腱板広範囲断裂に対する鏡視下デブリドマンの治療成績

概要

論文の詳細を見る
We have treated elderly patients with irreparable massive rotator cuff tears by arthroscopic debridement. The purpose of this study was to evaluate the clinical results of the arthroscopic debridement for massive rotator cuff tears. Seven shoulders with irreparable massive rotator cuff tears were treated by arthroscopic debridement from 2000 to 2009. There were 3 males and 4 females with an average age of 69.0 years old. There were 5 right sides and 2 left sides. They were followed up for 9 months to 115 months (average 40.3 months). The pre and post-operative results were evaluated according to the shoulder evaluation sheet of the Japanese Orthopaedic Association (JOA score). The average preoperative JOA score was 65.0 points and the average postoperative JOA score was 93.8 points. The average postoperative JOA score improved compared with the preoperative JOA score statistically. The average preoperative JOA pain score was 7.9 points and the average postoperative JOA pain score was 28.6 points. The average preoperative JOA function score was 13.0 points and the average postoperative JOA function score was 18.8 points. The average preoperative JOA ROM score was 26.1 points and the average postoperative JOA ROM score was 28.4 points. Each average postoperative JOA score improved compared with the preoperative JOA score. The clinical results of arthroscopic debridement for massive rotator cuff tears were mostly good.