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Absorbable implants for open shoulder stabilization. A 7-8-year clinical and radiographic follow-up
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- Magnusson, Lennart, 1959 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences
- Ejerhed, L. (författare)
- Rostgard, L. (författare)
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- (creator_code:org_t)
- 2006
- 2006
- Engelska.
- Ingår i: Knee Surg Sports Traumatol Arthrosc. - 0942-2056. ; 14:2, s. 182-8
- Tidskriftsartikel (refereegranskat)
Abstract
Ämnesord
Stäng
- Eighteen consecutive patients who had recurrent, unidirectional, post-traumatic shoulder instability were included. All these patients underwent surgery using an open Bankart technique involving absorbable suture anchors. The median age at the index operation was 27 (16-50) years. One subluxation and two re-dislocations occurred during the follow-up period of 90 (80-95) months. At the 90-month control, the Rowe and Constant scores were 94 (63-100) points and 88.5 (65-100) points, respectively. The strength measurements on the index side in 90 degrees abduction revealed 8.1 (3.7-17.2) kg compared with 7.6 (2.7-17.6) kg on the contra lateral side (n.s.). The external rotation in abduction was 80 (60-95) degrees compared with 100 (70-120) degrees for the contra lateral side (p = 0.0015). Signs of minor or moderate degeneration were found in five of 18 patients (28%) on the preoperative radiographs. There was a significant continuous increase in degenerative changes during the follow-up period as seen on the seven, 33 and 90-month radiographs (p = 0.01, 0.03 and 0.01, respectively). On the 90-month radiographs, 12 of 18 patients (67%) had minor, moderate or severe degenerative changes (p = 0.0004 preoperative vs. 90 months). On the 7-month radiographs, two of 18 patients (11%) had invisible or hardly visible drill holes in conjunction with the absorbable implants. On the 90-month radiographs, 12 of 18 patients (67%) had invisible or hardly visible drill holes (p = 0.003 7 months vs. 90 months). In the long term, the method resulted in stable, well-functioning shoulders in 15 of 18 patients (83%). The stabilisation was not, however, able to prevent further increases in radiographic degenerative changes during the 7-8-year follow-up. The drill holes used for the absorbable suture anchors appeared to heal in the majority of patients during the follow-up period.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Nyckelord
- *Absorbable Implants
- Adolescent
- Adult
- Female
- Follow-Up Studies
- Humans
- Joint Instability/*surgery
- Male
- Middle Aged
- Polymers
- Postoperative Complications/radiography
- Range of Motion
- Articular
- Sclerosis/etiology/radiography
- Shoulder Dislocation/etiology/radiography
- Shoulder Joint/injuries/*pathology/*surgery
- Suture Techniques/*instrumentation
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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