Tendon‐to‐bone healing after repairing full‐thickness rotator cuff tear with a triple‐loaded single‐row method in young patients
Autor: | Min Wang, Tao Wang, He-Bei He, Xiao-Min Chao, Yue Meng, Cheng-Long Pan, Jian Feng Ou-Yang, Min-Cong Wang, Chun Yang Yang, Hui-Feng Zhu, Yong Hu |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Adult
Male Bone marrow vents medicine.medical_specialty lcsh:Diseases of the musculoskeletal system Sports medicine Visual analogue scale Shoulders Rotator cuff tear Rotator Cuff Injuries Tendons Arthroscopic repair Arthroscopy Rotator Cuff 03 medical and health sciences 0302 clinical medicine Rheumatology Single‐row medicine Humans Regeneration Orthopedics and Sports Medicine Rotator cuff 030222 orthopedics business.industry Retrospective cohort study 030229 sport sciences Middle Aged Magnetic Resonance Imaging Tendon Surgery Treatment Outcome medicine.anatomical_structure Orthopedic surgery Female lcsh:RC925-935 Range of motion business Research Article |
Zdroj: | BMC Musculoskeletal Disorders, Vol 22, Iss 1, Pp 1-9 (2021) BMC Musculoskeletal Disorders |
ISSN: | 1471-2474 |
Popis: | Background Arthroscopic repair is recommended for young patients with full-thickness rotator cuff tears (RCTs), but the healing rates have raised concerns. The Southern California Orthopedic Institute (SCOI) row method has been developed based on greater than 3 decades of experience with excellent clinical outcomes; however, studies with a focus on the younger patient population are limited in number. The current study assessed the short-term clinical outcome and the initial tendon-to-bone healing in a young cohort after repair of a full-thickness RCT using the SCOI row method. Methods A retrospective cohort study was performed. Patients Results Eighty-nine patients (57 males and 32 females) with a mean age of 44.1 ± 8.6 years who met the criteria were included in the study. Compared with baseline, clinical outcomes were significantly improved 3 and 6 months postoperatively based on improvement in the VAS, UCLA score, and Constant-Murley score, as well as range of motion. Greater improvement was also noted at the 6-month postoperative assessment compared to the 3-month postoperative assessment. Three- and six-month postoperative MRIs demonstrated intact repairs in all shoulders and footprint regeneration, which supported satisfactory tendon-to-bone healing. The mean thickness of regeneration tissue was 7.35 ± 0.76 and 7.75 ± 0.79 mm as measured from the 3- and 6-month MRI (P = 0.002). The total satisfactory rate was 93.3 %. Conclusions Arthroscopic primary rotator cuff repair of a full-thickness RCT using the SCOI row method in patients |
Databáze: | OpenAIRE |
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