ノットレスアンカーを用いた鏡視下腱板縫合術の短期成績

  • 伊藤 陽一
    Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine
  • 鞆 浩康
    Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine
  • 中尾 佳裕
    Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine
  • 原 庸
    Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine
  • 松本 一伸
    Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine
  • 高岡 邦夫
    Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine

書誌事項

タイトル別名
  • Short-term Results of Arthroscopic Rotator Cuff Repair with Knotless Anchors

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説明

The purpose of this study was to report on the minimum 6 month-results of arthroscopic repair of rotator cuff tears with Knotless anchors. Thirty-three shoulders arthroscopically treated with Knotless anchors were retrospectively evaluated. The average follow-up was 10.2 months, with a minimum of 6 months. This study group included 7 small tears (<1cm),21 medium-size tears (1 to 3 cm),4 large tears (3 to 5 cm) and 1 massive tear (> 5cm). Anchors were the primary method of arthroscopic fixation, with an average of 2.0 anchors per case. Additional side to side sutures were performed in 7 cases. The clinical results were evaluated using a Japanese Orthopaedic Association (JOA score), shoulder scoring system. Radiographic evaluation revealed early failures of Knotless anchors were pulled out in three cases at 4 weeks postoperatively. The JOA scores of the group without three failure cases increased from a preoperative average of 61.7 to a postoperative average of 82.3 at 3 months and 91.3 at 6 months respectively (P <0.05). Patients treated with arthroscopic rotator cuff repair with Knotless anchors showed excellent short-term clinical outcomes minimum 6 months after surgery. However, patients' selection was crucial to decrease the number of early Knotless anchor failures.

収録刊行物

  • Katakansetsu

    Katakansetsu 29 (2), 315-318, 2005

    Japan Shoulder Society

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