Partial arthroscopic of massive rotator cuff tears in elder patients

doi:10.3969/j.issn.1006-7795.2016.06.020

Journal of Capital Medical University ›› 2016, Vol. 37 ›› Issue (6): 821-825.doi: 10.3969/j.issn.1006-7795.2016.06.020

Partial arthroscopic of massive rotator cuff tears in elder patients

Gao Qingfeng¹, Cheng Xue¹, Ma Zhensheng¹, Zhang Lei¹, Sun Xin¹, Ma Chao¹, Liu Zhikui¹, Yang Mengqi¹, Liu Zihong¹, He Yaohua²

1. Department of Orthopaedic, KaiLuan General Hospital, Tangshan 063000, Hebei Province, China;
2. Department of Orthopaedics, the Sixth People's Hospital Affiliated to Shanghai JiaoTong University, ShangHai 200233, China

Received:2016-06-18 Online:2016-12-21 Published:2016-12-16
Supported by:
This study was supported by Key Project of Medical Science Research of Hebei Province(20160748).

Abstract

Abstract: Objective The purpose of this study is to evaluate the technique and review the clinical effectiveness of partial arthroscopic repair of massive rotator cuff tears in elder patients. Methods Between January 2012 and June2014, 58 patients (27 men,31women) with a mean age of 57.5 years were undergone arthroscopic repair of massive rotator cuff tears. Patients were on the left side in 11 cases, and on the right side in 47 cases. All patients were evaluated from preoperatively to the final follow-up time using American Shoulder and Elbow Surgeons(ASES)score, Constant-Murley score, University of California,Los Angeles(UCLA)score of shoulder pain, active range of motion, active forward flexion and abduction strength. Then all data were analyzed statistically. Results All patients were operated successfully and got good healing and followed up at a mean time of 23.2 months (range from 18 months to 26 months). Before surgery ASES scores,constant scores,UCLA scores is 8.2±1.4,37.1±7.2,8.7±2.5, respectively. After surgery the scores are 28.5±4.5, 84.6±4.7, 28.4±4.5, respectively.The last follow-up compared with preoperative difference was statistically significant (P<0.05).Conclusion The therapeutic effect of arthroscopic repair of massive rotator cuff tears in elder patients showed satisfactory. And a good function of shoulder joint can be obtained.

Key words: massive rotator cuff tears, shoulder joint, arthroscopic, partial rotator cuff repair, the mechanobiologic balance

CLC Number:

R684

Gao Qingfeng, Cheng Xue, Ma Zhensheng, Zhang Lei, Sun Xin, Ma Chao, Liu Zhikui, Yang Mengqi, Liu Zihong, He Yaohua. Partial arthroscopic of massive rotator cuff tears in elder patients[J]. Journal of Capital Medical University, 2016, 37(6): 821-825.

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References

[1] Henry P, Wasserstein D, Park S, et al. Arthroscopic repair for chronic massive rotator cuff tears: a systematic review[J]. Arthroscopy,2015,31(12):2472-2480.
[2] Proctor C S. Long-term successful arthroscopic repair of large and massive rotator cuff tears with a functional and degradable reinforcement device[J]. J Shoulder Elbow Surg,2014,23(10):1508-1513.
[3] Ji J H, Shafi M, Jeong J J, et al. Arthroscopic repair of large and massive rotator cuff tears using the biceps-incorporating technique: mid-term clinical and anatomical results[J]. Eur J Orthop Surg Traumatol,2014,24(8):1367-1374.
[4] Galatz L M, Ball C M, Teefey S A, et al. The outcome and repair integrity of completely arthroscopically repaired large and massive rotator cuff tears[J]. J Bone Joint Surg Am,2004,86-A(2):219-224.
[5] Miyazaki A N, Santos P D, Da Silva L A, et al. Are the good functional results from arthroscopic repair of massive rotator cuff injuries maintained over the long term?[J]. Rev Bras Ortop,2016,51(1):40-44.
[6] Kim S J, Kim S H, Lee S K, et al. Arthroscopic repair of massive contracted rotator cuff tears: aggressive release with anterior and posterior interval slides do not improve cuff healing and integrity[J]. J Bone Joint Surg Am,2013,95(16):1482-1488.
[7] Mazzocca A D, Bollier M, Fehsenfeld D, et al. Biomechanical evaluation of margin convergence[J]. Arthroscopy,2011,27(3):330-338.
[8] Kim S J, Lee I S, Kim S H, et al. Arthroscopic partial repair of irreparable large to massive rotator cuff tears[J]. Arthroscopy,2012,28(6):761-768.
[9] Mori D, Funakoshi N, Yamashita F. Arthroscopic surgery of irreparable large or massive rotator cuff tears with low-grade fatty degeneration of the infraspinatus: patch autograft procedure versus partial repair procedure[J]. Arthroscopy,2013,29(12):1911-1921.
[10] Burkhart S S. The principle of margin convergence in rotator cuff repair as a means of strain reduction at the tear margin[J]. Ann Biomed Eng,2004,32(1):166-170.
[11] Nguyen M L, Quigley R J, Galle S E, et al. Margin convergence anchorage to bone for reconstruction of the anterior attachment of the rotator cable[J]. Arthroscopy,2012,28(9):1237-1245.
[12] Burkhart S S, Athanasiou K A, Wirth M A. Margin convergence: a method of reducing strain in massive rotator cuff tears[J]. Arthroscopy,1996,12(3):335-338.
[13] Kim K C, Shin H D, Cha S M, et al. Repair integrity and functional outcomes for arthroscopic margin convergence of rotator cuff tears[J]. J Bone Joint Surg Am,2013,95(6):536-541.
[14] Carbonel I, Martinez A A, Aldea E, et al. Outcome and structural integrity of rotator cuff after arthroscopic treatment of large and massive tears with double row technique: a 2-year followup[J]. Adv Orthop,2013,2013:914148.
[15] 苏江华, 张鹏,秦星. 肩撞击综合征疼痛特点临床研究[J]. 临床误诊误治,2014,27(8):78-81.
[16] Shon M S, Koh K H, Lim T K, et al. Arthroscopic partial repair of irreparable rotator cuff tears: preoperative factors associated with outcome deterioration over 2 years[J]. Am J Sports Med,2015,43(8):1965-1975.
[17] Park J G, Cho N S, Song J H, et al. Long-term outcome of tuberoplasty for irreparable massive rotator cuff tears: is tuberoplasty really applicable?[J]. J Shoulder Elbow Surg,2016,25(2):224-231.
[18] Jones C R, Snyder S J. Massive irreparable rotator cuff tears: a solution that bridges the gap[J]. Sports Med Arthrosc,2015,23(3):130-138.
[19] Varvitsiotis D, Papaspiliopoulos A, Antipa E, et al. Results of reconstruction of massive irreparable rotator cuff tears using a fascia lata allograft[J]. Indian J Orthop,2015,49(3):304-311.

Partial arthroscopic of massive rotator cuff tears in elder patients

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