Outcome of single-tendon rotator cuff repair in patients aged older than 65 years
Autor: | Naeder Helmy, Ali Djahangiri, Andrea Cozzolino, Bernhard Jost, Marco Zanetti, Kaspar Rufibach, Christian Gerber |
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Přispěvatelé: | Djahangiri, Ali, Cozzolino, Andrea, Zanetti, Marco, Helmy, Naeder, Rufibach, Kaspar, Jost, Bernhard, Gerber, Christian, University of Zurich |
Rok vydání: | 2013 |
Předmět: |
Male
medicine.medical_specialty Shoulders 610 Medicine & health Asymptomatic Tendon Injurie Rotator Cuff Injuries Arthroscopy Rotator Cuff 2732 Orthopedics and Sports Medicine Tendon Injuries Humans Medicine Orthopedic Procedures Orthopedics and Sports Medicine In patient Rotator cuff Tendon healing Aged business.industry 10060 Epidemiology Biostatistics and Prevention Institute (EBPI) General Medicine musculoskeletal system 2746 Surgery Tendon Surgery Orthopedic Procedure Treatment Outcome medicine.anatomical_structure Cuff Tears 10046 Balgrist University Hospital Swiss Spinal Cord Injury Center Female medicine.symptom business Human |
Zdroj: | Journal of Shoulder and Elbow Surgery. 22:45-51 |
ISSN: | 1058-2746 |
DOI: | 10.1016/j.jse.2012.03.012 |
Popis: | Background: Rotator cuff repairs in patients aged older than 65 years are reported to have a high failure rate. Furthermore, asymptomatic cuff tearing is frequent in this age group, so the value of tendon repair has been questioned. Our aim was to review the results of cuff repair in these patients and to identify factors predicting outcome. Methods: In this study, 58 patients aged older than 65 years with reparable supraspinatus tears underwent primary open (22 patients) or arthroscopic (36 patients) repair. The leading symptom was pain despite nonoperative treatment for at least 6 months. Tendon healing was assessed on ultrasonography. Results: Forty-four shoulders could be reviewed at a mean follow-up of 57 months (range, 24-112 months). Tendon healing was complete in 31 shoulders (70%). The mean Constant score (CS) improved from 49 points (range, 5-74 points) preoperatively to 78 points (range, 23-100 points) at follow-up (P |
Databáze: | OpenAIRE |
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