A case series of recurrent myotendinous rotator cuff tears repaired and augmented with dermal allograft: clinical outcomes at two years
| Autor: | Kristopher Danielson, Shawn Brandenburg, Thomas M Matelic, Teresa Hall |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Visual analogue scale Elbow Rotator Cuff Injuries Rotator Cuff Patient satisfaction Recurrence Shoulder Pain medicine Humans Acellular Dermis Orthopedics and Sports Medicine Rotator cuff Range of Motion Articular Pain Measurement Retrospective Studies Ultrasonography medicine.diagnostic_test Shoulder Joint business.industry Ultrasound Arthroscopy General Medicine Middle Aged Allografts Surgery Treatment Outcome medicine.anatomical_structure Tears Female Range of motion business Follow-Up Studies |
| Zdroj: | Journal of Shoulder and Elbow Surgery. 29:2264-2271 |
| ISSN: | 1058-2746 |
| Popis: | Introduction When rotator cuff tears occur after a primary repair at the footprint, they often fail medially at the myotendinous junction, also called type II tears. These are difficult tears to treat, and little research has been published on how to address tears at the myotendinous junction and the clinical outcomes of the revised repairs. The purpose of this study is to evaluate the outcomes of type II rotator cuff tears repaired with a dermal allograft augmentation. Materials and methods We conducted a retrospective chart review of 9 patients with a type II rotator cuff tear medially at the myotendinous junction, arthroscopically repaired and augmented with acellular dermal allograft by a single surgeon. Two-year follow-up was obtained to evaluate pain, function, range of motion, and structural integrity of the repair via ultrasound. Results Of all 9 patients, the mean visual analog scale preoperatively was 5.1 (standard error, ±2.1). With 9 patients having 2-year follow-up, the mean visual analog scale score continued to improve to 1.9 (standard error, ±2.4). At 2 years, the mean American Shoulder and Elbow Surgeons based on 8 patients was 76.1, and the mean Short Form 36 for all 9 patients was 78.7. All 9 patients with 2-year follow-up had an intact repair on ultrasound read by a musculoskeletal fellowship-trained radiologist. Discussion Based on the early outcome data, patient satisfaction scores, and intact repairs visualized on ultrasound at 2 years postoperatively, the use of acellular human dermal matrix augmentation appears to be an efficacious and worthwhile treatment option for patients with recurrent rotator cuff tears at the medial myotendinous junction. |
| Databáze: | OpenAIRE |
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