Postoperative Evaluation of the Direct Sutures for Full-Thickness Rotator Cuff Tears.

概要

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Ruptures of full-thickness rotator cuff were repaired in twenty-four patients (twenty-five shoulders), using one of four repair methods including side to side suture in 6 shoulders and three direct sutures (5 circular defect repairs, 10 L-shaped repairs and 4 shoe tie repairs).Postoperative evaluations of JOA score and the range of motion were made between the cuff defect size and repair method. The average JOA shoulder scores increased from 52.4 points preoperatively to 89.0 points postoperatively in 25 shoulders. Postoperative score in connection with suture methods were 88.4 points in L-shaped repair, 92.4 in circular defect repair, 82.7 in shoe tie repair and 90.8 in side to side repair. The percentage of active motion in the operated shoulder compared with the control was more than 90% in abduction and flexion, but less than 90% in adduction and extention. No significant differences were found postoperatively in JOA score and range of motion between short tears and long tears repaired with direct suture.
西日本整形・災害外科学会の論文