糖尿病患者における関節鏡視下腱板修復術の術後成績

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  • Postoperative outcome of arthroscopic rotator cuff repair in diabetic Patients

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Hypothesis: We hypothesized that postoperative outcome of the rotator cuff repair might be inferior in diabetics and examined the influence of the diabetes on the postoperative results of the arthroscopic rotator cuff repair.<BR>Methods: Arthroscopic rotator cuff repair was performed on 58 shoulders in 56 patients in our hospital. Thirty-five were males. Twenty-three were females. The mean age at the surgery was 63 years old, tear size was 2.8cm, disease period was 18.3 months. 10 were DM group (diabetic patients), 48 were non-DM group. The evaluation items of postoperative results were range of motion at 3 and 6 months after the operation, JOA score at 6 months and 1 year after the operation, MRI, shoulder strength at 1 year after the surgery. We compared pre- and postoperative JOA score, shoulder strength, and compared pre and postoperative data or results, in both groups, and analyzed them statistically. MRI were classified using Sugaya's classification. Shoulder abduction and external rotation strength were measured by microFETTM.<BR>Results: In the both groups, JOA score, shoulder abduction and external rotation strength were significantly improved after the operation. Age, tear size, disease period, postoperative range of motion, MRI, JOA score and shoulder strength did not have a significant difference between two groups. In the MRI, Type IV / V were 9 shoulders, and in the DM group, there was no re-tear.<BR>Conclusion: There was no difference in the early postoperative range of motion, or postoperative results in the DM and non-DM group.

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  • 肩関節

    肩関節 37 (2), 641-644, 2013

    日本肩関節学会

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