Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Mini-Open Repair in Large and Massive Rotator Cuff Tears

소절개 봉합술을 이용한 대범위 이상 회전근 개 파열 환자의 치료 결과

  • Chung, Soo-Tai (Department of Orthopaedic Surgery, Myongji Hospital, College of Medicine, Kwandong University) ;
  • Kim, Hyung-Soo (Department of Orthopaedic Surgery, Myongji Hospital, College of Medicine, Kwandong University) ;
  • Yoo, Jeong-Hyun (Department of Orthopaedic Surgery, Myongji Hospital, College of Medicine, Kwandong University) ;
  • Park, Jae-Hyung (Department of Orthopaedic Surgery, Myongji Hospital, College of Medicine, Kwandong University) ;
  • Kim, Joo-Hak (Department of Orthopaedic Surgery, Myongji Hospital, College of Medicine, Kwandong University) ;
  • Jung, Kwang-Gyu (Department of Orthopaedic Surgery, Myongji Hospital, College of Medicine, Kwandong University) ;
  • Lee, Joong-Hyo (Department of Orthopaedic Surgery, Myongji Hospital, College of Medicine, Kwandong University)
  • 정수태 (관동대학교 의과대학 명지병원 정형외과교실) ;
  • 김형수 (관동대학교 의과대학 명지병원 정형외과교실) ;
  • 유정현 (관동대학교 의과대학 명지병원 정형외과교실) ;
  • 박재형 (관동대학교 의과대학 명지병원 정형외과교실) ;
  • 김주학 (관동대학교 의과대학 명지병원 정형외과교실) ;
  • 정광규 (관동대학교 의과대학 명지병원 정형외과교실) ;
  • 이중효 (관동대학교 의과대학 명지병원 정형외과교실)
  • Published : 2006.12.15
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Abstract

Purpose: Although surgical arthroscopic repair of rotator cuff has become much more common as surgeons have developed proficient techniques, it is still technically difficult. The purpose of this study was to evaluate the clinical results and the usefulness of mini-open repair in large and massive size tears. Materials & Methods: From January 2000 to December 2004, sixteen patients were treated with mini-open repair. There were 10 male and 6 female patients with the average age of 62.5 years. The size of tear was massive in 4 cases and large in 12 cases. All tears were repaired with metal anchor sutures. The mean duration of follow-up period was 23 months. Postoperative results were evaluated based on American Shoulder and Elbow Society scoring system. Results: Five patients showed excellent results, five good, and two fair in large tears while one patient showed excellent result, one good, and two fair in massive tears. Poor outcome was not seen during the follow-up period. There was no significant relationship between the patient's age and the size of tear, and postoperative results. However, the relationship between the duration of symptomatic period in preoperation and postoperative results showed significant correlation. Conclusion: Mini-open repair combined with the preservation of deltoid and early rehabilitation is clinically useful in large and massive size rotator cuff tear patients treatment.

Keywords

References

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  1. Correlation of Clinical Outcome and Cuff Integrity after Open Repair in Large and Massive Rotator Cuff Tears vol.10, pp.1, 2007, https://doi.org/10.5397/CiSE.2007.10.1.065