NCT003362320 ( identifier).ĭelamination double-layer rotator cuff repair magnetic resonance tomography shoulder arthroscopy. Clinical short-term outcome was not different between the DL and SL repair groups. This randomized controlled trial showed significantly lower retear rates after DL repair as compared with SL repair in delaminated rotator cuff tears. The majority of patients were very satisfied or satisfied with their arthroscopic procedure (DL, 94.1% SL, 92.9%). No significant group differences were detected regarding postoperative Constant score, forward flexion, external rotation, American Shoulder and Elbow Surgeons score, Simple Shoulder Test, subjective shoulder value, and visual analog scale and between intact and retorn tendons. All functional and subjective scores improved significantly pre- to postoperatively in both groups ( P <. One patient in the control group with a retear underwent revision. The rate of magnetic resonance-verified intact repairs (Sugaya grades 1 + 2) was significantly higher in the DL group (70.6%) than in the SL group (44.8% P =. key management, and key rotation and pcma, a payment card management and. There were no significant group differences regarding baseline characteristics and pre- and postoperative fatty degeneration of the supraspinatus and atrophy of the supraspinatus and infraspinatus. Hexonia CEO Gerd Hexels says theyve grown to a team size of 20 since launch. Ninety percent of patients (n = 34, DL n = 29, SL) were followed-up. Complications were monitored throughout the study. Pre- and postoperative evaluations included the Constant score, range of motion, American Shoulder and Elbow Surgeons score, Simple Shoulder Test, subjective shoulder value, and postoperative satisfaction with the procedure. Tendon integrity according to Sugaya, fatty degeneration, and muscular atrophy were evaluated by magnetic resonance tomography. Exclusion criteria were subscapularis tendon rupture (Lafosse >1°), fatty muscular infiltration >2°, and nondelaminated tendons. Randomized controlled trial Level of evidence, 1.Ī total of 70 patients were 1:1 randomized to receive an arthroscopic DL reconstruction (study group: DL suture-bridge repair) or SL reconstruction (control group: SL suture-bridge repair) for posterosuperior tears of the rotator cuff between 2.0 and 3.5 cm of the footprint detachment. To investigate whether DL as compared with SL repair could decrease retear rates after arthroscopic reconstruction of posterosuperior rotator cuff tears. However, it is controversial whether double-layer (DL) repair is superior to single-layer (SL) repair in terms of retear rate and outcome. Sometimes the inferior layer may be neglected during rotator cuff repair. However, most libraries have fully embraced eBooks and offer them in addition to hard copies.The rotator cuff is known to consist of 2 macroscopically visible layers that have different biomechanical properties. Many people think the library only lends physical copies of books and media. You could group up everything you have, transform/rotate that group, paint in your wished angle on your layer, then transform the group again, you could just press reset then to go back to normal. Hit Up Your Local Library for eBooks Libbyįinally, let’s not forget the ultimate resource for free reading materials: your local library. You can just rotate layers with the transform tool. While there is a monthly fee, you can try it for free for 30 days.Ħ. Scribd is a subscription service that allows you to access books, audiobooks, magazines, podcasts, and even sheet music for $11.99 per month. While it doesn’t provide traditional eBooks, it does provide a list of more than 800 free eBooks and where you can download them.
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