腱板断裂に対する鏡視下手術の周術期疼痛の軽減効果

概要

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We evaluated whether a mini-open cuff repair with arthroscopic subacromial decompression could reduce the postoperative pain more than open cuff repair. We compared the data of two groups ; mini-open cuff repair with arthroscopic subacromial decompression (ASD) and open cuff repair so called McLaughlins procedure. We researched the preoperative shoulder score assessed by the Japanese Orthopedic Association, the operation time, and the amount of bleeding. We also researched the following items from the day at operation to 7th day as markers of the postoperative pain ; dose of analgesic agents (pentazocine and diclofenac sodium), visual analogue scale, and face scale both evaluated by nurses, respectively. From January in 1998 to March 2001, a mini-open cuff repair with ASD was performed in 13 cases and an open repair was in 20 cases. The dose of pentazocine was lower in the mini-open cuff repair with ASD group than in open cuff repair cases in statistical significance. The dose of diclofenac sodium also tended to be lower in the mini-open cuff repair with ASD group. The time of the operation was definitely longer in the mini-open repair with ASD cases than in open surgery. The other items showed no differences between these two groups. In this series, a mini-open cuff repair with ASD is more time consuming, but it reduces postoperative pain more.
日本肩関節学会の論文
2002-01-01