Arthroscopic subscapularis repair using the subscapularis interlocking (SICK)-stitch technique leads to restoration of clinical function with low complication and revision rates

© 2023 The Author(s).

Détails bibliographiques
Publié dans:JSES international. - 2020. - 8(2024), 1 vom: 15. Jan., Seite 67-74
Auteur principal: Kirchner, Florian (Auteur)
Autres auteurs: Ono, Yohei, Albers, Sebastian, Junker, Marius, Fal, Milad Farkhondeh, Kircher, Jörn
Format: Article en ligne
Langue:English
Publié: 2024
Accès à la collection:JSES international
Sujets:Journal Article Arthroscopy Outcome Rotator cuff Subscapularis Subscapularis interlocking stitch Tendon
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245 1 0 |a Arthroscopic subscapularis repair using the subscapularis interlocking (SICK)-stitch technique leads to restoration of clinical function with low complication and revision rates 
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520 |a Background: The purpose of this study is to determine the mid-term outcome after arthroscopic subscapularis tendon (SCP) reconstruction using the subscapularis interlocking (SICK)-stitch technique. The hypotheses are that arthroscopically repaired SCP lesions using the SICK-stitch show a good restoration of shoulder function with low complication and failure rates 
520 |a Methods: This is a retrospective monocentric study of n = 199 patients (n = 106 female) with arthroscopically treated SCP tears with the interlocking (SICK) stitch technique from July 2013 to October 2018. Inclusion criteria: minimum follow-up of 2 years. Exclusion criteria: irreparable and massive cuff tears, osteoarthritis, and fractures. The postoperative assessment consisted of the range of motion, constant score, simple shoulder test, simple shoulder value, disability of the shoulder and arm score, short form 12, and patient satisfaction 
520 |a Results: Mean age was 61 years (25-83); n = 4 (2%) patients were lost to follow-up with mean follow-up time of 63.6 months (36-96). Additional supraspinatus tendon lesions (n = 147) were repaired in n = 101 cases. SCP grading (n = 69) (35% traumatic) (Fox/Romeo): n = 113 grade II, n = 71 grade III, n = 11 grade IV. A positive preoperative lift-off test (n = 132, 68%) was corrected in n = 124 (94%) of cases. Ninety seven percent of patients would undergo surgery again with a mean satisfaction score of 14.4/15. Results at final follow-up (data: mean pre; post; P value): lexion (130; 166; .001), abduction (123;159; .001), external rotation (35;82; .001), internal rotation (52; 68; .07), constant score (50; 82; .001), disability of the shoulder and arm score (40; 19; .001), simple shoulder test (5; 10; .001), and simple shoulder value (44; 83; .001) significantly improved. The mean physical health scale short form 12 was 46 (24-63) and 51 (15-66) for mental health. Age, body mass index, SCP-grading, and supraspinatus tendon repair did not significantly affect any outcome parameter. Three (1.5%) patients underwent revision surgery, of which 1 (0.5%) had an infection 
520 |a Conclusion: Two years after arthroscopic SCP repair using the SICK-stitch technique, we observed excellent restoration of clinical function with low complication and revision rates. The SICK-stitch technique thus represents a good and reliable therapeutic option for the arthroscopic repair of SCP lesions 
650 4 |a Journal Article 
650 4 |a Arthroscopy 
650 4 |a Outcome 
650 4 |a Rotator cuff 
650 4 |a Subscapularis 
650 4 |a Subscapularis interlocking stitch 
650 4 |a Tendon 
700 1 |a Ono, Yohei  |e verfasserin  |4 aut 
700 1 |a Albers, Sebastian  |e verfasserin  |4 aut 
700 1 |a Junker, Marius  |e verfasserin  |4 aut 
700 1 |a Fal, Milad Farkhondeh  |e verfasserin  |4 aut 
700 1 |a Kircher, Jörn  |e verfasserin  |4 aut 
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