En un altre raco de la mateixa revista Moltes vegades hem vist controversia sobre la millor localització per la pràctica de infiltracions del espai subacromial. L'article , ben construït i desenvolupat conclou que la infiltracio per via lateral ( la que fem servir!!) o anterior es mes fiable que la posterior :
Injection of the Subacromial Bursa in Patients with Rotator Cuff Syndrome: A Prospective, Randomized Study Comparing the Effectiveness of Different Routes
J Bone Joint Surg Am, 2012 Aug 15;94(16):1442-1447. doi: 10.2106/JBJS.K.00534
Richard A. Marder, MD; Sunny H. Kim, PhD; Jerry D. Labson, MD; John C. Hunter, MD
28 d’ag. 2012
6 d’ag. 2012
Journal de l'Agost 12
Use of Platelet-Leukocyte Membrane in Arthroscopic Repair of Large Rotator Cuff Tears: A Prospective Randomized Study .J Bone Joint Surg Am, 2012 Aug 01;94(15):1345-1352. doi: 10.2106/JBJS.K.00394
Stefano Gumina, MD, Franco Postacchini, MD
In conclusion, the use of platelet-leukocyte membrane led to a slight improvement, as assessed by MRI, in the repair integrity of large tears involving the supraspinatus tendon, although this improvement was not associated with a better objective functional outcome.
Nevertheless, many aspects of the use of this membrane still have to be elucidated; further research is necessary to determine
(1) whether the membrane is absorbed, and how much time this requires,
(2) whether the membrane prevents or only slows down the development of rotator cuff retears, and
(3) whether passing the post suture through the membrane and covering it with the rotator cuff is sufficient to maintain the membrane in situ.
The primary limitation of this study is the relatively short duration of follow-up
O sigui que lo dels factorets per facturar pot ser una realitat que siguin mes per facturar que per altre cosa?
The Cost-Effectiveness of Single-Row Compared with Double-Row Arthroscopic Rotator Cuff Repair
James W. Genuario, MD, J Bone Joint Surg Am, 2012 Aug 01;94(15):1369-1377. doi: 10.2106/JBJS.J.01876
With use of current data for the average patient presenting with a rotator cuff tear, irrespective of tear size, double-row repair is not a cost-effective method of rotator cuff repair. The incremental cost associated with a second row of implants and associated operating-room time is not offset by the reduction in retear
En temps d'estalvi una bona notícia.
Stefano Gumina, MD, Franco Postacchini, MD
In conclusion, the use of platelet-leukocyte membrane led to a slight improvement, as assessed by MRI, in the repair integrity of large tears involving the supraspinatus tendon, although this improvement was not associated with a better objective functional outcome.
Nevertheless, many aspects of the use of this membrane still have to be elucidated; further research is necessary to determine
(1) whether the membrane is absorbed, and how much time this requires,
(2) whether the membrane prevents or only slows down the development of rotator cuff retears, and
(3) whether passing the post suture through the membrane and covering it with the rotator cuff is sufficient to maintain the membrane in situ.
The primary limitation of this study is the relatively short duration of follow-up
O sigui que lo dels factorets per facturar pot ser una realitat que siguin mes per facturar que per altre cosa?
The Cost-Effectiveness of Single-Row Compared with Double-Row Arthroscopic Rotator Cuff Repair
James W. Genuario, MD, J Bone Joint Surg Am, 2012 Aug 01;94(15):1369-1377. doi: 10.2106/JBJS.J.01876
With use of current data for the average patient presenting with a rotator cuff tear, irrespective of tear size, double-row repair is not a cost-effective method of rotator cuff repair. The incremental cost associated with a second row of implants and associated operating-room time is not offset by the reduction in retear
En temps d'estalvi una bona notícia.
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