鏡視下腱板修復術における術前JOAサブスコアの術後成績への影響
スポンサーリンク
概要
- 論文の詳細を見る
The purpose of this study was to report which preoperative factors could influence on the postoperative results of arthroscopic rotator cuff repair (ARCR). A consecutive series of 52 patients with rotator cuff tears underwent ARCR and were evaluated by the scoring system of the Japanese Orthopaedic Association (JOA) pre- and post-operatively. The 52 shoulders were classified into 2 (high and low score) groups by preoperative JOA pain, or function, or ROM subscore. The 2 groups were compared by each postoperative JOA total score at 3, 6, 9 and 12 months and retear rate at 6 months. Retear rate was estimated by MRI, using Sugayas classification. The postoperative JOA score in the low function score group was less than the high score group at 3, 6 and 12 months, and had higher retear rate (33 % vs 12 %, p < 0.05). The JOA score in the low ROM group was less than the high score group at 6 and 9 months postoperatively, but had no significant difference in retear rate. There was no difference in both JOA score and retear rate between high and low pain score groups. There were higher correlation (r2 = 0.488) between preoperative function and ROM subscore because the ROM score in JOA was evaluated in active motion. So, we propose preoperative evaluation of rotator cuff tears with classification into 4 groups using a combination of JOA pain and function subscores which we regarded as independent. The group 1 (low pain and low function scores) had a lower postoperative JOA score and higher retear rate than other groups. In conclusion, preoperative JOA function subscore could influence on the postoperative clinical results of ARCR, especially when there were lower scores in both function and pain subscores.
- 2009-07-27
著者
-
伊藤 岳史
相模原協同病院整形外科
-
中井 大輔
相模原協同病院 整形外科
-
鈴木 英一
相模原協同病院 整形外科
-
中井 大輔
神奈川県厚生農業協同組合連合会相模原協同病院 整形外科
-
鈴木 英一
相模原協同病院整形外科
関連論文
- 大腿骨頚部内側骨折に対しセメント使用人工骨頭置換術施行後生じた脂肪塞栓症候群で救命しえた1例
- 変形性膝関節症における距踵関節の下肢アライメントに及ぼす影響のX線学的検討
- ステロイド性大腿骨顆部骨壊死の病期進行と膝機能評価
- 変形性膝関節症の進行と足部扁平化との相関
- 大腿骨顆部特発性骨壊死に対する高位脛骨骨切り術の術後5年以上の成績
- 変形性膝関節症における距踵関節の下肢アライメントに及ぼす影響
- 63. 変形性膝関節症および慢性関節リウマチ患者における膝関節手術前後の大腿四頭筋筋力の変化 : 骨関節疾患 : 第30回 日本リハビリテーション医学会 学術集会
- 鏡視下バンカート修復術後の肩関節可動域の経時的調査
- 成人柔道選手における腰部、上肢、下肢の障害調査
- 成長期サッカー選手における腰部、下肢の障害調査と体力測定