75 歳以上の後期高齢者に対する肩関節鏡視下腱板修復術の治療成績
スポンサーリンク
概要
- 論文の詳細を見る
<B>Background:</B> It has been officially reported that the life expectancy in our country is the longest in the world. Thus the requisition of treatment for eldeyly population has been increasing. The purpose of this study is to clarify the clinical and structural outcome of arthroscopic rotator cuff repair (ARCR) for the patients of 75 and over.<BR><B>Methods:</B> Of 69 patients, 10 patients of 75 years old or over (O-75 group) were assessed in this study. Three males and 7 females were involved. The mean age at the time of operation was 78.1years old. We evaluated clinical consequences with the Japanese Orthopedic Association shoulder score (JOA score) and UCLA score and assessed the cuff integrity using Sugaya's classification (Type1 to 5). Type 4 and 5 were considered to be re-tear. The counterpart was the patients under 75 (U-75 group).<BR><B>Results:</B> The mean post-operative JOA score in O-75 group (88.2 points) was inferior tothat of U-75 group (91.2 points) with significant difference, nevertheless, the post-operative UCLA score in O-75 group (28.9 points) showed no significant difference compared with U-75 group (31.3 points) . In terms of cuff integrity, re-tear rate in O-75 group was 40% (4 of 10) , compared to 15.4% ( 7 of 57) in U-75 group without statistic difference, however, a high rate of re-tear in O-75 group was observed.<BR><B>Conclusion:</B> Although the clinical outcome of ARCR for elderly over 75 was somewhat comparable to the under 75s, we should pay attention to the high re-tear rate in the elderly patients.
- 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