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The Evaluation for the Usefulness of Arthroscopic Miniopen Repair which Related with Large and Massive Sized Full Thickness Rotator Cuff Tear and Clinical Results

대범위 이상의 회전근 개 파열에 대한 관절경 감시하 소절개 봉합술의 임상 결과 및 수술의 유효성

  • Ko, Sang-Hun (Department of Orthopaedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Cho, Sung-Do (Department of Orthopaedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Choe, Seung-Wan ;
  • Park, Mun-Soo (Department of Orthopaedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Gwak, Chang-Youl (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) ;
  • Jung, Kwang-Hwan (Department of Orthopaedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Cha, Jae-Ryong (Department of Orthopaedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine)
  • 고상훈 (울산의대 울산대학교병원 정형외과학교실) ;
  • 조성도 (울산의대 울산대학교병원 정형외과학교실) ;
  • 최승원 (울산의대 울산대학교병원 내과학교실) ;
  • 박문수 (울산의대 울산대학교병원 정형외과학교실) ;
  • 곽창열 (울산의대 울산대학교병원 정형외과학교실) ;
  • 김상우 (울산의대 울산대학교병원 정형외과학교실) ;
  • 정광환 (울산의대 울산대학교병원 정형외과학교실) ;
  • 차재룡 (울산대학교 정형외과학교실)
  • Published : 2006.06.30

Abstract

Purpose: To evaluate the usefulness of arthroscopic decompression and miniopen repair that was related with large and massive sized full thickness rotator cuff tear and assess clinical result. Materials and Methods: Twenthy-nine cases of miniopen repaired full thickness tear of rotator cuffs that arthroscopically decompressed were studied. From October 1998 to December 2004 we have analysed 29 repairs of large and massive sized FTRCT, the average age 44 ($32{\sim}71$) years old, mean follow-up was 34 ($12{\sim}84$) months. We analyzed the results statistically by paired t-test. Results: Postoperative VAS of pain improved average 7.0 to 1.7, UCLA score improved 13.7 to 31.9, ADL improved 11.3 to 25.3 respectively (all, P=0.000). Twenty five cases(82.8%) of the patients showed excellent & good results at the final follow-up. The satisfied rate was 26 cases(89.7%). Conclusions: Arthroscopic decompression and miniopen repair in large and massive sized full thickness rotator cuff tears are effective surgical methods.

Keywords

References

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