期刊
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
卷 14, 期 4, 页码 360-364出版社
SPRINGER
DOI: 10.1007/s00167-005-0689-7
关键词
rotator cuff; shoulder joint; surgical mesh; implants; arthroplasty
In the present prospective study, we report about our experience with massive rotator cuff tears treated by means of a nonresorbable transosseously fixated patch combined with subacromial decompression. Forty-one patients were followed clinically and radiographically for a mean duration of 43 months. Their mean preoperative Constant and Murley score improved (P < 0.001) from 25.7 preoperatively to 72.1 postoperatively. Substantial pain relief and improvement in the performance of activities of daily living were obtained. Anatomically, the repair resulted in a mean acromiohumeral interval of 8.6 mm. At the latest follow-up, three patients presented with a new tear between the inserted mesh and the supraspinatus musculotendinous unit. Reoperations were not performed. For short-term periods, restoring a massive rotator cuff tendon defect with synthetic grafts combined with subacromial decompression can give significant pain relief and improvement of range of motion and strength with few complications.
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