ABSTRACT
To evaluate the results of deltoid flap for the treatment of massive rotator cuff tears. This retrospective study included 20 shoulders in 20 patients with a painful massive, irreparable rotator cuff tears. The average patient age was 54 years, They were all treated with acromioplasty and a deltoid flap according to Augereau technique. Follow-up averaged 6 years 3 months [range 18 months - 11 years 4 months]. Clinical and radiologic evaluations were done before and after surgery. Function was evaluated according to Constant's score. The Constant's score increased from 24.6/100 to 54.45/100. Eighty five per cent of patients were satisfied. Results on pain were good, with an average of Constant's score of 11/15. However, improvement strength or motion was not significative, with an average of 7.1/25 and 228/40 respectively. This study concludes that, this technique is a simple surgical procedure and their results on pain were good. Therefore, we concider it is an excellent indication for the treatment of massive rotator cuff tears in adults after medical treatment failure
Subject(s)
Humans , Male , Female , Rotator Cuff/surgery , Retrospective Studies , Shoulder/surgery , Surgical Flaps , Muscle, Skeletal/surgeryABSTRACT
This retrospective review covers 24 cases of elbow stiffness treated by arthrolysis. The average age was 24.5 years. Fifty nine per cent had a head trauma and stayed in resuscitation. In 70.8% the range of motion was reduced on flexion; 58.3% were severe to very severe cases. For 58% the range of movement was -30 extension up to 130