Evaluation of the Functional Outcomes of Arthroscopic Surgical Treatment of Complete Rotator Cuff Lesion with Minimum Follow-up of 10 Years
| Autor: | Flávio Márcio Lago Santos, Ricardo Dantas Fonseca Júnior, André Couto Godinho, Paulo Victor Nunes Paz Silva, Francisco Pereira Donato Neto |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Shoulders shoulder Lesion 03 medical and health sciences 0302 clinical medicine evaluation studies artroscopia manguito rotador Medicine Orthopedics and Sports Medicine Rotator cuff In patient Surgical treatment arthroscopy Surgical repair 030222 orthopedics medicine.diagnostic_test business.industry ombro Arthroscopy 030229 sport sciences General Medicine rotator cuff estudos de avaliação Surgery medicine.anatomical_structure ruptura Tears rupture medicine.symptom business |
| Zdroj: | Revista Brasileira de Ortopedia, Volume: 55, Issue: 5, Pages: 579-584, Published: 02 DEC 2020 |
| Popis: | Objectives To analyze the functional outcomes in patients submitted to videoarthroscopic surgical treatment for compleat rotator cuff tears of the shoulder, with a minimum follow-up of 10 years. Methods A total of 63 patients (63 shoulders) underwent videoarthroscopic surgical repair for compleat rotator cuff tears with a minimum follow-up of 10 years. The postoperative functional outcomes of these patients were evaluated using the Constant and University of California at Los Angeles (UCLA) scores. Results The functional evaluation revealed mean UCLA and Constant scores of 26 and 93 points, respectively. Ninety-one percent of the subjects had satisfactory Constant scores, whereas 62% presented satisfactory UCLA scores. Conclusion The arthroscopic repair of rotator cuff complete tear was effective even in the long term (minimum follow-up period of 10 years). The age of the patients before surgery, size of the lesion, the degree of fatty infiltration, and evaluation of muscle trophism are important predictors of prognosis. Resumo Objetivo Analisar o resultado funcional dos pacientes submetidos ao tratamento cirúrgico videoartroscópico da ruptura completa do manguito rotador do ombro, com seguimento mínimo de 10 anos. Métodos Foram avaliados 63 pacientes (63 ombros) submetidos ao reparo cirúrgico videoartroscópico da ruptura completa do manguito rotador com seguimento mínimo de 10 anos. O resultado funcional no pós-operatório desses pacientes foi avaliado pelos escores de Constant e UCLA. Resultados Os valores médios foram de 26 pontos no escore UCLA e de 93 no escore de Constant. Para o escore de Constant, 91% foram considerados satisfatórios; e para o UCLA, 62% dos pacientes apresentaram escores satisfatórios. Conclusão O reparo artroscópico da ruptura completa do manguito rotador mostrou-se efetivo mesmo a longo prazo (seguimento mínimo de dez anos). A idade dos pacientes antes da cirurgia, o tamanho da lesão, o grau de infiltração gordurosa e a avaliação do trofismo muscular foram importantes preditores de prognóstico. |
| Databáze: | OpenAIRE |
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