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Freek Hollman , Nienke Wolterbeek, Jacco Zijl, Sjoerd van Egeraat, Tom Mooij, Ronald Wessel

Abductionbrace versus Sling after arthroscopic cuff repair The effect on pain and function Randomised controlled trial. Freek Hollman , Nienke Wolterbeek, Jacco Zijl, Sjoerd van Egeraat, Tom Mooij, Ronald Wessel Department of orthopaedic surgery St. Antonius Hospital. Disclosure.

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Freek Hollman , Nienke Wolterbeek, Jacco Zijl, Sjoerd van Egeraat, Tom Mooij, Ronald Wessel

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  1. Abductionbrace versus Sling after arthroscopic cuff repairThe effect on pain and functionRandomised controlled trial Freek Hollman, Nienke Wolterbeek, Jacco Zijl, Sjoerd van Egeraat, Tom Mooij, Ronald Wessel Department of orthopaedic surgery St. Antonius Hospital

  2. Disclosure • Össur: supply of the abduction braces NVA Jaarcongres | F. Hollman | 4 april 2014

  3. Introduction and purpose • Antirotation sling: adduction and endorotation •  increased tension SST/IST • Abduction brace: abduction and neutral rotation •  less tension SST/IST • Hypothesis:there will be less tension on the repaired tendons and thereby less pain with the abduction brace compared to the antirotation sling. • Jerosch J, et al. 1993 • Stiglitz Y, et al. 2011 NVA Jaarcongres | F. Hollman | 4 april 2014

  4. Material and methods (1) • Randomized controlled trial. • N=40 (P= 0.05 (α), power 80%, dropout of 10%). • Consecutive patients. • Traumatic or degenerative full-thickness SST and/or IST tear on MRI. NVA Jaarcongres | F. Hollman | 4 april 2014

  5. Material and methods (2) • Preoperative • MRI: fatty infiltration, atrophy, retraction, location • Peroperative • Thomazeau (saggital/coronal); Bateman; tension • Follow-up • 6 weeks immobilization • Pain: patient diary 12 weeks • Function: 6 weeks, 3 months, 6 months •  Constant score, GH-ROM, WORC, QOL, level of satisfaction • Ultrasound at 3 months NVA Jaarcongres | F. Hollman | 4 april 2014

  6. Resultspreliminarybaseline NVA Jaarcongres | F. Hollman | 4 april 2014

  7. ResultsPain NVA Jaarcongres | F. Hollman | 4 april 2014

  8. ResultsFunction/QOL NVA Jaarcongres | F. Hollman | 4 april 2014

  9. Conclusion • On the short term the level of pain, QOL and function was not significantly different between groups. • No retearswere observed. • Study results might be significantly different when completed. Discussion NVA Jaarcongres | F. Hollman | 4 april 2014

  10. Complicatiebespreking | R.Huijbregts | 21 augustus 2014

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