鏡視下支援による大腿筋膜パッチ併用の Debeyre 変法

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We have performed an arthroscopically assisted modified Debeyres procedure with a fascial patch graft (AMDFP). The short clinical results and the low invasiveness were evaluated.Eight shoulders (6 males, 2 females, age; 63∼76 years old, average; 67.5 years old) were examined. The shoulders of which tendon edges could not reach to the top of the greater tuberosity arthroscopically were selected for an AMDFP. The method was indicated as follows; the modified Debeyres procedure was performed with a small (3∼4cm) incision. The deltoid was split (3∼4cm) along the muscle fibers at the junction of the anterior and middle 1/3. The fascial patch graft was folded back, and inserted into the subacrominal space. The medial end of the graft was sutured to the tendon edge arthroscopically. The distal end was sutured to the top of the greater tuberosity with open technique. For evaluation of invasiveness, we examined the length of the skin incisions, the Hb and Ht data between before and after surgery, and compared the data between in the AMDFP and in the modified Debeyres procedure (D method) at our hospital. The 4 shoulders (4 cases) of AMDFP were observed for more than 6 months. These clinical results were evaluated using the JOA scores. The length of skin incisions, and the changes of the Hb and Ht data of AMDFP were less than D method. The JOA scores of AMDFP improved 81 points postoperatively from 72.6 points preoperatively. The AMDFP was little invasive, and the short clinical results are good.
日本肩関節学会の論文
2008-06-30

鏡視下支援による大腿筋膜パッチ併用の Debeyre 変法

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