Superior capsular reconstruction of irreparable rotator cuff tear using autologous hamstring graft
Autor: | O. Roda, A.P. Rosales-Varo, M. Zafra, M.A. Flores-Ruiz, M.A. García-Espona |
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Rok vydání: | 2019 |
Předmět: |
030222 orthopedics
medicine.medical_specialty medicine.diagnostic_test business.industry Shoulders Radiography Physical examination Mean age 030229 sport sciences behavioral disciplines and activities Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure medicine Tears Orthopedics and Sports Medicine Rotator cuff business Hamstring |
Zdroj: | Revista Española de Cirugía Ortopédica y Traumatología (English Edition). 63:1-6 |
ISSN: | 1988-8856 |
DOI: | 10.1016/j.recote.2018.12.006 |
Popis: | Objective The aim of this study was to investigate the clinical results and radiographic findings after superior capsular reconstruction (SCR) of postero-superior symptomatic irreparable rotator cuff tears (PSIRCT) using a new SCR technique using autologous hamstring graft. Material and methods From 2014 to 2016, 8 shoulders of 8 patients (mean age 59.6 years) with PSIRCT underwent SCR using autologous hamstring graft. Physical examination, X-ray and MRI were performed before the surgery and 12 months after it. A descriptive analysis was performed of the variables, and the non-parametric test of signs comparing the measurements taken before the operation and 12 months after it. Results We found an improvement in the Constant test from 49 before the SCR to 77.25 one year after the operation. The mean active flexion significantly increased from 99.3° to 142.5°. The mean preoperative AH distance increased from 5.25 (range from 3 to 7) before surgery to 8.18 (range from 6 to 10.5) after the SCR. There were no tears of the graft during follow-up. Conclusion SCR with a hamstring graft improves the function of the shoulder in PSIRCT, and is an alternative technique for treating these injuries without closing the door to other types of surgery. |
Databáze: | OpenAIRE |
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