当院における鏡視下腱板修復術の中期治療成績

概要

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This report is an introduction of our method and evaluation of clinical results for the cases followed-up over two years. 85 shoulders (complete tears: 64shoulders, incomplete tears: 21 shoulders, men: 36 shoulders, women: 49 shoulders, average age: 64.2 years old, average follow-up periods: 29.3 months) were evaluated. Clinical results were evaluated by JOA score and MRI findings by Sugayas classification. The average of the total score of JOA was improved significantly from 71.0 preoperative to 95.8 postoperative. Postoperative MRI examination was indicated the tendency that integrity became worse as the tear size became larger. Supposing that Type IV • V is re-tear, the re-tear rate was 10.6 % but reached 29.4 % in the large tear. We have reported good postoperative short-term results for a small number of cases since 2006. In this study, we evaluated the results of our method for a larger number of cases for a longer-term and good results were confirmed. The ability of fixation for cuff and footprint by this anchorless method seemed the same as ARCR with anchor and conventional McLaughlins method. We think this method is useful for treatment of rotator cuff tears.