腱板広範囲断裂に対する僧帽筋移行術とPatte変法の術後成績

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The purpose of this study is to make the results of trapezius transfer and Pattes procedure for massive rotator cuff tears clear. Eleven cases of trapezius transfer and eight cases of Pattes procedure were observed more than one year after the surgery. In cases of trapezius transfer, the mean age was 59 years old, and the mean size of the tear was 16.2cm2. In cases of Pattes procedure, the mean age was 62 years old, and the mean size of the tear was 17.3cm2. The mean JOA total score in cases of trapezius transfer was 62.4 before surgery and 79.5 after surgery. The mean scores of each item were as follows : pain : 12.7→24.5, function : 12.4→14.3, range of motion : 20.1→22.5, X-ray : 3.5→3.2. The mean acromiohumeral interval was 6mm before surgery and 4.6mm after it. The mean angle of active elevation was 109.5° before surgery and 121.4° after it. There was no significant difference between before and after surgery in every item except the JOA total score and pain. Rupture of the transferred trapezius was recognized in 2 cases. The mean JOA total score in cases of Pattes procedure was 61.9 before surgery and 85.3 after it. The mean scores of each item were as follows : pain : 13.1→26.9, function : 11.6→17.1, range of motion : 18.9→22.3, X-ray : 4→4.8. The mean acromio-humeral interval was 6.7mm before surgery and 8.5mm after it. The mean angle of active elevation was 101.9° before surgery and 138.1° after it. There were significant differences between the before and after surgery in any item. In cases of trapezius transfer, only pain improved after the surgery. In cases of Pattes procedure, all of the pain, function, muscle power, and acromio-humeral interval improved significantly after the surgery.
日本肩関節学会の論文

腱板広範囲断裂に対する僧帽筋移行術とPatte変法の術後成績

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