کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4075296 1267035 2009 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Long-term functional and structural outcome in patients with intact repairs 1 year after open transosseous rotator cuff repair
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
پیش نمایش صفحه اول مقاله
Long-term functional and structural outcome in patients with intact repairs 1 year after open transosseous rotator cuff repair
چکیده انگلیسی

HypothesisTendon-to-bone suture and a fatty degeneration index (FDI) ≤ 2 are required to achieve an intact cuff in the mid-term. Our primary objective was to determine the structural and functional long-term outcomes of repaired cuffs that were intact after one year.Materials and methodsWe studied 30 cuffs with FDI ≤ 2 at surgery and no tear one year after tension-free tendon-to-bone suture. Mean follow-up was 9 ± 0.8 years. Gross tendon-stump lesions were excised prior to repair.ResultsRe-tear after one year was rare: only one cuff showed a recurrent tear. In the 29 intact cuffs, mean un-weighted Constant score and sub-scores improved significantly (P values, < .0001- .0002; final Constant score = 77) for two years then remained stable. FDI values increased during the first year and then remained stable. Mild osteoarthritis was noted in one shoulder at last follow-up.ConclusionFinal functional outcomes correlated significantly to FDI at baseline and last follow-up. Tension free tendon-to-bone suture is effective functionally and structurally at nine years follow-up provided the FDI at surgery is ≤ 2 and the repair is intact after one year.Level of evidenceLevel 3; Retrospective cohort therapeutic study.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Shoulder and Elbow Surgery - Volume 18, Issue 4, July–August 2009, Pages 521–528
نویسندگان
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