Novosti
Khirurgii
This journal is
indexed in Scopus









Year 2006 Vol. 14 No 2

E.A. ASKERKO

MISTAKES AND COMPLICATIONS AT COMPLEX REHABILITATION OF THE PATIENTS WITH SHOULDER ROTATOR CUFF PATHOLOGY

It has been pointed out in the article that introduction to the practice of restorative-reconstructive operations on the shoulder rotator cuff in the initial period of formation results in many committed mistakes and complications. The mistakes which are made and errors lead to the worsening of the functional outcomes, to time extension of the operational intervention and to significant prolongation of the rehabilitation period. The mistakes and errors are made at the stages of planning and performing of the operations as well as during the patient’s rehabilitation and repeated operations when metallic constructions are removed. Familiarization with these mistakes can help to prevent their recurrence and to avoid complications.
In the article all mistakes, errors and complications are studied in detail and recommendations concerning their avoidance are given. It is pointed out that treatment of the patients with short shoulder rotator pathologies should be complex and together with atraumatic operative interventions should include correcting impacts aimed to eliminate factors causing movement restriction in the shoulder joint in the preoperative period. It is also necessary to use kinesitherapy together with traditional physioprocedures, various blockages and electrostimulation of the shoulder muscle.

Keywords: shoulder rotator cuff, reconstructive operations, complications, treatment mistakes, rehabilitation
p. 69 - 74 of the original issue
References
  1. Аскерко, Э.А. Практическая хирургия ротаторной манжеты плеча / Э.А. Аскерко. -Витебск: ВГМУ, 2005.- 201 с.
  2. Макаревич, Е.Р. Лечение повреждений вращательной манжеты плеча./ Е.Р. Макаревич, А.В.Белецкий. - Мн.: БГУ, 2001.-163 с.
  3. Effectiveness of tendon transfers for massive rotator cuff tears: a simulation study / D.J. Magermans [et al.] // Clin. Biomech. - 2004.-Vol. 19,№2.-P.116-122.
  4. Jon, J.P. Frozen Shoulder: Diagnosis and Management / J.P. Jon, M.D.Warner // J. Am. Acad. Orthop. Surg.-1997.-Vol.5, №3.-P.130-140.
  5. Kelly I.G. The Practice of Shoulder Surgery./ I.G. Kelly. - London: Butterworth-Heinemann Ltd, 1993.- 358 p.
  6. Negative prognostic factors in managing massive rotator cuff tears / V.B. Vad [et al.] // Clin. J. Sport Med. -2002.-Vol.12,№3.-P.151-157.
  7. Osteoarthritis of the acromioclavicular joint: a review of anatomy, biomechanics, diagnosis, and treatment / C.J. Buttaci [et al.], // Am. J. Phys. Med. Rehabil. -2004.– Vol.83,№10.-P.791-797.
  8. Vastamaki, M. Factors influencing the operative results of rotator cuff rupture/ M. Vastamaki// Int.Orthop.-1986.-Vol.10,№3.-Р.177-181.
  9. Watson, M. Practical shoulder surgery/ M.Watson. - Grune Stratton, LTD.-1985.-261 р.
Contacts | ©Vitebsk State Medical University, 2007