腱板大断裂に対する Debeyre-Patte 変法の術後短期成績
スポンサーリンク
概要
- 論文の詳細を見る
<B>Background:</B> Repair of large or massive rotator cuff tear has a high rate of re-tear. In this study, we evaluated the short clinical results of modified Debeyre-Patte procedure limiting for large rotator cuff tears.<BR><B>Methods:</B> We performed only suture-bridge technique(S group) or with modified Debeyre-Patte procedure(D group) for large rotator cuff tear. There were 10 shoulders, average age 65.8 years (54-75) in S group and 8 shoulders, average age 66.7 years (54-77) in D group followed up for at least 6 months after operation. Preoperative Goutallier classification in the supraspinatus muscle, pre- and post-operative JOA score and Sugaya's classification were compared between the two groups. Type IV and V of Sugaya's classification were defined as re-tear.<BR><B>Results:</B> As preoperative Goutallier classification, there were 2 shoulders with grade2, 6 with grade3 and 2 with grade4 in S group, while there were 2 shoulders with grade2, 4 with grade3 and 2 with grade4 in D group. The average JOA score increased from 61.6 to 87.2 in S group and from 65.5 to 85.9 in D group. There was no significant difference between the two groups. As Sugaya's classification, there were 2 shoulders with type I, 1 with type II, 1 with type III, 4 with type IV and 2 with type V in S group, while there were 6 shoulders with type II, 1 with type III and 1 with type IV in D group. The rate of re-tear in D group was 12.5% compared with 60.0% in S group.<BR><B>Conclusion:</B> Modified Debeyre-Patte procedure for large rotator cuff tears may decrease the re-tear rate after arthroscopic rotator cuff repair.
- 日本肩関節学会の論文
日本肩関節学会 | 論文
- 肩峰骨折後偽関節, 肩峰骨に対する sliding method の応用
- 肩関節不安定症と肩峰下インピンジメントの症状を呈した三角筋下脂肪腫の１例
- 外傷性肩関節前方不安定症に対する Bankart 法の術前・後の関節症 : 術後5-20年の追跡調査の解析
- 肩峰下滑液包内に発生した pseudomalignant osseous tumor の 1 例
- 陳旧性烏口突起骨折によるインピンジメント症候群：反復性肩関節前方脱臼に合併した１例