Professional paper - Review paper
Surgical treatment of rotator cuff tears

Mihelić, Radovan; Jotanović, Zdravko; Tudor, Anton; Prpić, Tomislav; Rakovac, Ivan; Šestan, Branko (2013)
Metadata
Language Croatian
Title (Croatian)Operativna rekonstrukcija rotatorne manšete
Title (English)Surgical treatment of rotator cuff tears
AuthorMihelić, Radovan
Jotanović, Zdravko
Tudor, Anton
Prpić, Tomislav
Rakovac, Ivan
Šestan, Branko
Abstract (Croatian)
Liječenje oštećenja tetiva rotatorne manšete ovisi o veličini rupture i dobi bolesnika. Sve akutne ozljede u mlađih i radno sposobnih bolesnika trebalo bi odmah operativno liječiti. U većih ozljeda rupturirane tetive retrahiraju se, pa je rekonstrukcija nakon više mjeseci otežana. Kod bolesnika koji imaju preko 70 godina prvo pokušamo s konzervativnim liječenjem. Rekonstrukcija većih ruptura u starijih ljudi neizvjesna je, ovisi o dubini retrakcije tkiva i stupnju masne degeneracije mišića. Ako palijativna terapija ne zadovoljava, treba se odlučiti na ugradnju posebne vrste endoproteze. Operativne metode dijele se na otvorene i artroskopske. Svaka metoda ima svoje prednosti, ali su funkcionalni rezultati podjednaki.
Abstract (English)
The treatment of rotator cuff tears depends of tear size and patient’s age. Acute tears in younger and active patients should be operated immediately. In large tears, the tendon will retract and with time it will loose the elasticity, so the repair after several months will be difficult. In patients over 70 years of age, it is wise first to start with conservative treatment. The cuff reconstruction in large tears is uncertain, due to the retraction and poor tissue quallity. Furthermore, these patients have often severe co-morbidity and will not easily accept sugery with uncertain result. If primary repair is not possible, special prosthetic replacement is considered. Rotator cuff repair can be done arthroscopically or by open, but mini invasive sugery. Both methods have advantages and difficulties, but overall long term results show comparable results.
Keywords (Croatian)artroskopija rekonstrukcija rotatorna manšeta
Keywords (English)arthroscopy reconstruction rotator cuff
Publication typeprofessional paper - review paper
Publication statuspublished
Peer reviewpeer review
Journal titleMedicina Fluminensis : Medicina Fluminensis
Numbering2013, Vol. 49, No. 3, pp 280-285
ISSN0025-7729
Datepublication: 02.09.2013.
Article URLhttp://hrcak.srce.hr/106931
Scientific fieldBIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Orthopedics
Scientific fieldBIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Surgery
InstitutionUniversity of Rijeka, Faculty of Medicine
(Department of Orthopedics and Physical Medicine)
URN:NBNhttps://urn.nsk.hr/urn:nbn:hr:184:709354