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InSpace Balloon for the Management of Massive Irreparable Rotator Cuff Tears: A Systematic Review and Meta-Analysis
Mohammad Daher1, Adam Pearl2, Ziad Zalaquett3
1Department of Orthopedics, Hotel Dieu de France, Saint Joseph University, Beirut, Lebanon.
Clinics in Orthopedic Surgery
|October 9, 2023
Summary
The InSpace balloon (ISB) shows promise for massive irreparable rotator cuff tears (MIRCTs), with most studies reporting good clinical outcomes. However, more research is needed to confirm its effectiveness compared to other treatments.
Area of Science:
- Orthopedic Surgery
- Biomaterials Science
Background:
- Massive irreparable rotator cuff tears (MIRCTs) lack a universally agreed-upon treatment.
- Biodegradable subacromial spacers, like the InSpace balloon (ISB), offer a less invasive surgical option.
- This systematic review and meta-analysis is the first to evaluate ISB efficacy for MIRCTs.
Approach:
- Systematic review and meta-analysis adhering to PRISMA guidelines.
- Comprehensive PubMed database search from 1961 to July 2022.
- Independent assessment of 14 studies by two researchers.
Key Points:
- Eleven of fourteen studies favored ISB use for MIRCTs.
- All ISB implantations were performed arthroscopically in the subacromial space.
- Meta-analysis of three studies showed statistically insignificant differences in outcomes.
Conclusions:
- The use of ISB for MIRCTs remains controversial, with mixed outcomes reported.
- A majority of patients experienced good clinical results and would undergo the procedure again.
- Further randomized controlled trials and comparative studies are necessary for definitive conclusions.
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