| Arthroscopic Assisted Mini-open Repair of Rotator Cuff Tear: 5∼8 Years Follow-up Results |
| Young-Mo Kim, M.D., Kwang-Jin Rhee, M.D., Hyun-Dae Shin, M.D.,
Ki-Yong Byun, M.D.*, Kyung-Cheon Kim, M.D., and Ui-Pyo Hong, M.D. |
| Department of Orthopedic Surgery, School of Medicine, Chungnam National University, Daejon, Korea
Dunsan Byun Orthopedic Hospital, School of Medicine, Daejon, Korea |
| 관절경 보조 소절개 봉합술을 이용한 회전근 개 파열의 치료: 5∼8년 추시 결과 |
| 김영모, 이광진, 신현대, 변기용, 김경천, 홍의표 |
| 충남대학교 의과대학 정형외과학교실, 둔산 변정형외과병원* |
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| Abstract |
Purpose
To report our experience of treatment of rotator cuff tear and evaluate the mid-term outcome. Materials and Methods: We have performed 50 cases of mini-open rotator cuff repair from March 1996 to March 1999. Male to female ratio was 34:16, the average age 46.5(23~57) years old, mean follow-up period was 78(62~93) months. All-arthroscopic repair and open repair cases were excluded. Mean symptomatic period was 12.5(6~38) months, operation was indicated in cases of no improvement by 6 months of conservative management. Preoperative simple radiographs and Magnetic resonance arthrography were obtained in all cases. We also observed the inflammation, synovitis, thickness of tear and associated pathology intraoperatively. We evaluated pain, function, and range of motion by UCLA score. Results: Overall UCLA score was mean 29.5 points. Excellent 25, good 18, poor 7 cases. Mean pain score was improved 2.6 to 7.5, 44 cases(88%) were improved and 6 cases(12%) were not improved. Mean functional score was improved 3.4 to 8.5, and activity at follow up, 25 cases(50%) were same, 8 cases(14%) were above, 17 cases(34%) were below compared with preoperative level. Mean active forward flexion was preoperative 112°to postoperative 160°, forward flexion strength was improved 3.8 to 4.7. 43 cases(86%) of patients were satisfied at the result, 7 cases(14%) were not satisfied or aggravated. Results: Mini-open rotator cuff repair was effective method in treating rotator cuff tear. |
| Key Words:
Shoulder, Rotator cuff tear, Mini-open repair |
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