Massive rotator cuff tears: The result of partial rotator cuff repair
Massive rotator cuff tears: The result of partial rotator cuff repair
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DOI：
10.1016/j.jse.2004.06.015
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发表时间：
2005-03-01
影响因子：
3
通讯作者：
Bair, B
中科院分区：
文献类型：
--
作者：
Duralde, XA;Bair, B
巨大的肩袖撕裂往往与传统的修复技术背道而驰，并导致了各种治疗建议。我们回顾了24例肩袖巨大撕裂部分修复的结果。I级患者总体效果为优(465%)，良(21%)，可(7)(29%)，差(4%)。92%的患者对手术结果感到满意。疼痛缓解率达83%(P<；.001)。主动仰卧度从114度提高到154度，术后无一例失去力量。将手臂抬高至少135度的能力从术前的13例患者提高到术后的21例患者。本系列是对大量不可修复的肩袖撕裂的清创、肌腱转移和肌腱增强术进行比较的基础。
Massive rotator cuff tears often defy traditional repair techniques and have led to a variety of treatment recommendations. We reviewed retrospectively the results of partial repair of massive rotator cuff tears in 24 patients. Overall results were excellent in I I patients (465%), good in 5 (21%), fair in 7 (29%), and poor in 1 (4%). Ninety-two percent of patients were satisfied with the result of surgery. Satisfactory pain relief was achieved in 83% (P < .001). Active elevation improved from 114 degrees to 154 degrees, and no patient lost strength after surgery. The ability to raise the arm to at least 135 degrees improved from 13 patients preoperotively to 21 patients postoperatively. This series serves as a basis of comparison to debridement, tendon transfers, and tendon augmentation procedures for the treatment of massive irreparable rotator cuff tears.