アンカーを用いない鏡視下腱板修復術の治療経験

DOI 被引用文献5件

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タイトル別名
  • Arthroscopic Rotator Cuff Repair without Anchor

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説明

Arthroscopic rotator cuff repair (ARCR) is becoming the 1st choice. However, if you use an anchor, the material cost becomes expensive. The marrow of the greater tubercle (GT) can not be sufficiently exposed to prevent removal of anchors and it is a disadvantage for rotator cuff (RC) healing. We reported our method of ARCR without anchor. 13 shoulders with a postoperative period of more than 6 months were reviewed. The average age was 61.2 years old. The operation was performed in the lateral decubitus position. Arthroscopic acromion plasty was performed. Several perforated K-wires were inserted per distal of GT into the optimum part of the foot print. K-wires penetrated the RC and skin after towing the torn RC to the foot print. No.2 ethibond was passed through the RC and GT by pulling out K-wires in the direction of distal of GT again after passing this ethibond into the hole of K-wire. Moreover, we made mattress sutures and bridging sutures after suture relay. The suture was tied on the distal of GT. The stitch when the thread did not slip was contrived. Active exercise was begun 1 month after operation. In all cases axillary nerve disorder was not seen. The average follow-up period was 9.0 months. The JOA score was improved from the preoperative average 75.9 points to the postoperative 95.0 points. Although there were few cases and this report was on short-term postoperative results, the result of this method is the same as a conventional McLaughlin's method and seemed useful.

収録刊行物

  • 肩関節

    肩関節 31 (2), 417-420, 2007

    日本肩関節学会

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