• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Failed Dermal Allograft Procedures for Irreparable Rotator Cuff Tears Can Still Improve Pain and Function: The “Biologic Tuberoplasty Effect”
【24h】

Failed Dermal Allograft Procedures for Irreparable Rotator Cuff Tears Can Still Improve Pain and Function: The “Biologic Tuberoplasty Effect”

机译：无法修复的肩袖撕裂的皮肤同种异体移植程序仍然可以改善疼痛和功能：“生物结核成形术效果”

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background: Acellular dermal matrices (ADMs) have been used in the treatment of shoulders with massive rotator cuff tears (MRCTs). Despite clinical improvement, correlation of clinical findings with ADM integrity on imaging has not been investigated. Hypothesis: The pain in shoulders with MRCTs is partially due to bone-to-bone contact between the tuberosity and acromion. Coverage of the tuberosity with an intact graft or a graft that is torn in a way that the tuberosity remains covered will act as an interpositional tissue, preventing bone-to-bone contact and leading to clinical improvement. Study Design: Case series; Level of evidence, 4. Methods: Between 2006 and 2016, a total of 25 shoulders with MRCTs underwent a procedure with an ADM. Pre- and postoperative visual analog scale (VAS) results, American Shoulder and Elbow Surgeons (ASES) score, Hamada grade, and Goutallier classification were reviewed. A postoperative magnetic resonance imaging (MRI) was obtained in 22 (88%) shoulders. The status of the graft was divided into the following categories: type I, intact graft; type II, graft tear with tuberosity covered; and type III, graft tear with tuberosity uncovered (bare). Results: The mean patient age was 61 years (range, 49-73 years), and the mean follow-up was 25.6 months (range, 10-80 months). Mean length from surgery to postoperative MRI was 13.9 months (range, 6-80 months). The graft was torn in 59% (13/22 shoulders). Significant improvements were found in VAS and ASES scores (7 vs 0.7 and 32.6 vs 91.2, respectively; P & .01) for type I grafts and in VAS and ASES scores (8.1 vs 1.3 and 26.3 vs 84.6, respectively; P & .01) for type II grafts. No difference was found in postoperative VAS and ASES (0.7 vs 1.3 and 91.2 vs 84.6, respectively; P = .8) between type I and type II grafts. No improvement was seen in VAS (7.3 vs 5.7; P = .2) or ASES (30.6 vs 37.2; P = .5) for type III grafts. Conclusion: MRI appearance of the graft has a significant impact on functional outcomes. Patients with an intact graft or a graft tear leaving the tuberosity covered have lower pain and higher functional scores than those in whom the torn graft leaves the tuberosity uncovered.
机译：背景：脱细胞真皮基质（ADM）已用于治疗肩周炎（MRCT）严重肩周炎。尽管临床上有所改善，但尚未研究临床发现与成像上ADM完整性的相关性。假设：MRCT引起的肩部疼痛部分归因于结节和肩峰之间的骨骼接触。用完整的移植物或以保留结节的方式撕裂的移植物覆盖结节将充当中介组织，防止骨与骨接触并导致临床改善。研究设计：案例系列;证据等级：4。方法：在2006年至2016年之间，共有25例接受MRCT的患者接受了ADM手术。回顾了术前和术后视觉模拟量表（VAS）的结果，美国肩肘外科医师（ASES）评分，滨田等级和Goutallier分类。 22例（88％）肩部获得了术后磁共振成像（MRI）。移植物的状态分为以下几类：I型，完整移植物; II型，覆有结节的移植物撕裂;和类型III，裸露结节的植骨撕裂（裸露）。结果：平均患者年龄为61岁（范围49-73岁），平均随访时间为25.6个月（范围10-80个月）。从手术到术后MRI的平均长度为13.9个月（范围为6-80个月）。移植物撕裂了59％（13/22肩）。对于I型移植物，VAS和ASES评分（分别为7 vs 0.7和32.6 vs 91.2; P <.01）以及VAS和ASES评分（分别为8.1 vs 1.3和26.3 vs 84.6）有显着改善; P < .01）用于II型移植物。 I型和II型移植物的术后VAS和ASES无差异（分别为0.7 vs 1.3和91.2 vs 84.6; P = .8）。对于III型移植物，VAS（7.3 vs 5.7; P = .2）或ASES（30.6 vs 37.2; P = .5）没有发现改善。结论：移植物的MRI外观对功能结局有重要影响。与完整的移植物或移植物撕裂而覆盖结节的患者相比，那些被撕裂的移植物使结节未被覆盖的患者而言，其疼痛更低，功能评分更高。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号