DOI QR코드

DOI QR Code

Arthroscopic Repair of Full Thickness Rotator Cuff Tear

회전근개 전층 파열에서 관절경 감시하의 봉합술

  • Ko, Sang-Hun (Department of Orthopedic Surgery ,Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Cho, Sung-Do (Department of Orthopedic Surgery ,Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Ryu, Suk-Oo (Department of Orthopedic Surgery ,Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Gwak, Chang-Youl (Department of Orthopedic Surgery ,Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Park, Moon-Soo (Department of Orthopedic Surgery ,Ulsan University Hospital, University of Ulsan College of Medicine)
  • 고상훈 (울산대학교 의과대학 정형외과학교실) ;
  • 조성도 (울산대학교 의과대학 정형외과학교실) ;
  • 류석우 (울산대학교 의과대학 정형외과학교실) ;
  • 곽창열 (울산대학교 의과대학 정형외과학교실) ;
  • 박문수 (울산대학교 의과대학 정형외과학교실)
  • Published : 2003.12.01

Abstract

Purpose: To evaluate the usefulness of arthroscopic repair that was related with full thickness rotator cuff tear and assess clinical result. Materials and Methods: Twenty-one cases of arthroscopically repaired full thickness tear of rotator cuffs were studied. Between October 1998 to July 2002 we have analysed 21 repairs of FTRCT the average age 54(42∼74) years old, mean follow-up was 24(12∼41) months We analyzed the results statistically by paired t-test. Results: Postoperative VAS of pain improved average 7.2 to 1.9, UCLA score improved 13.9 to 31.9, ADL improved 11.5 to 25.5 respectively(all, p<0.001). Eighty-seventh % of the patients showed excellent St good results at the final follow-up. The satisfied rate was 90.5%(19cases). Conclusions: Arthroscopic repair in full thickness rotator cuff tear is effective surgical methods.

Keywords

References

  1. Adamson GJ and Tibone JE: Ten-year assessment of primary rotator cuff repairs. J Shoulder Elbow Surg, 3:243-253, 1994. https://doi.org/10.1016/S1058-2746(09)80042-6
  2. Benjamin S, Brian E and Gregg F: Release and reattachment of the coracoacromial ligament : a cadaveric. J shoulder Elbow Surg, 6-3:297-305, 1997.
  3. Bigliani LU, Morrison DS and April EW: Morphologr of the acromion and its relationship to rotator cuff tears. Orthopaedic Transction, 10:459-460, 1986.
  4. Bokor DJ, Hawkins RJ, Huckell GH, Angelo RL and Schickendantz MS: Results of nonoperative management of full-thinkness tears of the rotator cuff. Clin Orthop, 294: 103-110, 1993.
  5. Cofield RH: Current concept review. Rotator cuff disease of the shoulder. J Bone Joint Surg, 67A:974-979, 1985.
  6. Ellman H: Arthroscopic subacromial decompression. Arthroscopy, 3:173-179, 1996.
  7. Ellman H, Hanker G and Bayer M: Repair of the rotator cuff. J Bone Joint Surg, 68:1136-1144, 1986.
  8. Field TB, Russel FW, Charles C, David WA, David D, George P and Thomas LW: Arthroscopic assisted rotator cuff repair : Results using a mini-open deltoid splitting approach. Arthroscopy, 12:50-59, 1996. https://doi.org/10.1016/S0749-8063(96)90219-4
  9. Gartsman GM: Arthroscopic treatment of rotator cuff disease. J shoulder Elbow Surg, 4:228-241, 1995. https://doi.org/10.1016/S1058-2746(05)80056-4
  10. Groh Gi, Simon M, Rolla P and Rockwood CA: Loss of the deltoid after shoulder operations: An operative disaster. J shoulder Elbow surg, 3:243-253, 1994. https://doi.org/10.1016/S1058-2746(09)80042-6
  11. Hawkins RJ, Misamore GW and Hobeika PE: Surgery for full thickness rotator-cuff tears. J Bone Joint Surg, 67A:1349-1355, 1985.
  12. Neer CS II: Anterior acromioplasty for the chronic impingement syndrome in the shoulder ; A preliminary report. J Bone Joint Surg, 54A:41-50, 1972.
  13. Pollock RG, Deliz ED, Mcilveen SJ, Flatow EL and Bigliani LU: Prosthetic replacement in rotator cuff-deficient shoulders. J shoulder Elbow Surg, 1:173-186, 1992. https://doi.org/10.1016/1058-2746(92)90011-Q
  14. Post MN, Sliver R and Manmolan S: Rotator cuff tear: Diagnosis & treatment. Clin Orthop, 173:78-91, 1983.
  15. Research committee, American shoulder and elbow surgeons; Richard RR, An K, Blgliani LU, et al : A standardized method for the assessment of shoulder function. J shoulder Elbow Surg, 3:347-352, 1994. https://doi.org/10.1016/S1058-2746(09)80019-0
  16. Rockwood CA Jr: Shoulder function following decompression and irreparable cuff lesions. Orthop Trans, 8:92, 1984.
  17. Willey AM: Superior humeral dislocation: a complication following decompression and debridement for rotator cuff tears. Clin Orthop, 263:135-141, 1991.
  18. Zuckerman JD, Leblanc JM, Choueka J and Kummer F; The effct of arm position and capsular release on rotator cuff repair. A biomechanical study. J Bone Joint Surg, 73B;402-405, 1991.

Cited by

  1. All Arthroscopic Repairs with Massive Cuff Stitch in Medium-sized Full Thickness Rotator Cuff Tears vol.43, pp.1, 2008, https://doi.org/10.4055/jkoa.2008.43.1.93
  2. Biomechanical Comparison of the Modified ML (Mattress Locking) Suture and the Modified MA (Mason-Allen) Suture in Rotator Cuff Repairs vol.45, pp.2, 2010, https://doi.org/10.4055/jkoa.2010.45.2.120
  3. Arthroscopic UU-Tension Band Suture for Rotator Cuff Tear above 4 cm - Comparative Study with Simple Suture - vol.15, pp.2, 2012, https://doi.org/10.5397/CiSE.2012.15.2.99
  4. A Prospective Therapeutic Comparison of Simple Suture Repairs to Massive Cuff Stitch Repairs for Treatment of Small- and Medium-Sized Rotator Cuff Tears vol.25, pp.6, 2009, https://doi.org/10.1016/j.arthro.2008.11.001
  5. The Evaluation for the Usefulness and Clinical Results of Arthroscopic Double Row Repair with UU Stitch for Massive Sized Full Thickness Rotator Cuff Tear vol.13, pp.2, 2010, https://doi.org/10.5397/CiSE.2010.13.2.250
  6. Arthroscopic Single-Row Supraspinatus Tendon Repair With a Modified Mattress Locking Stitch: A Prospective, Randomized Controlled Comparison With a Simple Stitch vol.24, pp.9, 2008, https://doi.org/10.1016/j.arthro.2008.04.074