肩腱板損傷に対する鏡視下 transosseous with bone trough suture 法の治療成績

概要

論文の詳細を見る
The purpose of this study was to evaluate the outcomes of operative results for rotator cuff tears by single row procedure(SR), dual row procedure(DR) and transosseous procedure(TO) arthroscopically. The subjects were 75 cases, males 50 cases, and females 25 cases, with an average age of 55.5 years old. We performed the SR procedure for 30 cases, DR procedure for 30 cases and TO procedure for 15 cases. The outcomes were assessed on the basis of the Japanese Orthopaedic Association (JOA) shoulder score and postoperative MRI findings according to Spielmann classification. The average JOA score of SR group increased from 59.8 points to 90.8 points, DR group increased from 57.5 points to 89.5 points and TO group increased from 56.4 points to 90.5 points. There was no significant difference in preoperative and postoperative JOA scores in each group. Regarding postoperative MRI findings, the increase of higher intensity area caused the lower JOA scores. Each arthroscopic operative procedure provided preferable results. The arthroscopic transosseous with bone trough suture procedure provided anatomical attachment of the tendon-bone junction at the greater tuberosity because of pulling the stump of rotator cuff into the trough at the greater tuberosity.
日本肩関節学会の論文
2009-07-27