Evaluation of the functional results after rotator cuff arthroscopic repair with the suture bridge technique

ABSTRACT OBJECTIVE: To evaluate the results of arthroscopic treatment of large and extensive rotator cuff injuries (RCI) that involved the supra and infraspinatus muscles using the suture bridge (SB) technique. METHODS: Between July 2010 and November 2014, 37 patients with RCI who were treated w...

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Main Authors: Alberto Naoki Miyazaki, Pedro Doneux Santos, Guilherme do Val Sella, Caio Santos Checchia, Thiago Roncoletta Salata, Sergio Luiz Checchia
Format: Article
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia
Series:Revista Brasileira de Ortopedia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000200164&lng=en&tlng=en
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author Alberto Naoki Miyazaki
Pedro Doneux Santos
Guilherme do Val Sella
Caio Santos Checchia
Thiago Roncoletta Salata
Sergio Luiz Checchia
author_facet Alberto Naoki Miyazaki
Pedro Doneux Santos
Guilherme do Val Sella
Caio Santos Checchia
Thiago Roncoletta Salata
Sergio Luiz Checchia
author_sort Alberto Naoki Miyazaki
collection DOAJ
description ABSTRACT OBJECTIVE: To evaluate the results of arthroscopic treatment of large and extensive rotator cuff injuries (RCI) that involved the supra and infraspinatus muscles using the suture bridge (SB) technique. METHODS: Between July 2010 and November 2014, 37 patients with RCI who were treated with SB technique were evaluated. The study included all patients with a minimum follow-up of 12 months who underwent primary surgery of the shoulder. Twenty-four patients were male and 13 were female. The mean age was 60 years (45-75). The dominant side was affected in 32 cases. The most common cause of injury was trauma (18 cases). The mean preoperative motion was 123°, 58°, T11. Through magnetic resonance imaging, 36 fatty degenerations were classified according to Goutallier. Patients underwent rotator cuff repair with SB technique, which consists of using a medial row anchor with two Corkscrew(r) fibertape(r) or fiberwire(r) at the articular margin, associated with lateral fixation without stitch using PushLocks(r) or SwiveLocks(r). RESULTS: The mean age was 60 years and mean fatty degeneration was 2.6. The mean range of motion (following the AAOS) in the postoperative evaluation was 148° of forward elevation, 55° in lateral rotation and medial rotation in T9. Using the criteria of the University of California at Los Angeles (UCLA), 35 (94%) patients had excellent and good results; one (2.7%), fair; and one (2.7%), poor. CONCLUSION: Arthroscopic repair of a large and extensive RCI using SB technique had good and excellent results in 94% of the patients.
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spelling doaj.art-7bf35d74ed5b4c2bae9c6a9da735828e2024-02-02T11:28:10ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-437852216416810.1016/j.rboe.2016.05.008S0102-36162017000200164Evaluation of the functional results after rotator cuff arthroscopic repair with the suture bridge techniqueAlberto Naoki MiyazakiPedro Doneux SantosGuilherme do Val SellaCaio Santos ChecchiaThiago Roncoletta SalataSergio Luiz ChecchiaABSTRACT OBJECTIVE: To evaluate the results of arthroscopic treatment of large and extensive rotator cuff injuries (RCI) that involved the supra and infraspinatus muscles using the suture bridge (SB) technique. METHODS: Between July 2010 and November 2014, 37 patients with RCI who were treated with SB technique were evaluated. The study included all patients with a minimum follow-up of 12 months who underwent primary surgery of the shoulder. Twenty-four patients were male and 13 were female. The mean age was 60 years (45-75). The dominant side was affected in 32 cases. The most common cause of injury was trauma (18 cases). The mean preoperative motion was 123°, 58°, T11. Through magnetic resonance imaging, 36 fatty degenerations were classified according to Goutallier. Patients underwent rotator cuff repair with SB technique, which consists of using a medial row anchor with two Corkscrew(r) fibertape(r) or fiberwire(r) at the articular margin, associated with lateral fixation without stitch using PushLocks(r) or SwiveLocks(r). RESULTS: The mean age was 60 years and mean fatty degeneration was 2.6. The mean range of motion (following the AAOS) in the postoperative evaluation was 148° of forward elevation, 55° in lateral rotation and medial rotation in T9. Using the criteria of the University of California at Los Angeles (UCLA), 35 (94%) patients had excellent and good results; one (2.7%), fair; and one (2.7%), poor. CONCLUSION: Arthroscopic repair of a large and extensive RCI using SB technique had good and excellent results in 94% of the patients.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000200164&lng=en&tlng=enManguito rotadorArtroscopiaSuturas
spellingShingle Alberto Naoki Miyazaki
Pedro Doneux Santos
Guilherme do Val Sella
Caio Santos Checchia
Thiago Roncoletta Salata
Sergio Luiz Checchia
Evaluation of the functional results after rotator cuff arthroscopic repair with the suture bridge technique
Revista Brasileira de Ortopedia
Manguito rotador
Artroscopia
Suturas
title Evaluation of the functional results after rotator cuff arthroscopic repair with the suture bridge technique
title_full Evaluation of the functional results after rotator cuff arthroscopic repair with the suture bridge technique
title_fullStr Evaluation of the functional results after rotator cuff arthroscopic repair with the suture bridge technique
title_full_unstemmed Evaluation of the functional results after rotator cuff arthroscopic repair with the suture bridge technique
title_short Evaluation of the functional results after rotator cuff arthroscopic repair with the suture bridge technique
title_sort evaluation of the functional results after rotator cuff arthroscopic repair with the suture bridge technique
topic Manguito rotador
Artroscopia
Suturas
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000200164&lng=en&tlng=en
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