Results after the application of biodegradable spacer balloons as a therapeutic option in non-repairable massive ruptures of the shoulder rotator cuff.
Por:
García Moreno J, Correa Bellido P, Salazar Aguilar JR, Pérez Correa JI, Montaner Alonso D and Rodrigo Pérez JL
Publicada:
1 ene 2022
Ahead of Print:
1 mar 2021
Resumen:
INTRODUCTION: One of the most frequently treated pathologies in our
department are tendon lesions that affect the rotator cuff of the
shoulder. There are different types of treatment for massive or
irreparable tears. For a few years, a low-invasive technique was
introduced based on the placement of a biodegradable subacromial spacer.
The objective of the work is to analyse the results of our experience
with the use of this device (InSpaceTM).
MATERIAL AND METHOD: The study collects the results obtained in 25
patients with irreparable ruptures of rotator cuff defined by RM, in
which they were implanted a balloon subacromial in our centre in the
period from January 2015 - until December 2017. All patients were
evaluated preoperatively and one year after surgery including the visual
analogue scale (VAS), the Constant test (CS) and the QuickDASH (QD).
RESULTS: Of the 25 patients, 5 patients (20%) were operated by
arthroscopy and 20 (80%) By open approach (mini-open). A total of 22
patients completed the follow-up year. At 12 months, 64% of the patients
obtained an improvement of at least 10 points in the CS. Patients
departed from an initial average CS of 32 points that improved to 54.9
points of average in the postoperative evaluation at 12 months (average
improvement 22.9 points; Value-p < 0.05). In terms of pain assessment,
in our study, 87% of patients obtained an improvement of at least 2
points in the EVA at 12 months of follow-up (P-value < 0.05). Patients
departed from an initial average EVA of 8.7 that improved to 3.7 points
average at 12 months. 73% of the patients responded to be satisfied with
the intervention and would return to the surgery. CONCLUSIoN: The
results obtained in our series to one year of follow-up speak in favour
of the use of the Subacromial Balloon (InSpaceTM), as a therapeutic
option available for patients with irreparable ruptures of the rotator
cuff. It can be used as an interim procedure, delaying the need for more
invasive surgery, or as a definitive procedure in patients medically
non-candidates for reverse arthroplasty. It is important to have clear
indications of this procedure in order not to make mistakes.
Filiaciones:
:
Hospital Universitario Dr. Peset, Valencia, España
:
Hospital Universitario Dr. Peset, Valencia, España
:
Hospital Universitario Dr. Peset, Valencia, España
:
Hospital Universitario Dr. Peset, Valencia, España
:
Hospital Universitario Dr. Peset, Valencia, España
:
Hospital Universitario Dr. Peset, Valencia, España
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