Clinics in Shoulder and Elbow

대한견·주관절의학회 (Korean Shoulder and Elbow Society)
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광범위 회전근개 파열의 수술적 치료 후 발생한 단기 합병증

Early Complications after Repair of Massive Rotator Cuff Tear

  • 서중배 (단국대학교 의과대학 정형외과학교실) ;
  • 방승철 (단국대학교 의과대학 정형외과학교실)
  • Seo, Joong-Bae (Department of Orthopaedic Surgery, Dankook University College of Medicine) ;
  • Bahng, Seung-Chul (Department of Orthopaedic Surgery, Dankook University College of Medicine)
  • 발행 : 2006.06.30
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초록

Purpose: To investigate early complications after repair of massive rotator cuff tears and to find out factors that compromise the results. Materials and Methods: Fourteen patients who had two or more cuff tendons involved were included. All patients were operated by open acromioplasty and rotator cuff repair. At 3 months after operation, we investigated whether there were any early complications or not. We used ASES scoring system for preoperative and follow up evaluation. In addition, various preoperative factors, such as duration of symptom, degree of tendon retraction, degree of fatty degeneration, and acromio-humeral distance, were compared between the complicated patients and non-complicated patients. Results: At 3 months after operation, the ASES score and pain were improved in any degree in all patients. But 5 patients complained persisting pain, and three of them showed major complications such as re-rupture of rotator cuff or deltoid rupture. But no preoperative factors in complicated patients were significantly different from those in non-complicated patients. Conclusion: None of the preoperative factors were related to the complications. There was a tendency of overestimation of fatty degeneration in MRI. Some factors in surgical technique and rehabilitation were highly suspected to be related to the complications.

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참고문헌

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피인용 문헌

  1. Efficacy of Interscalene Block Anesthesia on the Early Postoperative Pain after Arthroscopic Shoulder Surgery: Comparison with General Anesthesia vol.46, pp.4, 2011, https://doi.org/10.4055/jkoa.2011.46.4.288
  2. A Mid-Term Reults of Arthroscopic Versus Open Repair for Large and Massive Rotator Cuff Tears vol.14, pp.2, 2011, https://doi.org/10.5397/CiSE.2011.14.2.222