層間 • 腱内断裂を伴う腱板断裂に対する小切開 in & out suture 法

概要

論文の詳細を見る
Background: Delamination is one of the horizontal tear morphologies observed in rotator cuff (RC) tear. The purpose of this retrospective study was to assess the clinical outcomes and the postoperative magnetic resonance (MR) images of mini-open repair using "in & out" sutures for delamination tears of the RC. Methods: Between 2007 and 2010, a mini-open repair of the RC was performed on 107 patients. The clinical results of the mini-open repair using "in & out" sutures (MOIO) for delamination tears in 21 patients were reviewed. The mean age at surgery was 56.4 years old (range, 35-73 years), and the mean follow-up period was 22.4 months (range, 12-46 months). The patients underwent the MOIO method after arthroscopic subacromial decompression and were clinically assessed with the Japanese Orthopaedic Association (JOA) score, the Constant score, and the T2-weighted MR images at the final follow-up. The intensity of the tendon was divided into the following 4 groups (low, spotted high, high-intensity, re-tear). The data were analyzed using chi-square and paired t tests. Results: The postoperative re-tear rate (re-tear case) in MR image was 4.8%. The low-intensity cases involved 11 shoulders (52%); and spotted high cases in 9 shoulders (43%). The average JOA and Constant scores were 64.6 and 50.3 points, preoperatively, and 95 and 83.6 points, respectively, at final follow-up (p<0.05). There was no difference in clinical results between low-intensity and spotted high-intensity cases. Conclusion: The MOIO technique can provide significant clinical improvement and yielded satisfactory repair for delamination tears.

層間 • 腱内断裂を伴う腱板断裂に対する小切開 in & out suture 法

スポンサーリンク

概要

著者

関連論文

スポンサーリンク