Chir
Organi Mov 2000 Oct-Dec;85(4):389-94
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[Surgery in massive ruptures of the rotator cuff: results as related to prognosis.]
[Article
in English, Italian]
Lupo R, Benazzo F, Finardi E, Rapisarda S.
Istituto
di Clinica Ortopedica e Traumatologica, I.R.C.C.S. Policlinico San Matteo,
Pavia.
The results obtained in the surgical treatment of massive
lesions of the rotator cuff are quite often inferior to what is expected,
because prognosis is not respected. To demonstrate that the quality of the
results obtained is directly proportional to the preoperative prognostic
factors a retrospective study was conducted on 28 patients submitted to
massive lesion repair of the rotator cuff between 1990 and 1996; the criteria
of inclusion was: a) patients aged under 65 years; b) preoperative
radiographic findings with acromiohumeral distance not less than 6 mm; c)
degeneration of the tendons not greater than a Goutallier stage 2; d) absence
of inveterate pseudoparalysis of the limb involved; e) absence of
anterosuperior subdislocation of the humeral head. The results obtained with a
mean follow-up of 5 years revealed a mean Constant score of 85 points (minimum
79, maximum 91) that may correspond to excellent results, showing how this
type of surgery may guarantee good results only when factors of prognosis are
respected preoperatively