台灣外科醫學會雜誌

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篇名	Acromioplasty, Distal Clavicle Resection and Rotator Cuff Repair in Elderly Patients with Rotator Cuff Tear and Acromioclavicular Osteoarthritis
作者	Chung-Da Wu
卷期/出版年月	39卷3期 (2006/6)
頁次	119-125
摘要	Objectives: To present the surgical results on a specific, selected group of sixteen elderly patients (average age:65.6 years) who had both rotator cuff tear and acromioclavicular joint osteoarthritis. Methods: Three procedures were carried out through a single anterior incision. Acromioplasty was done first, followed by distal clavicle resection and the rotator cuff repair was performed last. A modified UCLA shoulder scoring system and a L Insalata self-administered questionnaire were used to assess the surgical results. Results: The patients were followed up for an average of 44.1 months. The modified UCLA score improved from 14.5 3.44 to 32.81 2.04 (p<0.001). The overall and each of the domain scores in the L' Insalata self-administered questionnaire showed significant improvement. Conclusions: This combination of three procedures through a single anterior skin incision is an effective surgical method in the treatment of patients who have been affected with both rotator cuff tear and acromioclavicular joint osteoarthritis.
關鍵詞	shoulder, acromioplasty, distal clavicle resection, rotator cuff repair
分類	Original Article