スーチャーブリッジ法を用いた鏡視下腱板修復術の術後評価

概要

論文の詳細を見る
Background: Good clinical outcomes of arthroscopic rotator cuff repair (ARCR) have been reported. Recently, the suture bridge technique, which is a surface holding method, was developed. The purpose of this study is to evaluate the cuff integrity of ARCR using suture bridge technique depending on tear size. Methods: Thirty six patients (24 male, 12 female, average age 63.7 years old) who under went ARCR with the suture bridge technique were evaluated at 6 months postoperatively. The patients were classified into two groups which were small tear group (group S, <3cm, 21 shoulders) and large tear group (group L, 3cm<, 15 shoulders). The JOA score of the two groups was assessed, and the cuff integrity was evaluated by MRI. Results: JOA score increased significantly in both group S and group L. The mean JOA score increased from 70.4 to 89.4 in group S and from 68.3 to 89.9 in group L, at 6 months postoperatively. There was no significant difference between the two groups postoperatively and both groups showed excellent clinical outcomes. Discussion: The cuff integrity of the group S was better than that of the group L. The clinical results of the suture bridge technique were satisfactory in both groups, however 6 retears out of 15 shoulders were found in group L. Large traction force to the cuff in group L may cause cutout of the cuff edge in medial row before regeneration of footprint, since only sutures in the medial row were tied in the suture bridge technique.

スーチャーブリッジ法を用いた鏡視下腱板修復術の術後評価

スポンサーリンク

概要

著者

関連論文

スポンサーリンク