Avaliação dos resultados da artroplastia parcial de ombro para tratamento da artropatia por lesão do manguito rotador

Checchia, Sérgio Luiz; Santos, Pedro Doneux; Miyazaki, Alberto Naoki; Fregoneze, Marcelo; Silva, Luciana Andrade da; Leite, Flávio Santos Ferreira; Zamboni, Caio

doi:10.1590/s0102-36162008000600004

Cited by 4 publications

(2 citation statements)

References 19 publications

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“…Checchia et al 33 followed up 11 patients who underwent hemiarthroplasty to treat arthropathy of the rotator cuff, for a mean of 69 months. They obtained a pain improvement rate of 81.8%, satisfactory results in 54% and a mean UCLA score of 22.7 points.…”

Section: Discussionmentioning

confidence: 99%

Low-term results from non-conventional partial arthroplasty for treating rotator cuff arthroplasthy

Júnior

Lima

Vasconcelos

et al. 2015

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveTo evaluate the evolution of the functional results from CTA® hemiarthroplasty for surgically treating degenerative arthroplathy of the rotator cuff, with a mean follow-up of 5.4 years.MethodsEighteen patients who underwent CTA® partial arthroplasty to treat degenerative arthroplathy of the rotator cuff between April 2007 and June 2009 were reevaluated, with minimum and mean follow-ups of 4.6 years and 5.4 years, respectively. Pre and postoperative parameters for functionality and patient satisfaction were used (functional scale of the University of California in Los Angeles, UCLA). All the patients underwent prior conservative treatment for 6 months and underwent surgical treatment because of the absence of satisfactory results. Patients were excluded if they presented any of the following: previous shoulder surgery; pseudoparalysis; insufficiency of the coracoacromial arch (type 2 B in Seebauer's classification); neurological lesions; or insufficiency of the deltoid muscle and the subscapularis muscle.ResultsWith a mean follow-up of 5.4 years, 14 patients considered that they were satisfied with the surgery (78%); the mean range of joint motion for active elevation improved from 55.8° before the operation to 82.0° after the operation; the mean external rotation improved from 18.9° before the operation to 27.3° after the operation; and the mean medial rotation remained at the level of the third lumbar vertebra. The mean UCLA score after the mean follow-up of 5.4 years was 23.94 and this was an improvement in comparison with the preoperative mean and the mean 1 year after the operation.ConclusionThe functional results from CTA® hemiarthroplasty for treating rotator cuff arthroplasty in selected patients remained satisfactory after a mean follow-up of 5.4 years.

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Section: Discussionmentioning

confidence: 99%

Low-term results from non-conventional partial arthroplasty for treating rotator cuff arthroplasthy

Júnior

Lima

Vasconcelos

et al. 2015

Revista Brasileira de Ortopedia (English Edition)

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“… 1 The supraspinatus muscle is responsible for the first 10° to 15° of shoulder elevation range of motion and, together with the infraspinatus, teres minor and subscapularis muscles, opposes the force of the deltoid muscle, which tends to move the humeral head upwards during elevation movements. 2 , 3 Rotator cuff injuries may lead to loss of these functions and consequently to chronic pain, weakness and functional incapacity. 4…”

Section: Introductionmentioning

confidence: 99%

Functional evaluation of arthroscopic repair of rotator cuff injuries in patients with pseudoparalysis

Miyazaki

Fregoneze

Santos

et al. 2014

Revista Brasileira de Ortopedia (English Edition)

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Objectiveto evaluate the functional result from arthroscopic repair of rotator cuff injuries in patients with pseudoparalysis, defined as incapacity to actively raise the arm above 90°, while complete passive elevation was possible.Methodswe reevaluated 38 patients with a mean follow-up of 51 months (minimum of 24). We analyzed the pseudoparalysis reversion rate and the functional result obtained.Resultsaccording to the assessment criteria of the University of California in Los Angeles (UCLA), 31 (82%) patients had good and excellent results, two (5%) had fair results and five (13%) had poor results. The mean active elevation went from 39° before the operation to 139° after the operation (p < 0.05); the mean active lateral rotation went from 30° to 48° (p < 0.05) and the mean active medial rotation went from level L3 to T12 (p < 0.05).Conclusionarthroscopic repair of rotator cuff injuries produced good and excellent results in 82% of the cases and a statistically significant improvement of active range of motion, with reversion of the pseudoparalysis in 97.4% of the cases. It is therefore a good treatment option.

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Avaliação funcional do reparo artroscópico da lesão do manguito rotador em pacientes com pseudoparalisia

Miyazaki

Fregoneze

Santos

et al. 2014

Revista Brasileira de Ortopedia

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Avaliação dos resultados da artroplastia parcial de ombro para tratamento da artropatia por lesão do manguito rotador

Cited by 4 publications

References 19 publications

Low-term results from non-conventional partial arthroplasty for treating rotator cuff arthroplasthy

Low-term results from non-conventional partial arthroplasty for treating rotator cuff arthroplasthy

Functional evaluation of arthroscopic repair of rotator cuff injuries in patients with pseudoparalysis

Avaliação funcional do reparo artroscópico da lesão do manguito rotador em pacientes com pseudoparalisia

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