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Revista Brasileira de Ortopedia

versão impressa ISSN 0102-3616versão On-line ISSN 1982-4378

Resumo

MIYAZAKI, Alberto Naoki et al. Evaluation of the functional results after rotator cuff arthroscopic repair with the suture bridge technique. Rev. bras. ortop. [online]. 2017, vol.52, n.2, pp.164-168. ISSN 0102-3616.  http://dx.doi.org/10.1016/j.rboe.2016.05.008.

OBJECTIVE:

To evaluate the results of arthroscopic treatment of large and extensive rotator cuff injuries (RCI) that involved the supra and infraspinatus muscles using the suture bridge (SB) technique.

METHODS:

Between July 2010 and November 2014, 37 patients with RCI who were treated with SB technique were evaluated. The study included all patients with a minimum follow-up of 12 months who underwent primary surgery of the shoulder. Twenty-four patients were male and 13 were female. The mean age was 60 years (45-75). The dominant side was affected in 32 cases. The most common cause of injury was trauma (18 cases). The mean preoperative motion was 123°, 58°, T11. Through magnetic resonance imaging, 36 fatty degenerations were classified according to Goutallier. Patients underwent rotator cuff repair with SB technique, which consists of using a medial row anchor with two Corkscrew(r) fibertape(r) or fiberwire(r) at the articular margin, associated with lateral fixation without stitch using PushLocks(r) or SwiveLocks(r).

RESULTS:

The mean age was 60 years and mean fatty degeneration was 2.6. The mean range of motion (following the AAOS) in the postoperative evaluation was 148° of forward elevation, 55° in lateral rotation and medial rotation in T9. Using the criteria of the University of California at Los Angeles (UCLA), 35 (94%) patients had excellent and good results; one (2.7%), fair; and one (2.7%), poor.

CONCLUSION:

Arthroscopic repair of a large and extensive RCI using SB technique had good and excellent results in 94% of the patients.

Palavras-chave : Rotator cuff; Arthroscopy; Sutures.

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