Abstract:
PURPOSE:The aim of the present study was to evaluate functional and quality of life outcomes after transosseous equivalent (TOE) double row suture technique for massive rotator cuff (RTC) tear repair using validated subjective and objective measures. This technique has shown promising preliminary results in RTC repair; however, a paucity of evidence regarding these outcomes in massive RTC (MRTC) tear repair exists. METHODS:Patients were identified using the Hospital Inpatient Enquiry Scheme. Pre-operative MRI and medical records were reviewed. A massive RTC tear was defined as the detachment of two or more tendons from their point of insertion on the humeral head. The Constant and Oxford Shoulder Scores (OSS) and SF-12 questionnaire were used for evaluation. RESULTS:Twenty-two patients were studied (72.7 % male; mean age at surgery, 62.6 years). Mean follow up was 14 (range six to 30) months. At six weeks postoperatively, 68 % achieved good or excellent shoulder function as measured by the OSS and Constant score. The cohort's mean SF-12 physical and emotional scores were significantly lower (p = 0.0002 and 0.037) and the vitality and mental health scores were higher (p = 0.005 and 0.006) than the reference norm scores. CONCLUSIONS:The TOE double row surgical repair for MRTC tears provides good to excellent functional outcomes and is associated with high vitality and mental health scores at a mean of 14 months. Physical and emotional scores were lower than reference norm. These results suggest this repair technique is appropriate for massive rotator cuff tears, and future randomised control studies are warranted.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Connelly TM,Shaw A,O'Grady Pdoi
10.1007/s00264-015-2720-zsubject
Has Abstractpub_date
2015-06-01 00:00:00pages
1109-14issue
6eissn
0341-2695issn
1432-5195journal_volume
39pub_type
杂志文章abstract::Between 1971 and 1987, we treated 26 patients with congenital absence of the radius which had produced a club hand; 37 hands were affected. Treatment before the age of 8 months was by gentle manipulation and serial plasters. If a functional position was not obtained, and in patients over 8 months, surgical reduction w...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00194186
更新日期:1993-01-01 00:00:00
abstract::The concentrations of cobalt and chromium have been measured in the urine of 22 patients who had received uncemented hip prostheses made from cobalt, chromium and molybdenum alloy, and in 21 patients who had not received prostheses, using absorption spectrophotometry. The results were statistically analysed using the ...
journal_title:International orthopaedics
pub_type: 杂志文章
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journal_title:International orthopaedics
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journal_title:International orthopaedics
pub_type: 杂志文章
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pub_type: 杂志文章,评审
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journal_title:International orthopaedics
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更新日期:2012-04-01 00:00:00
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更新日期:2016-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:2012-02-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:1991-01-01 00:00:00
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journal_title:International orthopaedics
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pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/s00264-002-0389-6
更新日期:2002-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2004-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:2009-04-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:1998-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2005-06-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2018-12-01 00:00:00
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更新日期:2015-08-01 00:00:00
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journal_title:International orthopaedics
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2009-12-01 00:00:00
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journal_title:International orthopaedics
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journal_title:International orthopaedics
pub_type: 杂志文章
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journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
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更新日期:2011-11-01 00:00:00