Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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New V-shaped Technique in SLAP Repair (Comparison of Cinical Results Between New V-shaped Repair and Conventional Rapair Technique in Arthroscopic Type II SLAP Surgery)

SLAP 병변 수술에 사용 가능한 새로운 V자 봉합 (Type II SLAP 병변의 관절경적 수술에 있어 새로운 V자 형태의 봉합술기와 기존의 방법과의 임상결과 비교)

  • Hyun, Yoon-Suk (Department of Orthopedic Surgery, Kangdong Sacred Heart hospital, Hallym University college of medicine) ;
  • Shin, Sung-Il (Department of Orthopedic Surgery, Kangdong Sacred Heart hospital, Hallym University college of medicine) ;
  • Kang, Jung-Woo (Department of Orthopedic Surgery, Kangdong Sacred Heart hospital, Hallym University college of medicine) ;
  • Ahn, Joo-Hyun (Department of Orthopedic Surgery, Kangdong Sacred Heart hospital, Hallym University college of medicine)
  • 현윤석 (한림대학교 의과대학 강동성심병원 정형외과학교실) ;
  • 신성일 (한림대학교 의과대학 강동성심병원 정형외과학교실) ;
  • 강정우 (한림대학교 의과대학 강동성심병원 정형외과학교실) ;
  • 안주현 (한림대학교 의과대학 강동성심병원 정형외과학교실)
  • Received : 2010.02.03
  • Accepted : 2010.05.06
  • Published : 2010.06.15
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Abstract

Purpose: The purpose of this study was to compare clinical outcomes between the new V-shaped repair method and conventional methods for the arthroscopic repair of Type II SLAP lesions. Materials and Methods: Our study population consisted of 23 people treated with the new V-shaped repair method or conventional methods in the arthroscopic repair of Type II SLAP lesions at our institution between May 2006 and October 2008. Eleven shoulders were treated using the new V-shaped repair method. Twelve shoulders were treated using conventional methods. The average follow up period was 15 months. For evaluation of clinical results, we used UCLA and VAS pain scores. Results: Comparing change scores (preoperative vs. postoperative states) there were no significant differences in UCLA score or VAS score between the two groups. Conclusion: The new V-shaped repair technique elicits similar clinical results with conventional arthroscopic repair techniques and thus can be considered a useful alternative when using an absorbable suture that is anchor linked with only one suture.

목적: Type II SLAP 병변의 관절경적 수술에서 봉합사가 한 개만 연결된 봉합나사를 이용한 새로이 고안된 V자 봉합법과 기존의 봉합법과의 임상결과를 비교하고자 하였다. 대상 및 방법: 2006년 05월부터 2008년 10월 까지 무작위로 새로이 고안된 봉합법으로 수술을 받은 11명의 환자와 기존의 봉합법으로 수술을 받은 12명을 대상으로 하였고 평균 추시기간은 15개월 이었고 임상결과는 UCLA 점수와 VAS 통증 점수를 이용하였다. 결과: 두 환자군 간의 수술 전 후 UCLA점수와 VAS 통증 점수의 향상에는 큰 차이가 없었다. 결론: 저자들이 고안한 새로운 V자 형태의 봉합법은 봉합사가 한 개만 연결된 흡수성 봉합 나사로도 기존의 방법들과 유사한 임상 결과를 보여 줄 수 있는 유용한 대안으로 생각된다.

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References

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