Surgical Treatment for Massive Rotator Cuff Tears / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 305-311, 2005.
Artículo
en Coreano
| WPRIM
| ID: wpr-654064
ABSTRACT
PURPOSE:
To compare the results in patients with a complete repair, partial repair, and subacromial decompression and debridement of a massive rotator cuff tear. MATERIALS ANDMETHODS:
Twenty-eight cases, who underwent surgery for massive rotator cuff tears with a minimum follow-up of 2 years, were reviewed. Group A with a complete repair comprised of 16 cases, group B with partial repair comprised of 5, and group C with only debridement comprised of 7. The results were assessed using the UCLA shoulder rating scale.RESULTS:
The pain scores improved from 2.4 preoperatively to 8.5 points postoperatively in group A, 2.2 to 8.2 in group B, and 2.4 to 8 in group C. The active forward flexion improved from 86degrees to 149degrees in group A, 82degrees to 140degrees in group B, and 91degrees to 121degrees in group C. Overall, 13 cases (81%) from group A, 4 cases (80%) from group B, and 4 cases (57%) from group C had satisfactory results.CONCLUSION:
The patients, who failed to achieve a repair, and received debridement or subacromial decompression instead demonstrated pain relief with poor restoration of their function. However, there was a favorable outcome in the patients with a partial repair because the complete repair could not be done. In conclusion, where possible, it is better to repair massive rotator cuff tears surgically.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Hombro
/
Estudios de Seguimiento
/
Manguito de los Rotadores
/
Desbridamiento
/
Descompresión
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Coreano
Revista:
The Journal of the Korean Orthopaedic Association
Año:
2005
Tipo del documento:
Artículo
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