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Long-Term Outcomes Following Synthetic Patch Augmentation to Treat Rotator Cuff Tears

June 10, 2023/in January-June 2023 | Volume 9 | Issue 1

Vol 9 | Issue 1 | January-June 2023 | page: 01-04 | Florian Hess, JoEllen Welter, Laurenz Jaberg DOI: https://doi.org/10.13107/ti.2023.v09.i01.031 Authors: Florian Hess [1], JoEllen Welter [1], Laurenz Jaberg [2] [1] Department of Orthopaedic Surgery and Traumatology, Cantonal Hospital Frauenfeld, Frauenfeld, Switzerland. [2] Department of Orthopaedic Surgery, Clinica Ars Medica, Gravesano, Switzerland. Address of Correspondence […]

A Simple Surgical Technique of Trans Articular K Wires Fixation Through Sinus Tarsi Approach for Treating Intra Articular Calcaneal Fractures : A Large Case Series

January 10, 2023/in January-June 2023 | Volume 9 | Issue 1

Vol 9 | Issue 1 | January-June 2023 | page: 18-22 | Sampat Dumbre Patil, Gurunath Wachche, Harsh R. Vyas, Rohil Singh Kakkar, Vaishali Dumbre PatilAddress of Correspondence DOI: https://doi.org/10.13107/ti.2023.v09.i01.033 Authors: Sampat Dumbre Patil [1], Gurunath Wachche [2], Harsh R. Vyas [1], Rohil Singh Kakkar [1], Vaishali Dumbre Patil [3] [1] Department of Orthopaedics, Sahyadri […]

Long-Term Outcomes Following Synthetic Patch Augmentation to Treat Rotator Cuff Tears

June 10, 2023/in January-June 2023 | Volume 9 | Issue 1

A Simple Surgical Technique of Trans Articular K Wires Fixation Through Sinus Tarsi Approach for Treating Intra Articular Calcaneal Fractures : A Large Case Series

January 10, 2023/in January-June 2023 | Volume 9 | Issue 1

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Long-Term Outcomes Following Synthetic Patch Augmentation to Treat Rotator Cuff Tears

June 10, 2023/in January-June 2023 | Volume 9 | Issue 1

Vol 9 | Issue 1 | January-June 2023 | page: 01-04 | Florian Hess, JoEllen Welter, Laurenz Jaberg

DOI: https://doi.org/10.13107/ti.2023.v09.i01.031

Authors: Florian Hess [1], JoEllen Welter [1], Laurenz Jaberg [2]

[1] Department of Orthopaedic Surgery and Traumatology, Cantonal Hospital Frauenfeld, Frauenfeld, Switzerland.

[2] Department of Orthopaedic Surgery, Clinica Ars Medica, Gravesano, Switzerland.

Address of Correspondence

Dr. Florian Hess,

Department of Orthopaedic Surgery and Traumatology Cantonal Hospital Frauenfeld, Frauenfeld, Switzerland.

E-mail: florian.hess@stgag.ch

Abstract

Background: Treatment of massive rotator cuff (RC) tears can result in re-rupture rates up to 94%, and some studies have detected re-ruptures occurring 3.5 years postoperatively. This study aimed to compare long-term clinical outcomes, measured at two time points, after massive RC tears with patch augmentation.

Methods: We performed 58 arthroscopic RC reconstructions augmented with a synthetic polyester patch between 2012 and 2014. 50 patients were available for long-term follow-up one and five years after surgery. We compared clinical outcomes (Constant-Murley score (CS) and subjective shoulder value (SSV)) to assess if the results were sustained over time.

Results: 86% (50/58) of the patients were assessed at the one- and five-year follow-up visits. The median CS one year postoperative reached 84 (interquartile range 76.5-90), and SSV was 95 (IQR 82.5-100). The median CS five years after surgery was 85 (IQR 81.5-91.5) and SSV was 95 (IQR 85-100). The clinical improvement between postoperative years one and five was statistically significant for CS (p=0.0013) and SSV (p<0.0001).

Conclusions: Rotator cuff repair with polyester patch augmentation achieved good clinical outcomes over the long term. Clinical improvement continued over time, with slightly more favorable results measured at the five-year follow-up visits.

Keywords: Massive rotator cuff tears, Augmentation, Patch, Shoulder, Arthroscopy

References

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4. Paloneva J, Lepola V, Aarimaa V, Joukainen A, Ylinen J, Mattila VM (2015) Increasing incidence of rotator cuff repairs–A nationwide registry study in Finland. BMC Musculoskelet Disord 16:189.

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9. Smolen D, Haffner N, Mittermayr R, Hess F, Sternberg C, Leuzinger J (2020) Application of a new polyester patch in arthroscopic massive rotator cuff repair-a prospective cohort study. J Shoulder Elbow Surg 29 (1):e11-e21.

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13. Bailey JR, Kim C, Alentorn-Geli E, Kirkendall DT, Ledbetter L, Taylor DC, Toth AP, Garrigues GE (2019) Rotator Cuff Matrix Augmentation and Interposition: A Systematic Review and Meta-analysis. Am J Sports Med 47 (6):1496-1506.

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33. Shimokobe H, Gotoh M, Honda H, Nakamura H, Mitsui Y, Kakuma T, Okawa T, Shiba N (2017) Risk factors for retear of large/massive rotator cuff tears after arthroscopic surgery: an analysis of tearing patterns. J Orthop Surg Res 12 (1):140.

34. Miller BS, Downie BK, Kohen RB, Kijek T, Lesniak B, Jacobson JA, Hughes RE, Carpenter JE (2011) When do rotator cuff repairs fail? Serial ultrasound examination after arthroscopic repair of large and massive rotator cuff tears. Am J Sports Med 39 (10):2064-2070.

How to Cite this article: Hess F, Welter J, Jaberg L | Long-term Outcomes Following Synthetic Patch Augmentation to Treat Rotator Cuff Tears | January-June 2023; 9(1): 01-04 | https://doi.org/10.13107/ti.2023.v09.i01.031

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A Simple Surgical Technique of Trans Articular K Wires Fixation Through Sinus Tarsi Approach for Treating Intra Articular Calcaneal Fractures : A Large Case Series

January 10, 2023/in January-June 2023 | Volume 9 | Issue 1

Vol 9 | Issue 1 | January-June 2023 | page: 18-22 | Sampat Dumbre Patil, Gurunath Wachche, Harsh R. Vyas, Rohil Singh Kakkar, Vaishali Dumbre PatilAddress of Correspondence

DOI: https://doi.org/10.13107/ti.2023.v09.i01.033

Authors: Sampat Dumbre Patil [1], Gurunath Wachche [2], Harsh R. Vyas [1], Rohil Singh Kakkar [1], Vaishali Dumbre Patil [3]

[1] Department of Orthopaedics, Sahyadri Super Speciality Hospital, Hadapsar, Pune, Maharashtra, India.

[2]Department of Orthopaedics, Dr. V M Government Medical College, Solapur, Maharashtra, India.

[3] Department of Radiology, Oasis Orthopaedic and Sonography Clinic, Hadapsar, Pune, Maharashtra.

Address of Correspondence

Dr. Harsh R. Vyas

Department of Orthopaedics, Sahyadri Super Speciality Hospital, Hadapsar, Pune, Maharashtra.

E-mail: drharshvyas333@gmail.com

Abstract

Introduction: Calcaneum fractures are the most common tarsal bone fractures accounting for 2% of all bone fractures and approximately 60 % of tarsal bone fractures. Management of intra-articular calcaneal fractures have evolved from conservative to open and minimally invasive surgeries till date. There are still some controversies in treating intra articular displaced calcaneum fractures and treatment modalities continue to evolve with different surgical techniques and implants. We present a large retrospective study series of a safe and simple technique of managing intra-articular calcaneum fractures through sinus tarsi approach and fixation with transarticular Kirschner wires with or without sustentacular screw.

Methods: This retrospective study was done from January 2016 to March 2019 and aimed to evaluate the radiological and functional outcomes in a series of 226 patients with displaced intra-articular fractures of calcaneum managed with a simple surgical technique treated with trans articular K wires with or without sustentacular screw through sinus tarsi approach. Statistical analysis was performed utilizing independent t-test using the p-value ≤0.5

Results: All 226 cases achieved union of fracture within 4 months of follow up and as per American Orthopaedic Foot and Ankle Society (AOFAS) scoring, 57.96% cases had excellent results, 23.45% cases had good and 18.58% cases had fair results respectively. Conclusion Fixation of displaced intra-articular calcaneum fractures with trans articular K wires with or without sustentacular screw through sinus tarsi approach is a soft tissue preserving surgical technique which restores the near normal biomechanics of the calcaneum.

Keywords: Calcaneum fractures, Heel injuries, Sinus tarsi approach, Minimally invasive surgery, Calcaneum fixation, K wire fixation

References

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How to Cite this article: Patil SD, Wachche G, Vyas HR, Kakkar RS, Patil VD | A Simple Surgical Technique of Trans Articular K Wires Fixation Through Sinus Tarsi Approach for Treating Intra Articular Calcaneal Fractures : A Large Case Series | January-June 2023; 9(1): 18-22 | https://doi.org/10.13107/ti.2023.v09.i01.33

Half Sized Blog Element (Single Author Style)

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Long-Term Outcomes Following Synthetic Patch Augmentation to Treat Rotator Cuff Tears

A Simple Surgical Technique of Trans Articular K Wires Fixation Through Sinus Tarsi Approach for Treating Intra Articular Calcaneal Fractures : A Large Case Series

Long-Term Outcomes Following Synthetic Patch Augmentation to Treat Rotator Cuff Tears

A Simple Surgical Technique of Trans Articular K Wires Fixation Through Sinus Tarsi Approach for Treating Intra Articular Calcaneal Fractures : A Large Case Series

Full Sized Blog Element (Big Preview Pic)

Long-Term Outcomes Following Synthetic Patch Augmentation to Treat Rotator Cuff Tears

Authors: Florian Hess [1], JoEllen Welter [1], Laurenz Jaberg [2]

Abstract

References

(Abstract Text HTML) (Download PDF)

A Simple Surgical Technique of Trans Articular K Wires Fixation Through Sinus Tarsi Approach for Treating Intra Articular Calcaneal Fractures : A Large Case Series

Authors: Sampat Dumbre Patil [1], Gurunath Wachche [2], Harsh R. Vyas [1], Rohil Singh Kakkar [1], Vaishali Dumbre Patil [3]

Abstract

References

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