腱板不全断裂に対する鏡視下腱板修復術の治療成績

概要

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We reported the clinical results of arthroscopic rotator cuff repair without anchors for partial-thickness rotator cuff tears. 36 cases (bursal-side tears: 25 cases, joint-side tears: 11 cases, men: 16 cases, women: 20 cases, the averaged age: 59.4 years old, the average follow-up period: 9.9 months) were evaluated. For bursal-side tears, we restored the deep layers of the cuffs and refreshed the foot prints sufficiently and repaired torn superficial layers. For articular-side tears, we cut the superficial layers of cuffs transversely and repaired them with the torn deep layers. All patients began active-exercise from 4 weeks after operation. The average of the total score of JOA was improved significantly from 70.3 preoperative to 92.5 postoperative. Because we did not use any anchors in this technique, we could suture like as the double row method for the narrow foot print of the partial-thickness rotator cuff tears. In other words, it was possible for partial-thickness rotator cuff tears to be fixed firmly by mattress suture and bridging suture like as the treatment of the full-thickness rotator cuff tears. Therefore, we think that this technique is useful for the treatment of partial-thickness rotator cuff tears.
日本肩関節学会の論文
2009-07-27