Repair integrity and clinical outcome after arthroscopic rotator cuff repair using single-row anchor fixation: A prospective study of single-tendon and two-tendon tears
| Autor: | Derek G. Kroll, Cindy Tait, Cynthia Pham, Joseph P. Hasapes, Allen A. Deutsch, R. Scott Staewen |
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| Rok vydání: | 2008 |
| Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty Shoulders Elbow Rotator Cuff Injuries Arthroscopy Rotator Cuff medicine Humans Orthopedics and Sports Medicine Rotator cuff Prospective Studies Prospective cohort study Aged Rupture medicine.diagnostic_test business.industry Suture Techniques Magnetic resonance imaging General Medicine Middle Aged musculoskeletal system Magnetic Resonance Imaging Surgery Tendon Treatment Outcome medicine.anatomical_structure Tears Female business |
| Zdroj: | Journal of Shoulder and Elbow Surgery. 17:845-852 |
| ISSN: | 1058-2746 |
| DOI: | 10.1016/j.jse.2008.04.004 |
| Popis: | This prospective study determined whether single-row anchor fixation would reliably improve clinical outcome and maintain structural integrity after arthroscopic repair of single-tendon and 2-tendon rotator cuff tears. In 39 patients, 21 shoulders had single-tendon tears and 18 had 2-tendon tears. Mean follow-up was 38 months (minimum, 24 months). A standardized assessment was done preoperatively and postoperatively at yearly intervals. Postoperative magnetic resonance imaging (MRI) was performed at a minimum 1-year follow-up. Mean forward elevation, pain, satisfaction, and American Shoulder and Elbow Surgeons scores significantly improved for both groups (P.01). Postoperative MRI examinations showed 19 cuffs (90%) were intact for single-tendon tears and 15 (83%) were intact for 2-tendon tears. A recurrent tear on postoperative MRI was significantly correlated with the intraoperative finding of asymmetric retraction. Arthroscopic rotator cuff repair using single-row anchor fixation resulted in significant improvements in clinical outcome and reliable repair integrity for both single-tendon and 2-tendon tears. |
| Databáze: | OpenAIRE |
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