지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.6
- 수록면
- 59 - 66 (8page)
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초록· 키워드
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Background: Massive, irreparable rotator cuff tears (RCTs) are a challenging clinical problem in young patients. In recent years, arthroscopic superior capsular reconstruction (ASCR) is a popular treatment in the massive, irreparable RCTs. However, studies reporting clinical results of ASCR are rare in the literature.
Methods: Between 2013 and 2015, six patients underwent ASCR. One patient treated with dermal allograft, while five patients with autogenous fascia lata graft. Demographic data, as well as preoperative and last follow-up clinical data including pain, range of motion (ROM), strength, American Shoulder and Elbow Surgeons system, the Constant system, the University of California at Los Angeles system, the Simple Shoulder Test, and the Shoulder Pain and Disability Index system were obtained. Acromiohumeral distances and Hamada classification were measured on standard anteroposterior x-ray.
Results: All patients were men, and the average age was 59.5 ± 4.18 years (range, 53–65 years).The minimum follow-up was 18 months with a mean follow-up was 27.33 ± 7.58 months (range, 18–36). All patients had postoperative improvement in pain scores and functional scores. The ROM and strength did not improve after surgery. The Hamada score progressed of radiographic stage in 2 patients. In the case of dermal allograft, there was graft failure 6 weeks after ASCR.
Conclusions: Our results support the ASCR as a viable treatment for surgical salvage in massive, irreparable RCTs. This treatment option may provide patients with decreased pain and increased function. And studying our case of dermal allograft failure provides opportunities to decrease graft failure in ASCR using dermal allograft.
Methods: Between 2013 and 2015, six patients underwent ASCR. One patient treated with dermal allograft, while five patients with autogenous fascia lata graft. Demographic data, as well as preoperative and last follow-up clinical data including pain, range of motion (ROM), strength, American Shoulder and Elbow Surgeons system, the Constant system, the University of California at Los Angeles system, the Simple Shoulder Test, and the Shoulder Pain and Disability Index system were obtained. Acromiohumeral distances and Hamada classification were measured on standard anteroposterior x-ray.
Results: All patients were men, and the average age was 59.5 ± 4.18 years (range, 53–65 years).The minimum follow-up was 18 months with a mean follow-up was 27.33 ± 7.58 months (range, 18–36). All patients had postoperative improvement in pain scores and functional scores. The ROM and strength did not improve after surgery. The Hamada score progressed of radiographic stage in 2 patients. In the case of dermal allograft, there was graft failure 6 weeks after ASCR.
Conclusions: Our results support the ASCR as a viable treatment for surgical salvage in massive, irreparable RCTs. This treatment option may provide patients with decreased pain and increased function. And studying our case of dermal allograft failure provides opportunities to decrease graft failure in ASCR using dermal allograft.
목차
Introduction
Methods
Results
Discussion
References
참고문헌 (27)
참고문헌 신청
[학술지(정기간행물)] - Rockwood CA Jr / 1995 / Debridement of degenerative, irreparable lesions of the rotator cuff / J Bone Joint Surg Am 77 (6) : 857 ~ 866
[학술지(정기간행물)] - Chen KH / 2017 / Arthroscopic partial repair of irreparable rotator cuff tears: factors related to greater degree of clinical improvement at 2 years of follow-up / Arthroscopy 33 (11) : 1949 ~ 1955
[학술지(정기간행물)] - Burkhart SS / 1994 / Partial repair of irreparable rotator cuff tears / Arthroscopy 10 (4) : 363 ~ 370
[학술지(정기간행물)] - Gerber C / 2013 / Latissimus dorsi tendon transfer for treatment of irreparable posterosuperior rotator cuff tears: long-term results at a minimum follow-up of ten years / J Bone Joint Surg Am 95 (21) : 1920 ~ 1926
[학술지(정기간행물)] - Grimberg J / 2015 / Arthroscopic-assisted latissimus dorsi tendon transfer for irreparable posterosuperior cuff tears / Arthroscopy 31 (4) : 599 ~ 607.e1
[학술지(정기간행물)] - Chen KH / 2017 / Arthroscopic partial repair of irreparable rotator cuff tears: factors related to greater degree of clinical improvement at 2 years of follow-up / Arthroscopy 33 (11) : 1949 ~ 1955
[학술지(정기간행물)] - Burkhart SS / 1994 / Partial repair of irreparable rotator cuff tears / Arthroscopy 10 (4) : 363 ~ 370
[학술지(정기간행물)] - Gerber C / 2013 / Latissimus dorsi tendon transfer for treatment of irreparable posterosuperior rotator cuff tears: long-term results at a minimum follow-up of ten years / J Bone Joint Surg Am 95 (21) : 1920 ~ 1926
[학술지(정기간행물)] - Grimberg J / 2015 / Arthroscopic-assisted latissimus dorsi tendon transfer for irreparable posterosuperior cuff tears / Arthroscopy 31 (4) : 599 ~ 607.e1
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