Lesões extensas do manguito rotador: avaliação dos resultados do reparo artroscópico

Miyazaki, Alberto Naoki; Fregoneze, Marcelo; Santos, Pedro Doneux; Silva, Luciana Andrade; Ortiz, Eduardo L.; Checchia, Sérgio Luiz

doi:10.1590/s0102-36162009000200010

Cited by 12 publications

(10 citation statements)

References 17 publications

(33 reference statements)

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“…In 2009, we published a series of 61 cases of extensive rotator cuff injuries with a mean follow-up of 36 months and found that 89% of the results were good or excellent, according to the UCLA method. 14 , 18 …”

Section: Discussionmentioning

confidence: 99%

“…In August 2006, our institution's shoulder and elbow surgery group evaluated the results from treating 61 patients with extensive rotator cuff injuries who had undergone operations using an arthroscopic technique. 14 From that group, the patients whose results were good or excellent were selected in order to assess whether these results were maintained 8 years later. Therefore, the inclusion criteria were that the patients needed to have presented extensive rotator cuff injuries that were treated arthroscopically and were included in the previous study, and that the results obtained were good or excellent according to the UCLA criteria.…”

Section: Sample and Methodsmentioning

confidence: 99%

“… 9 , 10 , 11 , 12 Despite the high rerupture rate, 13 arthroscopic repair of extensive rotator cuff injuries leads to good functional results with a high satisfaction rate. 14 , 15 , 16 …”

Section: Introductionmentioning

confidence: 99%

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Are the good functional results from arthroscopic repair of massive rotator cuff injuries maintained over the long term?

Miyazaki

Santos

Silva

et al. 2016

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveTo evaluate whether the good and excellent functional results from arthroscopic repair of massive rotator cuff tears are maintained over the long term.MethodsFrom the sample of the study conducted by our group in 2006, in which we evaluated the functional results from arthroscopic repair of massive rotator cuff tears, 35 patients were reassessed, 8 years after the first evaluation. The inclusion criteria were that these patients with massive rotator cuff tears operated by means of an arthroscopic technique, who participated in the previous study and achieved good or excellent outcomes according to the UCLA criteria. Patients whose results were not good or excellent in the first evaluation according to the UCLA criteria were excluded.ResultsAmong the 35 patients reassessed, 91% of them continued to present good and excellent results (40% excellent and 51% good), while 3% presented fair results and 6% poor results. The time interval between the first and second evaluations was 8 years and the minimum length of follow-up since the immediate postoperative period was 9 years (range: 9–17 years), with an average of 11.4 years.ConclusionThe good and excellent results from arthroscopic repair of massive rotator cuff tears were mostly maintained (91%), with the same level of function and satisfaction, even though 8 years had passed since the first assessment, with a follow-up period averaging 11.4 years.

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Section: Discussionmentioning

confidence: 99%

Section: Sample and Methodsmentioning

confidence: 99%

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Are the good functional results from arthroscopic repair of massive rotator cuff injuries maintained over the long term?

Miyazaki

Santos

Silva

et al. 2016

Revista Brasileira de Ortopedia (English Edition)

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“…Other studies have shown high failure rates in tendon repair of approximately 27.8% [25]. The same authors carried out another study [26] that showed positive results for 11 of the 12 patients who were submitted to rotator cuff repair. However, in that study not all patients initially presented with total tear of the rotator cuff.…”

Section: Discussionmentioning

confidence: 92%

Influence on Functional Recovery of Mononuclear Cell Transplantation in Rotator Cuff Repair: A Preliminary Report

Ritzel¹

2014

J Cell Sci Ther

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Rotator cuff tears occur mainly due to overload of the tendons, which leads to a progressive degenerative process and to rotator cuff tears. Surgical treatment is indicated in more advanced stages of the lesion. Retear affects approximately 35% of patients. The goal of the present study was to investigate the effect of mononuclear cell transplantation in rotator cuff repairs in relation to patient functional recovery. Thirty patients with rotator cuff tear were divided into two groups and submitted to rotator cuff repair. In addition to the surgical procedure, the experimental group was submitted to transplantation of mononuclear bone marrow cells. One to two years post-op, both groups were submitted to evaluation of pain, amplitude of movement, retears, and isokinetic evaluation of flexion-extension movements, external and internal rotations, and abduction and adduction of the shoulder. The operated shoulder was compared to the healthy shoulder. Mann-Whitney test was used to evaluate the percentage improvement of the operated shoulder in relation to the healthy shoulder. SPSS (13.0) was used for statistical analyses; the level of significance was p<0.05. The control and the experimental groups presented near-normal values for the variables analyzed in the comparison between shoulders. However, the experimental group showed better results than the control group. Functional recovery of patients submitted to repair with mononuclear cell transplantation was different than that of controls: the incidence of retear was lower in the experimental group; also, the muscle torque and balance values were closer to the healthy shoulder values for the experimental group than the controls.

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“…The size and number of tendon involved vary (1)(2)(3)(6)(7)(8)(9) and the clinical conditions also vary greatly, going from asymptomatic patients without any limitations to intensely painful conditions and significant functional impairment (1,2,8) . Rotator cuff injuries are the most important cause of shoulder pain in adults (10) .…”

Section: Abstract -Rotator Cuff/injuries; Shoulder; Arthroscopy; Prosmentioning

confidence: 99%

Estudo prospectivo e comparativo dos resultados funcionais após reparo aberto e artroscópico das lesões do manguito rotador

Veado¹,

Castilho²,

Maia³

et al. 2011

Rev. bras. ortop.

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Objective: To prospectively assess the surgical results from patients undergoing repairs to rotator cuff injuries via open and arthroscopic procedures, with regard to functional and clinical features, and by means of ultrasound examinations, and to compare occurrences of renewed tearing. Methods: Sixty patients underwent operations performed by the same surgeon (29 via open surgery and 31 via arthroscopy), to repair complete rotator cuff tears. The procedures were performed at Hospital Governor Israel Pinheiro (HGIP) and Mater Dei Hospital in Belo Horizonte, Minas Gerais, between August 2007 and February 2009. The patients were assessed functionally by means of the UCLA score before and after the operation, and magnetic resonance imaging was done before the operation. All the patients were reassessed at least 12 months after the operation, and an ultrasound examination was also performed at this

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Lesões extensas do manguito rotador: avaliação dos resultados do reparo artroscópico

Cited by 12 publications

References 17 publications

Are the good functional results from arthroscopic repair of massive rotator cuff injuries maintained over the long term?

Are the good functional results from arthroscopic repair of massive rotator cuff injuries maintained over the long term?

Influence on Functional Recovery of Mononuclear Cell Transplantation in Rotator Cuff Repair: A Preliminary Report

Estudo prospectivo e comparativo dos resultados funcionais após reparo aberto e artroscópico das lesões do manguito rotador

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