Zusammenfassung
Die arthroskopische Rekonstruktion der Rotatorenmanschette hat sich in den letzten Jahren zum Goldstandard entwickelt und ist heute die bevorzugte Methode zur Rekonstruktion der Rotatorenmanschette weltweit. Entscheidend für ein gutes postoperatives Ergebnis ist neben der Erfahrung des Operateurs und der richtigen arthroskopischen Technik, eine sorgfältige Patientenselektion und ein adäquates postoperatives Management. Werden diese Faktoren berücksichtigt, liegt die Erfolgsrate bei über 90%, basierend sowohl auf objektiven Kriterien als auch der subjektiven Patientenzufriedenheit. Das Ziel dieser Arbeit ist die Vermittlung der Indikationsstellung, der operativen Technik, der Nachbehandlung und der Ergebnisse bei arthroskopischer Rekonstruktion der Rotatorenmanschette.
Abstract
Arthroscopic rotator cuff repair has become the gold standard, and is now accepted throughout the world as the method of choice, for rotator cuff repair. As well as an experienced surgeon and meticulously correct arthroscopic technique, careful patient selection and adequate postoperative management are of decisive importance if a good postoperative outcome is to be achieved. With due consideration for all these factors the success rate is over 90%, as measured not only with reference to objective criteria, but also by patients’ reports of their how satisfied they are with the result. This paper aims to report the indications, arthroscopic technique and postoperative protocol, and also the results of arthroscopic rotator cuff repair.
Literatur
Anderson K, Boothby M, Aschenbrener D, Holsbeeck M van (2006) Outcome and structural integrity after arthroscopic rotator cuff repair using 2 rows of fixation: minimum 2-year follow-up. Am J Sports Med 34: 1899–1905
Apreleva M, Ozbaydar M, Fitzgibbons PG, Warner JJ (2002) Rotator cuff tears: the effect of the reconstruction method on three-dimensional repair site area. Arthroscopy 18: 519–526
Bassett RW, Cofield RH (1983) Acute tears of the rotator cuff. The timing of surgical repair. Clin Orthop Relat Res 175: 18–24
Boileau P, Brassart N, Watkinson DJ et al. (2005) Arthroscopic repair of full-thickness tears of the supraspinatus: does the tendon really heal? J Bone Joint Surg Am 87: 1229–1240
Bokor DJ, Hawkins RJ, Huckell GH et al. (1993) Results of nonoperative management of full-thickness tears of the rotator cuff. Clin Orthop Relat Res 294: 103–110
Burkhart SS, Nottage WM, Ogilvie-Harris DJ et al. (1994) Partial repair of irreparable rotator cuff tears. Arthroscopy 10: 363–370
Ellman H, Kay SP, Wirth M (1993) Arthroscopic treatment of full-thickness rotator cuff tears: 2- to 7-year follow-up study. Arthroscopy 9: 195–200
Fuchs B, Gilbart MK, Hodler J (2006) Clinical and structural results of open repair of an isolated one-tendon tear of the rotator cuff. J Bone Joint Surg Am 88: 309–316
Galatz LM, Ball CM, Teefey SA et al. (2004) The outcome and repair integrity of completely arthroscopically repaired large and massive rotator cuff tears. J Bone Joint Surg Am 86: 219–224
Gartsman GM, Hammerman SM (1997) Full-thickness tears: arthroscopic repair. Orthop Clin North Am 28: 83–98
Gartsman GM, Khan M, Hammerman SM (1998) Arthroscopic repair of full-thickness tears of the rotator cuff. J Bone Joint Surg Am 80: 832–840
Gerber C, Fuchs B, Hodler J (2000) The results of repair of massive tears of the rotator cuff. J Bone Joint Surg Am 82: 505–515
Gerber C, Meyer DC, Schneeberger AG et al. (2004) Effect of tendon release and delayed repair on the structure of the muscles of the rotator cuff: an experimental study in sheep. J Bone Joint Surg Am 86: 1973–182
Goodman RS (1996) Abnormal findings on magnetic resonance images of asymptomatic shoulders. J Bone Joint Surg Am 78: 633
Hawkins RH, Dunlop R (1995) Nonoperative treatment of rotator cuff tears. Clin Orthop Relat Res 321: 178–188
Itoi E, Tabata S (1992) Conservative treatment of rotator cuff tears. Clin Orthop Relat Res 275: 165–173
Liu SH (1994) Arthroscopically-assisted rotator-cuff repair. J Bone Joint Surg Br 76: 592–595
Ma CB, Comerford L, Wilson J, Puttlitz CM (2006) Biomechanical evaluation of arthroscopic rotator cuff repairs: double-row compared with single-row fixation. J Bone Joint Surg Am 88: 403–410
Meier SW, Meier JD (2006) The effect of double-row fixation on initial repair strength in rotator cuff repair: a biomechanical study. Arthroscopy 22: 1168–1173
Meier SW, Meier JD (2006) Rotator cuff repair: the effect of double-row fixation on three-dimensional repair site. J Shoulder Elbow Surg 15: 691–696
Melillo AS, Savoie FH 3rd, Field LD (1997) Massive rotator cuff tears: debridement versus repair. Orthop Clin North Am 28: 117–124
Milgrom C, Schaffler M, Gilbert S, Holsbeeck M van (1995) Rotator-cuff changes in asymptomatic adults. The effect of age, hand dominance and gender. J Bone Joint Surg Br 77: 296–298
Millett PJ, Wilcox RB 3rd, O’Holleran JD, Warner JJ (2006) Rehabilitation of the rotator cuff: an evaluation-based approach. J Am Acad Orthop Surg 14: 599–609
Miniaci A, Dowdy PA, Willits KR, Vellet AD (1995) Magnetic resonance imaging evaluation of the rotator cuff tendons in the asymptomatic shoulder. Am J Sports Med 23: 142–145
Petersson CJ (1984) Ruptures of the supraspinatus tendon. Cadaver dissection. Acta Orthop Scand 55: 52–56
Sher JS, Uribe JW, Posada A et al. (1995) Abnormal findings on magnetic resonance images of asymptomatic shoulders. J Bone Joint Surg Am 77: 10–15
Tauro JC (1998) Arthroscopic rotator cuff repair: analysis of technique and results at 2- and 3-year follow-up. Arthroscopy 14: 45–51
Tingart MJ, Apreleva M, Zurakowski D, Warner JJ (2003) Pullout strength of suture anchors used in rotator cuff repair. J Bone Joint Surg Am 85: 2190–2198
Warner JJ, Higgins L, Parsons IM, Dowdy P (2001) Diagnosis and treatment of anterosuperior rotator cuff tears. J Shoulder Elbow Surg 10: 37–46
Warner JJ, Tetreault P, Lehtinen J, Zurakowski D (2005) Arthroscopic versus mini-open rotator cuff repair: a cohort comparison study. Arthroscopy 21: 328–332
Weber SC (1997) Arthroscopic debridement and acromioplasty versus mini-open repair in the management of significant partial-thickness tears of the rotator cuff. Orthop Clin North Am 28: 79–82
Yamaguchi K, Tetro AM, Blam O et al. (2001) Natural history of asymptomatic rotator cuff tears: a longitudinal analysis of asymptomatic tears detected sonographically. J Shoulder Elbow Surg 10: 199–203
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Übersetzt von: PD Dr. M. Tingart (markus.tingart@klinik.uni-regensburg.de)
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Ozbaydar, M., Chung, S., Diller, D. et al. Die arthroskopische Rekonstruktion der Rotatorenmanschette. Orthopäde 36, 825–833 (2007). https://doi.org/10.1007/s00132-007-1134-z
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DOI: https://doi.org/10.1007/s00132-007-1134-z