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
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Abductionbrace versus Sling after arthroscopic cuff repair The effect on pain and function Randomised controlled trial Freek Hollman, Nienke Wolterbeek,
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Abductionbrace versus Sling after arthroscopic cuff repair
The 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
Disclosure
Össur: supply of the abduction braces
2 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
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.