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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1984-5-23
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pubmed:abstractText |
Twenty-seven patients with twenty-seven involved shoulders underwent a second attempt at repair of an initial rotator-cuff repair that had failed. Factors associated with the failure of the initial repair included a massive or large tendon tear, damage to the deltoid origin at the original surgery, and possibly inadequate postoperative external support. Seven patients required a third operation because of continuing pain or weakness. The remaining twenty patients were followed for a minimum of two years (average, forty-eight months) and seventeen of them were examined at an average of forty-six months (range, twenty-six to 118 months) after surgery. Postoperatively, although seventeen patients (63 per cent) still had moderate or severe pain, sixteen (76 per cent) of the twenty-one patients who were operated on to relieve pain reported that the pain was substantially diminished. Active abduction increased an average of 8 degrees, but only seven shoulders gained more than 30 degrees of active abduction. Nineteen shoulders remained moderately or markedly weak in abduction. Over-all, four patients (17 per cent) had a good result; six (25 per cent), a fair result; and fourteen (58 per cent), a poor result. These results suggest that the surgeon should be quite hesitant to propose a second attempt at rotator cuff repair to a patient, as although pain may be diminished, active movement is unlikely to improve.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0021-9355
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
66
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
563-7
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pubmed:dateRevised |
2010-10-25
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pubmed:meshHeading |
pubmed-meshheading:6707035-Adult,
pubmed-meshheading:6707035-Aged,
pubmed-meshheading:6707035-Female,
pubmed-meshheading:6707035-Follow-Up Studies,
pubmed-meshheading:6707035-Humans,
pubmed-meshheading:6707035-Male,
pubmed-meshheading:6707035-Middle Aged,
pubmed-meshheading:6707035-Postoperative Complications,
pubmed-meshheading:6707035-Reoperation,
pubmed-meshheading:6707035-Shoulder Joint,
pubmed-meshheading:6707035-Tendon Injuries,
pubmed-meshheading:6707035-Time Factors
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pubmed:year |
1984
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pubmed:articleTitle |
Results of a second attempt at surgical repair of a failed initial rotator-cuff repair.
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pubmed:publicationType |
Journal Article
|