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Clin Shoulder Elbow > Volume 13(2); 2010 > Article
Clinics in Shoulder and Elbow 2010;13(2):181-187.
DOI: https://doi.org/10.5397/CiSE.2010.13.2.181    Published online December 31, 2010.
Clinical Results of Arthroscopic Repair of Full-thickness Rotator Cuff Tear Using Suture Bridge Technique
Jae Sung Seo, Sung Hyuk Park, Won Ho Kim
1Department of Orthopedic Surgery, College of Medicine, Yeungnam University, Daegu, Korea. sjs@med.yu.ac.kr
2Kang Nam Hospital, Korea.
관절경적 교량형 봉합 술식을 통한 회전근 개 전층 파열의 치료결과
서재성·박성혁*·김원호
영남대학교 의과대학 정형외과학교실, 강남병원
Abstract
PURPOSE
To determine clinical results for arthroscopic repair of a full-thickness rotator cuff tear using a suture bridge technique. MATERIALS AND METHODS: Between November, 2007 and October, 2008, we evaluated 90 cases of arthroscopic middle, large rotator tear cuff repair. The mean follow-up period was 15 months (range, 12-23 months). Forty-three cases had medium-sized tears; 47 cases had large-sized tears. At the preoperative stage and again at last follow-up, functional results were assessed by the KSS, ASES, UCLA and the PVAS (Pain visual analogue score).
RESULTS
Pain score improved from 2.56 preoperatively to 0.96 at final follow-up; movement scores improved from 6.94 to 1.70. At. final follow-up, the average UCLA score improved from 17.08 to 31.17 with 31 excellent (34%), 49 good (54%) and 10 poor results (12%). The final UCLA score was 31.47 in the group less than 60 years of age and 30.69 in the group over 61 years of age (p=0.344). The UCLA score was 31.23 in those with medium-sized tears and 31.11 in those with large-sized tears (p=0.924). The UCLA score was 31.10 in non-trauma patients and 31.23 in trauma patients (p=0.929).
CONCLUSION
Arthroscopic repair of a full-thickness rotator cuff tear using a suture bridge technique can produce excellent clinical results. These outcomes are not affected by age or trauma history.
Key Words: Shoulder; Rotator cuff tear; Arthroscopic repair; Suture bridge technique


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