腱板滑液包側不全断裂と腱板完全断裂に対する鏡視下修復術の比較検討
スポンサーリンク
概要
- 論文の詳細を見る
The present study was designed to evaluate the efficacy of our arthroscopic repairing procedure for bursal side partial-thickness rotator cuff tear where only the torn cuff was debrided and sutured without converting to a full- thickness tear to the humeral head with single-row anchor(s). Because the articular footprint of bursal side partial-thickness rotator cuff tear was intact. We compared the clinical results with those of arthroscopic single-row repair for full-thickness rotator cuff. Partial-thickness tear types of Ellmans type B2 and B3 were indicative of this procedure. These patients (partial tear group: PTG) and those with full-thickness tear treated with single-row fixation (full-thickness tear group: FTG) were followed up for more than 12 months postoperatively, and analyzed. There were 15 patients (16 shoulders) in PTG, and 16 patients (17 shoulders) in FTG. The average age was 57.7 years old in PTG and 62.1 years old in FTG. At operation time, the Japanese Orthopaedic Association score (JOA score), strength of shoulder abduction and external rotation were measured and compared between these two groups at 6 and 12 months postoperatively. We also evaluated the postoperative MRIs. The average operation time was 154 minutes in PTG and 162 minutes in FTG. The average JOA score improved from 71.3 to 90.3 at 6 months and 97.4 at 12 months in PTG, while it did from 66.5 to 89.2 and 95.1 in FTG. The average strength of shoulder abduction and external rotation increased from 4.5kg to 4.8kg and 6.3kg and from 5.6kg to 7.6kg and 9.2kg, respectively, in PTG. They increased from 2.8kg to and 4.8kg and 6.3kg and from 4.2kg to 7.1kg and 8.3kg, respectively, in FTG. There were no statistical differences between the groups. Postoperative MRIs did not show any re-torn cuff in both either groups. This technique is relatively simple, and fairly applicable to PTG.
著者
関連論文
- 肩甲上神経麻痺を呈した棘窩切痕部ガングリオンの鏡視所見
- 鏡視下腱板修復術後早期におけるMRI像の検討
- 一次修復不能な腱板広範囲断裂に対する手術治療 : 術式別臨床成績の検討
- 肩関節鏡視下手術の現状と将来 : 反復性肩関節脱臼
- 中高齢者の腱板断裂を伴った反復性肩関節前方脱臼に対して行った鏡視下手術の治療成績
- RF capsular Shrinkage 後の肩関節包の収縮率と破断強度 : 新鮮凍結肩を用いた研究
- 肩腱板断裂の術後 1 ヵ月の MRI で再断裂は予想できるか
- 鏡視下 Bankart 手術後再発例に対する Open Bankart & Bristow 変法の治療成績
- 腱板断裂に対する重層固定法を用いた鏡視下腱板修復術の臨床成績
- スキー外傷により発生した若年者の両肩同時前方脱臼の1例
- 腱板滑液包側不全断裂と腱板完全断裂に対する鏡視下修復術の比較検討
- 腱板大断裂 • 広範囲断裂に対する鏡視下腱板修復術後の成績不良例の検討