Clinical Result of Arthroscopic Partial Repairs in Massive Rotator Cuff Tears

Yoo,  Jae Chul; Ko,  Kyung Hwan; Woo,  Kyung Jea

doi:2009.12.2.150

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Original Article

Journal of the Korean Shoulder and Elbow Society 2009;12(2):150-158.
DOI: https://doi.org/10.5397/CiSE.2009.12.2.150 Published online December 31, 2009.

Clinical Result of Arthroscopic Partial Repairs in Massive Rotator Cuff Tears

Jae Chul Yoo, Kyung Hwan Ko, Kyung Jea Woo

Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. helpless@naver.com

광범위 회전근 개 파열의 관절경하 부분 봉합술의 임상적 결과

유재철·고경환·우경제

성균관대학교 의과대학 삼성서울병원 정형외과학교실

Abstract

PURPOSE
With the better understanding of cuff function, partial repair or "force couple repair" for treating massive irreparable rotator cuff tear has gained some popularity. However, there were few reports on the results of partial repair. The purpose of this study was to report the clinical outcome of massive irreparable rotator cuff tears who received arthroscopic force-couple repair or partial repair. MATERIALS AND METHODS: From June 2005 to Feb 2008, arthroscopic partial repairs were performed for 16 irreparable rotator cuff tears among the 101 large to massive rotator cuff tears that were operated on. Clinical and radiographic evaluation were done at the final follow-up RESULTS: There were 7 men and 9 women with a mean age of 66.6 years. The mean follow-up period was 27.3 month (range: 15-46). The pain VAS improved from 4.4 (+/-2.50) to 2.1 (+/-2.26) and the functional VAS improved from 46.9 (+/-16.64) to 70.0 (+/-22.80). The ASES score improved from 39.0 (+/-10.80) to 80.3 (+/-16.78) and the KSS score was 81.9 (+/-16.74) at the final follow-up. The acromio-humeral distance was 6.6 cm (+/-1.74) preoperatively and 6.2 cm (+/-1.69) postoperatively without significant change (p=0.3874). The degenerative changes had no statistically progressed (p=0.2663).
CONCLUSION
Partial repair for massive rotator cuff injury patients showed improvement in the clinical score without progression of arthritic change at a mean of 2.3 years follow-up.

Key Words: Shoulder; Massive rotator cuff tear; Irreparable tear; Partial repair; Force couple repair

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