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Journal of the Korean Shoulder and Elbow Society 1998;1(1):109-117.
Published online March 30, 1998.
Arthroscopic Versus Open ACJJ'omioplasty for Impingement Syndrome and Partial Thickness Rotator Cuff Tear
Yong Girl Rhee, Ki Seong Chang
Department of Orthopedic Surgery, School of Medicine, Kyung Hee University Hospital
충돌증후군 및 회전근개부분좌열에서의 관절경적 견봉성형술과 개방적 견봉성형술의 비교 분석
이용걸, 장기성
경희대학교 의과대학 정형외과학교실
Abstract
We evaluated the results of the surgery for impingement syndromes and partial thickness tears of the rotator cuff with an average follow-up period of 15 months. One group(group I) of 43 patients, 46 cases underwent arthroscopic subacromial decompression. The other comparable group(group Ⅱ) of 10 patients, II cases underwent open acromioplasty. The average age at operation was 48 years, old. Arthroscopic subacromial decompression achieved slightly better pain relief, the range of the acti ve forward flexion, function, strength and the overall score with improvement from the preoperative condition than open acromioplasty. The patient's satisfaction was better in group I as well. Using the UCLA Shoulder Rating Scale, 89% of group I and 82% of group n had good or excellent results. Preservation of the origin of the deltoid during an arthroscopic acromioplasty reduced the postoperative morbidity and made it possible to start rehabilitation sooner and to achieve the better and more predictable results.
Key Words: 견관절; 충돌증후군; 견봉성형술 ; Shoulder; Impingemen; syndrome; Acromioplbsty


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