Early Complications after Repair of Massive Rotator Cuff Tear

doi:2006.9.1.27

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Clin Shoulder Elb > Volume 9(1); 2006 > Article

Journal of the Korean Shoulder and Elbow Society 2006;9(1):27-33.
DOI: https://doi.org/10.5397/CiSE.2006.9.1.027 Published online June 30, 2006.

Early Complications after Repair of Massive Rotator Cuff Tear

Joong-Bae Seo, Seung-Chul Bahng

Department of Orthopaedic Surgery,Dankook University College of Medicine,Cheonan,Korea

광범위 회전근개 파열의 수술적 치료 후 발생한 단기 합병증

서중배, 방승철

단국대학교 의과대학 정형외과학교실

Abstract

Purpose
To investigate early complications after repair of massive rotator cuff tears and to find out factors that compromise the results. Materials and Methods: Fourteen patients who had two or more cuff tendons involved were included. All patients were operated by open acromioplasty and rotator cuff repair. At 3 months after operation, we investigated whether there were any early complications or not. We used ASES scoring system for preoperative and follow up evaluation. In addition, various preoperative factors, such as duration of symptom, degree of tendon retraction, degree of fatty degeneration, and acromio-humeral distance, were compared between the complicated patients and non-complicated patients. Results: At 3 months after operation, the ASES score and pain were improved in any degree in all patients. But 5 patients complained persisting pain, and three of them showed major complications such as re-rupture of rotator cuff or deltoid rupture. But no preoperative factors in complicated patients were significantly different from those in noncomplicated patients. Conclusion: None of the preoperative factors were related to the complications. There was a tendency of overestimation of fatty degeneration in MRI. Some factors in surgical technique and rehabilitation were highly suspected to be related to the complications.

Key Words: Massive rotator cuff tear, Open rotator cuff repair

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