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http://dx.doi.org/10.5397/CiSE.2012.15.2.99

Arthroscopic UU-Tension Band Suture for Rotator Cuff Tear above 4 cm - Comparative Study with Simple Suture -  

Ko, Sang-Hun (Department of Orthopaedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine)
Lee, Chae-Chil (Department of Orthopaedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine)
Shin, Seung-Myeong (Department of Orthopaedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine)
Kim, Sang Woo (Department of Orthopaedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine)
Cho, Bum-Keun (Department of Orthopaedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine)
Publication Information
Clinics in Shoulder and Elbow / v.15, no.2, 2012 , pp. 99-108 More about this Journal
Abstract
Purpose: To evaluate the clinical results of arthroscopic repair with UU-Tension Band suture for full thickness rotator cuff tear above 4 cm sized. Materials and Methods: From January 2006 to October 2011, in 71 full thickness tears above 4 cm sized which is possible to arthroscopic repair to medial margin of greater tuberosity. The group I is 71 patients which is arthroscopic repair with UU-Tension Band suture, and the group II is 20 cases which is arthroscopic repair with simple suture. Both groups were compared with a VAS score for pain, Activity of Daily Living, UCLA score, KSS score in pre operation, 7 months, 1 year and last follow-up. Statistical analysis was performed by student t test and paired t est. Mean age was 63.2 (52~80) year old, mean follow-up was 38.4 (13~62) months. Results: The VAS scores for pain decreased from 8.1 at preoperative period to 1.6 at postoperative last follow-up period in group I (p<0.05), the score decreased from 7.6 at preoperative period to 1.8 postoperative last follow-up period in group II (p<0.05). The significant difference was not noted between two groups (p<0.05). Mean ADL scores increased from 12.5 at preoperative period to 29.0 post operative last follow-up period in group I (p<0.05), the score increased from 11.3 in pre op to 27.5 post-operative last follow-up in group II (p<0.05). The significant difference was not noted between two groups (p<0.05). The UCLA score increased from 12.9 at preoperative period to 28.7 postoperative last follow-up period in group I (p<0.05), the score increased from 13.8 at preoperative period to 30.1 postoperative last follow-up period in group II (p<0.05). The significant difference was not noted between two groups (p<0.05). In comparing of retear which was checked by MRI and ultrasound evaluated at postoperative period 7 months (mean: 27.5 weeks), the retears were 28% in the group I, and 11 shoulders out of 20 shoulders in the group II. The significant differences were noted between two groups (p<0.05). Conclusion: Arthroscopic repair with UU-Tension Band suture and simple suture for full thickness rotator cuff tear above 4 cm sized were not different clinical result between both groups. However, the significant differences were noted in point of failure rate between both groups.
Keywords
Shoulder; Full thickness rotator cuff tear above 4 cm sized; Arthroscopic repair; UU-Tension Band suture;
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Times Cited By KSCI : 9  (Citation Analysis)
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