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Clin Shoulder Elbow > Volume 14(1); 2011 > Article
Clinics in Shoulder and Elbow 2011;14(1):46-52.
DOI: https://doi.org/10.5397/CiSE.2011.14.1.046    Published online June 30, 2011.
The Result of Rotator Cuff Repair Using Arthroscopic Margin Convergence Technique in Irreparable Large and Massive Rotator Cuff Tears
Eui Sung Choi, Kyoung Jin Park, Yong Min Kim, Dong Soo Kim, Hyun Chul Shon, Byung Ki Cho, Ji Kang Park, Hyung Joon Lee
Department of Orthopaedic Surgery, College of Medicine, Chungbuk National University, Cheongju, Korea. oslion@chungbuk.ac.kr
해부학적 봉합이 불가능한 회전근 개 파열에서 관절경하 모서리 맞춤 술식을 이용한 봉합의 결과
최의성·박경진·김용민·김동수·손현철·조병기·박지강·이형준
충북대학교 의과대학 정형외과학교실
Abstract
PURPOSE
This study was performed to assess the usefulness of non-anatomical repair for irreparable large and massive rotator cuff tears by the arthroscopic margin convergence technique. MATERIALS AND METHODS: Twenty-two patients were followed up more than 1 year after non-anatomical repair for irreparable large and massive rotator cuff tears using the arthroscopic margin convergence technique. The clinical evaluation was performed according to the KSS score, the UCLA score and the Visual analogue scale (VAS). The measurement of the acromio-humeral distance was performed using the shoulder anterior-posterior radiographs. The measurement of fatty degeneration and the healing status was performed using the shoulder MRI after 6 months.
RESULTS
Among twenty-two patients, follow up MRI was performed in eleven cases. Three cases were well healed, four cases were partial healed and another four cases were re-torn. The KSS and UCLA scores had significantly improved from a preoperative average of 45.0+/-8.014 and 10.8+/-2.302 points to 77.1+/-10.151 and 30.0+/-1.521 points, respectively, and the pain VAS had decreased from a preoperative average of 7.7+/-0.616 points to 3.0+/-1.021 points at the last follow up. Less favorable results were obtained when the patient had a grade of fatty degeneration higher than grade 3 on the preoperative MRI.
CONCLUSION
Non-anatomical repair for irreparable large and massive rotator cuff tears by the arthroscopic margin convergence technique showed good functional results. It seems to be one of the effective treatment methods for irreparable large and massive rotator cuff tears.
Key Words: Shoulder; Massive rotator cuff tear; Arthroscopic margin convergence technique


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