Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Use of Massive Cuff Stitch in Arthroscopic Repair of Rotator Cuff Tears

관절경 하 회전근 개 파열의 봉합에서 광범위 근개 봉합법의 이용

  • Ko, Sang-Hun (Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Cho, Sung-Do (Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Gwak, Chang-Youl (Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Eo, Jin (Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Yoo, Chang-Hyun (Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Choe, Seung-Wan (Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine)
  • 고상훈 (울산의대 울산대학교병원 정형외과학교실) ;
  • 조성도 (울산의대 울산대학교병원 정형외과학교실) ;
  • 곽창렬 (울산의대 울산대학교병원 정형외과학교실) ;
  • 어진 (울산의대 울산대학교병원 정형외과학교실) ;
  • 유창현 (울산의대 울산대학교병원 정형외과학교실) ;
  • 최승원 (울산의대 울산대학교병원 내과학교실)
  • Published : 2006.12.15
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Abstract

Purpose: To evaluate the integrity of repair & technical tip in use of Massive Cuff Stitch at arthroscopic repair of rotator cuff tear. Materials and Methods: Twenthy-nine cases of arthroscopically repaired full thickness tear of rotator cuffs which are medium sized were evaluated. Between December 2004 to September 2005 we have studied, the average age 53($42{\sim}69$) years old, mean follow-up was 15($12{\sim}21$) months. We analyzed the results statistically by paired t-test. The integrity of repair were verified by follow up MRI which were checked 11 cases and ultrasound which were checked 10 cases. Results: VAS of pain improved preoperative average 7.1 to postoperative 0.9, ADL improved 11.2 to 25.6 respectively, UCLA improved 13.7 to 32.9(all, P<0.05). 89.7% showed excellent & good results at the final follow-up. The satisfied rate was 93.1%(27 cases). There was re-rupture of the repaired rotator cuff in one case out of 11 cases which were checked by MRI, and in one case out of 10 cases which were checked by ultrasound, and there was one case of thinning of cuff which were checked by ultrasound. Conclusion: The use of Massive Cuff Stitch in arthroscopic repair of rotator cuff tear have been reduced technical failure. It will be good surgical technique which maintain the integrity of repairs.

Keywords

References

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