CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2021; 56(06): 726-732
DOI: 10.1055/s-0041-1729583
Artigo Original
Ombro e Cotovelo

Comparative Clinical Evaluation of Two Techniques of Arthroscopic Treatment of Partial Articular Rotator Cuff Tears[*]

Article in several languages: português | English
1   Grupo de Cirurgia de Ombro e Cotovelo, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brasil
,
1   Grupo de Cirurgia de Ombro e Cotovelo, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brasil
,
Caio Santos Checchia
1   Grupo de Cirurgia de Ombro e Cotovelo, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brasil
,
Hector Carmona Marmille
1   Grupo de Cirurgia de Ombro e Cotovelo, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brasil
,
Cláudio Santili
2   Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brasil
,
Alberto Naoki Miyazaki
1   Grupo de Cirurgia de Ombro e Cotovelo, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brasil
› Author Affiliations
Financial Support There was no financial support from public, commercial, or non-profit sources.
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Abstract

Objectives To evaluate the clinical results of patients submitted to arthroscopic treatment of partial lesion of the articular part of the rotator cuff by transtendon suture techniques and after completing the lesion and to compare the postoperative recovery time of the two techniques.

Method Retrospective study based on the identification of all cases with partial lesion of the articular part of the rotator cuff submitted to arthroscopic treatment from October 1999 to December 2016 at the Shoulder and Elbow Group of our institution. Thirty-nine patients were included and divided into two groups: those who underwent the transtendon technique and those in whom the lesion was completed. The two groups were statistically similar. The respective medical records were analyzed as well as the identification of the applied technique, the postoperative results, and the related complications. The functional evaluation was performed using the score of the University of California at Los Angeles (UCLA).

Results There was no statistically relevant difference between the groups, with a mean UCLA score of 32, and no difference in the time required for rehabilitation.

Conclusion There was no difference between the clinical outcome of the patients, regardless of the technique used to repair the partial lesions of the articular part of the rotator cuff, with satisfactory results in 93% of the cases.

* Study carried out in the Shoulder and Elbow Surgery Group of the Department of Orthopedics and Traumatology of the Faculty of Medical Sciences of Santa Casa de São Paulo, "Pavilhão Fernandinho Simonsen" (DOT - FCMSCSP) (Director: Professor Maria Fernanda Silber Caffaro), São Paulo/SP, Brazil.




Publication History

Received: 06 June 2019

Accepted: 01 December 2020

Article published online:
07 December 2021

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