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Table 2 Characteristics of the included studies

From: The role of bone marrow stimulation in rotator cuff repair: a systematic review and meta-analysis

Author, year

Study

Sample size

Total

Gender(M/F)

Age, years

Bone marrow stimulation technique

Definition of retear

Clinical Outcomes

Bias grade

Follow-up

  

BMS

Non-BMS

 

BMS

Non-BMS

BMS

Non-BMS

     

Leonardo Osti 2013 [22]

RCT

28

29

57

16/12

14/15

61.2 (38-73)

59.8 (34-71)

• Used an awl for microfractures

• 2-4 mm deep, 3-4 mm apart

Homogeneous low-intensity or partial high-intensity area (MRI)

UCLA,CMS

High risk

24 months

Giuseppe Milano 2013 [21]

RCT

35

38

73

22/13

19/19

60.6 ± 10.1

63.1 ± 9.2

• Used an awl for microfractures

• 5 mm deep, 1.5 mm wide, 4 mm apart

Sugaya type III, IV, or V (MRI)

Dash,CMS

Low risk

24 months

Miguel Angel Ruiz Ibán 2021 [8]

RCT

36

33

69

14/22

18/15

60.1 ± 7.88

57.8 ± 10.7

• Used NanoFx Instrument for microfractures

• 9 mm deep, 1 mm wide, 3-5 mm apart

Sugaya type IV, or V (MRI)

CMS,BPI,EQ-5D-3L

High risk

12 months

P. Lapner 2021 [20]

RCT

41

47

88

13/28

19/28

58.8 ± 8.8

59.5 ± 8.6

• Used a Kirschner wire for microfractures

• 5 mm deep, 2 mm wide, 1 cm apart

Tendons were not in conti-nuity with an evidence of tearing (Ultrasound)

ASES,CMS,WORC

High risk

24 months

Felipe Toro 2022 [23]

RCT

62

61

123

29/33

35/26

58.9 ± 7.7

57.8 ± 9.2

“• Used an awl for microfractures

• 3-5 mm deep, 3 mm apart”

Sugaya type IV, or V (MRI)

ASES,CMS

Low risk

12 months

Noboru Taniguchi 2015 [26]

CO

44

67

111

26/18

42/25

64.7 ± 1.4

64.3 ± 1.1

• Used a metal bar for microfractures

• 3 mm wide, 3-5 mm apart

Sugaya type IV, or V (MRI)

JOA,UCLA

9

12 months

Chris Hyunchul Jo 2013 [7]

CO

57

67

124

25/32

33/34

58.89 ± 8.67

60.10 ± 7.94

• Used a rasp for multiple channeling

• 10 mm deep, 2.1 mm wide, 4-5 mm apart

Sugaya type IV, or V (MRI)

ASES,CMS,UCLA,DASH,SST,SPADI

7

24 months

Chul Kim 2020 [24]

CO

56

42

98

26/30

23/19

64.6 ± 6.0

64.2 ± 5.5

• Used a custom-made awl for microfractures

• 10 mm deep, 2 mm wide, 5 mm apart

French Society of Arthroscopy stage 3 or 4 (MRI and CTA)

ASES,UCLA,VAS,SSV

9

24 months

Anil Pulatkan 2020 [25]

CO

44

40

84

11/13

15/25

58.1 ± 9.7

59.2 ± 10.1

• Used a custom-made awl for microfractures

• 5 mm deep, 1.3 mm wide, 4-5 mm apart

Sugaya type IV, or V (MRI)

CMS,VAS

7

24 months

  1. RCT Randomized controlled study, CO Cohort study, BMS Bone marrow stimulation group, Non-BMS Standard surgery group, ASES American Shoulder and Elbow Surgeons’Form, CMS Constant-Murley outcome score, UCLA University of California, Los Angeles Shoulder Rating Scale, VAS visual analog scale, DASH-Hand Questionnaire, JOA Japanese Orthopaedic Association, WORC Western Ontario Rotator Cuff scores, SST Simple Shoulder Test, SPADI Shoulder Pain and Disability Index, BPI brief pain inventory