RESUMO
In the present prospective study, we report about our experience with massive rotator cuff tears treated by means of a non-resorbable transosseously fixated patch combined with subacromial decompression. Forty-one patients were followed clinically and radiographically for a mean duration of 43 months. Their mean preoperative Constant and Murley score improved (P<0.001) from 25.7 preoperatively to 72.1 postoperatively. Substantial pain relief and improvement in the performance of activities of daily living were obtained. Anatomically, the repair resulted in a mean acromiohumeral interval of 8.6 mm. At the latest follow-up, three patients presented with a new tear between the inserted mesh and the supraspinatus musculotendinous unit. Reoperations were not performed. For short-term periods, restoring a massive rotator cuff tendon defect with synthetic grafts combined with subacromial decompression can give significant pain relief and improvement of range of motion and strength with few complications.
Assuntos
Polietilenotereftalatos , Implantação de Prótese , Lesões do Manguito Rotador , Telas Cirúrgicas , Acrômio/patologia , Acrômio/cirurgia , Atividades Cotidianas , Idoso , Idoso de 80 Anos ou mais , Descompressão Cirúrgica , Feminino , Seguimentos , Humanos , Úmero/patologia , Masculino , Pessoa de Meia-Idade , Contração Muscular/fisiologia , Medição da Dor , Estudos Prospectivos , Amplitude de Movimento Articular/fisiologia , Manguito Rotador/cirurgia , Articulação do Ombro/fisiopatologiaRESUMO
Chyluria is due to the passage of chyle into the urine giving it a typical milky appearance. Although rarely seen in our countries it is well-known in areas where infections with Wuchereria bancrofti are endemic. Chyluria can also have non-parasitic causes of which only a few cases have been described. We briefly discuss etiologies and pathogenesis of chyluria and present a case of non-parasitic chyluria successfully treated by surgery. A short and critical review of the different treatment modalities is made.
