Revisionsstrategien nach fehlgeschlagener Rotatorenmanschettenrekonstruktion

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• 作者：Prof. Dr. med. Dennis Liem (1)
  
  1. Schulterchirurgie und Sportorthop盲die ; Klinik f眉r Allgemeine Orthop盲die und Tumororthop盲die ; Universit盲tsklinikum M眉nster ; Albert-Schweitzer-Campus 1 ; Geb盲ude A1 ; 48149 ; M眉nster ; Deutschland
  
• 关键词：Rotatorenmanschette ; Revision ; Reruptur ; Akromioklavikulargelenk ; 鈥濬rozen shoulder鈥?/li> Rotator cuff ; Reoperation ; Retear ; Acromioclavicular joint ; Frozen shoulder
• 刊名：Obere Extremit?t
• 出版年：2015
• 出版时间：March 2015
• 年：2015
• 卷：10
• 期：1
• 页码：24-28
• 全文大小：938 KB
• 参考文献：1. Ahmad, S, Haber, M, Bokor, DJ (2014) The influence of intraoperative factors and postoperative rehabilitation compliance on the integrity of the rotator cuff after arthroscopic repair. J Shoulder Elbow Surg 24: pp. 229-235 CrossRef
  2. Brislin, KJ, Field, LD, Savoie, FH (2007) Complications after arthroscopic rotator cuff repair. Arthroscopy 23: pp. 124-128 CrossRef
  3. Charousset, C, Grimberg, J, Duranthon, LD (2008) The time for functional recovery after arthroscopic rotator cuff repair: correlation with tendon healing controlled by computed tomography arthrography. Arthroscopy 24: pp. 25-33 CrossRef
  4. Cho, NS, Yi, JW, Lee, BG (2010) Retear patterns after arthroscopic rotator cuff repair: single-row versus suture bridge technique. Am J Sports Med 38: pp. 664-671 CrossRef
  5. Chung, SW, Huong, CB, Kim, SH (2013) Shoulder stiffness after rotator cuff repair: risk factors and influence on outcome. Arthroscopy 29: pp. 290-300 CrossRef
  6. Davidson, J, Burkhart, SS (2010) The geometric classification of rotator cuff tears: a system linking tear pattern to treatment and prognosis. Arthroscopy 26: pp. 417-424 CrossRef
  7. Fuchs, B, Weishaupt, D, Zanetti, M (1999) Fatty degeneration of the muscles of the rotator cuff: assessment by computed tomography versus magnetic resonance imaging. J Shoulder Elbow Surg 8: pp. 599-605 CrossRef
  8. Huberty, DP, Schoolfield, JD, Brady, PC (2009) Incidence and treatment of postoperative stiffness following arthroscopic rotator cuff repair. Arthroscopy 25: pp. 880-890 CrossRef
  9. Hug K, Gerhardt C, Haneveld H et al (2014) Arthroscopic knotless-anchor rotator cuff repair: a clinical and radiological evaluation. Knee Surg Sports Traumatol Arthrosc
  10. Koh, KH, Ahn, JH, Kim, SM (2010) Treatment of biceps tendon lesions in the setting of rotator cuff tears: prospective cohort study of tenotomy versus tenodesis. Am J Sports Med 38: pp. 1584-1590 CrossRef
  11. Mccarron, JA, Derwin, KA, Bey, MJ (2013) Failure with continuity in rotator cuff repair 鈥瀐ealing鈥? Am J Sports Med 41: pp. 134-141 CrossRef
  12. Millett, PJ, Warth, RJ, Dornan, GJ (2014) Clinical and structural outcomes after arthroscopic single-row versus double-row rotator cuff repair: a systematic review and meta-analysis of level I randomized clinical trials. J Shoulder Elbow Surg 23: pp. 586-597 CrossRef
  13. Parnes, N, Defranco, M, Wells, JH (2013) Complications after arthroscopic revision rotator cuff repair. Arthroscopy 29: pp. 1479-1486 CrossRef
  14. Parsons, BO, Gruson, KI, Chen, DD (2010) Does slower rehabilitation after arthroscopic rotator cuff repair lead to long-term stiffness?. J Shoulder Elbow Surg 19: pp. 1034-1039 CrossRef
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  16. Scheibel, MT, Habermeyer, P (2003) A modified Mason-Allen technique for rotator cuff repair using suture anchors. Arthroscopy 19: pp. 330-333 CrossRef
  17. Slabaugh, MA, Nho, SJ, Grumet, RC (2010) Does the literature confirm superior clinical results in radiographically healed rotator cuffs after rotator cuff repair?. Arthroscopy 26: pp. 393-403 CrossRef
  18. Wong, AS, Kokkalis, ZT, Schmidt, CC (2010) Proper insertion angle is essential to prevent intra-articular protrusion of a knotless suture anchor in shoulder rotator cuff repair. Arthroscopy 26: pp. 286-290 CrossRef
  19. Zanetti, M, Gerber, C, Hodler, J (1998) Quantitative assessment of the muscles of the rotator cuff with magnetic resonance imaging. Investig radiol 33: pp. 163-170 CrossRef
  20. Zhang Q, Zhou J, Ge H et al (2015) Tenotomy or tenodesis for long head biceps lesions in shoulders with reparable rotator cuff tears: a prospective randomised trial. Knee Surg Sports Traumatol Arthrosc Feb;23(2):464-469
  
• 刊物主题：Orthopedics; Surgical Orthopedics; Medicine/Public Health, general;
• 出版者：Springer Berlin Heidelberg
• ISSN：1862-6602

文摘

Background Revision surgery after rotator cuff repair can be indicated for several different reasons. The main reason for revision surgery is a retear of the reconstructed tendon(s). Also non-addressed associated pathologies such as acromioclavicular (AC) joint arthritis or lesions of the long head of the biceps can be the cause of persistent pain after rotator cuff repair. Aim The goal of revision surgery is usually pain reduction and functional improvement. Assessment whether this is achievable by revision surgery has to be done preoperatively by meticulous analysis of the problem by clinical examination and MRI. Method The technical principles of revision reconstruction do not differ from primary reconstruction. Even if an open approach is chosen, arthroscopy should always be performed to diagnose associated pathologies. After removal of suture material and mobilization of the cuff, refixation of the tendon is performed using the surgeon's preferred technique. Postoperative rehabilitation should be performed carefully in these cases. Results Although the expected clinical results are significantly inferior to primary repair,revision surgery may be indicated, especially for pain relief, as complete tendon healing is not necessary to achieve this goal.