,291],"(220":[38],"AC,":[39],"514":[40],"RCR-only).":[41],"Propensity":[42],"scores":[43,168,256],"were":[44,78,94,108,169,257],"estimated":[45],"via":[46],"a":[47,203],"SuperLearner":[48],"ensemble,":[49],"followed":[50],"by":[51],"inverse":[52],"probability":[53],"weighting":[56],"to":[57,96,110,130,134,162],"balance":[58],"covariates.":[59],"Structural":[60],"healing,":[61],"functional":[62,255,277],"outcomes":[63],"(American":[64],"Society":[65],"Shoulder":[67,73],"Elbow":[69],"Surgeons":[70],"Constant-Murley":[72],"scores),":[74],"re-tear":[76,146],"events":[77],"assessed":[79],"at":[80,148],"12":[81],"months.":[82],"Doubly":[83],"robust":[84],"machine-learning":[85],"approaches":[86],"(DR-learner,":[87],"causal":[88],"forest,":[89],"Bayesian":[90],"additive":[91],"regression":[92],"trees)":[93],"employed":[95],"estimate":[97],"average":[99],"individual":[101],"effects.":[103],"Shapley":[104],"Additive":[105],"Explanations":[106],"(SHAP)":[107],"used":[109],"improve":[111],"model":[112],"interpretability.":[113],"Results:":[114],"Acromioplasty":[115],"was":[116,199],"associated":[117,243],"improved":[119],"structural":[120,246],"healing":[121,247],"(risk":[122],"difference:":[123],"-7.8%;":[124],"95%":[125,159],"confidence":[126],"interval":[127],"[CI],":[128],"-11.9%":[129],"-3.6%;":[131],"number":[132],"needed":[133],"treat":[135],"[NNT]":[136],"\u2248":[137],"13).":[138],"Weighted":[139],"Kaplan-Meier":[140],"analysis":[141,224],"showed":[142,215],"significantly":[143,170],"lower":[144],"cumulative":[145],"incidence":[147],"60":[149],"months":[150],"(AC:":[151],"45.9%":[152],"vs.":[153],"RCR-only:":[154],"80.0%;":[155],"hazard":[156],"ratio:":[157],"0.41;":[158],"CI:":[160],"0.33":[161],"0.51;":[163],"p":[164,181],"<":[165,182],"0.001).":[166],"Functional":[167],"higher":[171,259],"(\u0394ASES":[174],"=":[175,178],"7.9;":[176],"\u0394Constant":[177],"7.5;":[179],"both":[180],"0.001),":[183],"although":[184],"these":[185],"differences":[186,265],"did":[187,266],"not":[188,267],"exceed":[189,268],"established":[190,269],"minimal":[191],"clinically":[192],"important":[193],"difference":[194],"thresholds.":[195],"Considerable":[196],"identified:":[200],"high":[204,293],"critical":[205],"shoulder":[206],"angle":[207],"(CSA)":[208],"(>35\u00b0)":[209],"older":[211,297],"age":[212],"(>62":[213],"years)":[214],"strongest":[217],"potential":[220],"benefits.":[221],"SHAP":[223],"identified":[225],"age,":[226],"body":[227],"mass":[228],"index,":[229],"tear":[230],"size,":[231],"CSA":[233],"as":[234],"key":[235],"factors":[236],"influencing":[237],"outcomes.":[238,278],"Conclusion:":[239],"Concomitant":[240],"is":[242],"enhanced":[245],"long-term":[249],"durability":[250],"in":[251,260],"Although":[254],"statistically":[258],"group,":[263],"MCID":[270],"thresholds,":[271],"indicating":[272],"limited":[273],"significance":[275],"Significant":[279],"highlights":[282],"importance":[284],"individualised":[286],"surgical":[287],"strategies,":[288],"particularly":[289],"favouring":[290],"CSAs":[294],"age.":[298]},"counts_by_year":[],"updated_date":"2026-10-29T09:56:32.521200","created_date":"2026-10-08T00:00:00"}