Clinics in Shoulder and Elbow

대한견·주관절의학회 (Korean Shoulder and Elbow Society)
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광범위 회전근 개 파열의 개방적 봉합술

Open Repair of Massive Rotator Cuff Tears

  • 안병우 (성균관대학교 의과대학 마산삼성병원 정형외과학교실) ;
  • 윤종호 (성균관대학교 의과대학 마산삼성병원 정형외과학교실) ;
  • 조제일 (성균관대학교 의과대학 마산삼성병원 정형외과학교실) ;
  • 곽완섭 (성균관대학교 의과대학 마산삼성병원 정형외과학교실) ;
  • 왕경태 (성균관대학교 의과대학 마산삼성병원 정형외과학교실) ;
  • 정성원 (성균관대학교 의과대학 마산삼성병원 정형외과학교실)
  • Ahn, Byung-Woo (Department of orthopaedic Surgery, Masan Samsung Hospital, College of Medicine, Sungkyunkwan University) ;
  • Yoon, Jong-Ho (Department of orthopaedic Surgery, Masan Samsung Hospital, College of Medicine, Sungkyunkwan University) ;
  • Jo, Je-Il (Department of orthopaedic Surgery, Masan Samsung Hospital, College of Medicine, Sungkyunkwan University) ;
  • Kwag, Wan-Sub (Department of orthopaedic Surgery, Masan Samsung Hospital, College of Medicine, Sungkyunkwan University) ;
  • Wang, Kyung-Tae (Department of orthopaedic Surgery, Masan Samsung Hospital, College of Medicine, Sungkyunkwan University) ;
  • Jung, Sung-Weon (Department of orthopaedic Surgery, Masan Samsung Hospital, College of Medicine, Sungkyunkwan University)
  • 발행 : 2006.06.30
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초록

Purpose: To evaluate the usefulness and functional results of open repair of massive rotator cuff tears combined with or without the tenoplasty of biceps long head. Materials and Methods: From March 2003 to August 2004, we evaluated 18 cases of the patient treated with open repair of massive rotator cuff tears. The mean age was 56 years and mean follow-up period was 15 months. We performed open repair of massive rotator cuff tears by tendon to bone repair, but in irrepairable 4 cases for tendon to bone repair performed open repair combined with tenoplasty of biceps long head. The functional results were assessed using the Constant score, the parameters of which were pain, dialy activity, mobility, strength and satisfaction. Results: The functional results were excellent in 4 cases, good in 8 cases, fair in 3 cases and poor in 3 cases. And the results of open repair combined with tenoplasty of biceps long head were good in 2 cases and fair in 2 cases. Re-repair was done in 1 case for re-rupture. And the functional result of this case was fair. The 3 poor cases were suspected re-rupture, the factor of which old age and weakened rotator cuff. It was impossible to do re-repair. Conclusion: The open repair combined with or without tenoplasty of biceps long head is a useful and effective method for massive rotator cuff tear.

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참고문헌

  1. Blevins FT, Warren RF and Wickiewicz TL: Arthroscopic assisted rotator cuff repair: results using a mini-open deltoid splitting approach. Arthroscopy, 12:50-59, 1996. https://doi.org/10.1016/S0749-8063(96)90219-4
  2. Codman EA: The shoulder, Boston, Thomas Todd, 123-177, 1934.
  3. Cofield RH: Current concept review. Rotator cuff disease of the shoulder. J Bone Joint Surg, 67-A:974-979, 1985.
  4. Ellman H: Arthroscopic subacromial decompression: Analysis of 1 to 3 year results. 3:173-181, 1987. https://doi.org/10.1016/S0749-8063(87)80061-0
  5. Gartsman GM, Khan M and Hammerman SM: Arthroscopic repair of full-thickness tears of the rotator cuff. J Bone Joint Surg, 80-A:832-840, 1998.
  6. Gerber C: Massive rotator cuff tears. In:Disorders of the shoulder. Diagnosis and management. 1st ed, Philadelphia, Lippincott Wiliams & Wilkins Inc:57-92, 1999.
  7. McLaughlin ML: Repair of major cuff rupture. Orthop Clin North Am, 41:1525-1540, 1963.
  8. Montgomery TJ, Yerger B and Savoie FH III: Management of rotator cuff tears. A comparison of arthroscopic debridment and surgical repair. J Shoulder Elbow Surg, 3: 70-78, 1994. https://doi.org/10.1016/S1058-2746(09)80113-4
  9. Neer CS II : Anterior acromioplasty for the chronic impingement syndrome in the shoulder. J Bone Joint Surg, 54-A:41-50, 1972.
  10. Pascal B, Nicholas B and Duncan JW: Arthroscopic Repair of Full-Thickness Tears of the Supraspinatus: Does the Tendon Really Heal?. J Bone Joint Surg, 87-A:1229-1240. 2005.
  11. Rockwood CA Jr and Burkhead WZ: Management of patients with massive rotator cuff defects by acromioplasty and rotator cuff debridement. Orthop Trans, 12:190-191, 1988.
  12. Stollsteimer GT and Savoie III FH: Arthroscopic rotator cuff repair: Current indications, limitations, techniques and results. Instr. Course Lec. 47:59-65, 1998.
  13. Walch G and Boileau P: Clinical Evaluation Prior to Shoulder Arthroplasty, Soulder Arthroplasty, 39-45, 1999.

피인용 문헌

  1. The Result of Rotator Cuff Repair Using Arthroscopic Margin Convergence Technique in Irreparable Large and Massive Rotator Cuff Tears vol.14, pp.1, 2011, https://doi.org/10.5397/CiSE.2011.14.1.046