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E Poster Isakosfa
E Poster Isakosfa
E Poster Isakosfa
Disclosure
Arthrex
Hypothesis
The results of arthroscopic repair of massive rotator cuff tears have a direct correlation with preoperative prognostic factors: Age, Chronicity, Retraction, Muscle Atrophy and Fatty Infiltration.
Functional Outcomes
Constant 100 50 0
Absolute Difference Constant pos-pre Pain pos-pre Activivity pos-pre ROM pos-pre Strenght pos-pre % relative difference (**) Constant pos-pre Pain pos-pre Activity pos-pre ROM pos-pre Strenght pos-pre N 22 22 22 22 22 N 22 22 22 22 22 Mean 35.9 4.9 5.0 18.4 5.9 Mean (%) 84.3 95.0 53.2 102.2 78. 8
54,5%
12 Shoulders
32%
7 Shoulders
9%
2 Shoulders
1 Shoulders
4,5%
Std. Deviation 12.15 4.13 3.23 7.00 5.41 Std. Deviation (%) 28.73 81.00 37.40 55.41 78.03
Sig. (2-tailed p) < 0.001 < 0.001 < 0.001 < 0.001 < 0.001 Sig. (2-tailed) < 0.001 < 0.001 < 0.001 < 0.001 < 0.001
Constant/Age/Chronicity
Pearson Correlation Sig. (1-tailed) N
AGE
P= -.321 No Significant
CHRONICITY
Pearson Correlation Sig. (1-tailed) N Constant pos-pre Chronicity (month) Constant pos-pre Chronicity (month)
P= -.442 Significant
Constant/Retraction
100 80 Constant 60 40 20 0
stage 2 stage 3
Ltd. Deviation 19.8448 22.9231 17.2465 60.8307 28.7265
88%
stage 4
stage 5
N 2 3 4 5 Total 11 6 2 3 22
95% Confidence Interval for Mean Lower Upper Bound Bound 74.893 101.557 69.483 117.596 -79.344 230.563 -94.094 208.129 71.536 97.009
Constant/Atrophy
120 100 Constant 80 60 40 20 0
estadio 0 estadio 1 estadio 2 estadio 3
50% 91,5% 106,5% 84,5%
Mean
Std. Deviation
95% Confidence Interval for Mean Lower Upper Bound Bound 37.966 87.548 69.256 -8.583 71.536 145.420 125.648 99.683 109.193 97.009
3 5 10 4 22
Constant/Fatty Infiltration
120 100 Constant 80 60 40 20 0
stage 0 stage 1 stage 2 stage 3 stage 4
98% 100,5% 82% 78,5% 67%
Mean
Std. Deviation
0 1 2 3 4 Total
2 7 1 6 6 22
95% Confidence Interval for Mean Lower Upper Bound Bound -139.786 335.698 84.939 115.877 . . 51.997 104.941 26.164 107.897 71.536 97.009
Healing
16 MRI
Re-ruptures 4 years follow-up
20.5%
Healed
Re-rupture
Constant/Healing/Re-rupture
100
Constant
67,5%
2 Shoulders
96%
10 Shoulders
80 60 40 20 0
91,5%
92 Constant
total
parcial
90 88 86 84
86,5%
4 Shoulders
12 Shoulders
(ANOVA)
SI
Conclusions
Arthroscopic repair of Massive Rotator Cuff Tears, could achieve acceptable and predictable results, only if a judicious surgical technique is done and preoperative Prognostic Factors are taking into account in the decision making. Muscle Atrophy and Chronicity of the tear affect postoperative functional results.
Bibliography
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