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Subclavian Portal Approach for Isolated Subscapularis Tendon Tear - Technical Note -

견갑하 건 단독 파열에 대한 쇄골하 삽입구를 이용한 봉합술 - 술기보고 -

  • Choi, Chang-Hyuk (Department of Orthopaedic Surgery, College of Medicine, Catholic University of Daegu) ;
  • Kim, Shin-Kun (Department of Orthopaedic Surgery, College of Medicine, Catholic University of Daegu) ;
  • Chang, Il-Woong (Department of Orthopaedic Surgery, College of Medicine, Catholic University of Daegu) ;
  • Kim, Se-Sik (Department of Orthopaedic Surgery, College of Medicine, Catholic University of Daegu)
  • 최창혁 (대구가톨릭대학교 의과대학 정형외과학교실) ;
  • 김신근 (대구가톨릭대학교 의과대학 정형외과학교실) ;
  • 장일웅 (대구가톨릭대학교 의과대학 정형외과학교실) ;
  • 김세식 (대구가톨릭대학교 의과대학 정형외과학교실)
  • Published : 2009.12.15

Abstract

Purpose: For an isolated tear of the subscapularis tendon, the presented technique using a subclavian portal provides both a good angle for anchor placement and sufficient space for managing the upper portion of a subscapularis tendon tear. Materials and Methods: The conventional method needs 2 additional portals for traction, debriding the footprint and anchor fixation for repair. The presented technique requires only an anterior portal for suture management and a subclavian portal without cannula for suture anchoring and placement of suture hooks. Results: The two suture limbs of the anchor can be placed on the subscapularis tendon by the switching technique and these limbs are repaired sequentially. Conclusion: This technique is simple and reproducible and it can be applied to partial tears and minimally retracted subscapularis tears.

목적: 저자들은 견갑하 건 단독 파열에 대한 쇄골하 삽입구를 이용함으로써 봉합나사못을 보다 적절한 각도로 삽입하고 충분한 작업공간을 확보하여 봉합갈고리를 이용한 건 봉합을 용이하게 할 수 있었다. 대상 및 방법: 기존의 방법은 일반적으로 전방 및 전외측 삽입구를 이용하여 견갑하 건의 견인과 부착부 족문 (footprint)의 변연절제술을 시행한 후 봉합나사못을 삽입하여 복원술을 시행하고 있으며, 저자들은 삽입관을 따로 위치시키지 않고 쇄골하 삽입구를 이용하여 피하 (subcutaneous)로 봉합나사못 삽입과 봉합고리를 이용한 봉합사 통과작업을 시행하고, 전방 삽입구에만 삽입관을 위치시켜 봉합사를 결찰하여 견갑하 건 복원술을 시행하였다. 결과 및 결론: 이 술식은 간단하며 견갑하 건의 부분 파열이나 퇴축이 많이 되지 않은 전 파열에 용이하게 사용될 수 있을 것으로 생각된다.

Keywords

References

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Cited by

  1. Efficacy of the Subclavian Portal Approach in Arthroscopic Repair of Isolated Subscapularis Tendon Tear vol.17, pp.1, 2014, https://doi.org/10.5397/cise.2014.17.1.18