Clin Shoulder Elbow Search

CLOSE


Clin Shoulder Elbow > Volume 15(2); 2012 > Article
Clinics in Shoulder and Elbow 2012;15(2):99-108.
DOI: https://doi.org/10.5397/CiSE.2012.15.2.99    Published online December 31, 2012.
Arthroscopic UU-Tension Band Suture for Rotator Cuff Tear above 4 cm: Comparative Study with Simple Suture
Sang Hun Ko, Chae Chil Lee, Sang Woo Kim, Seung Myeong Shin, Bum Keun Cho
Department of Orthopaedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, South Korea. uuhosksw@uuh.ulsan.ac.kr
큰 크기의 회전근 개 파열에서 UU-Tension Band Suture를 이용한 관절경 감시하의 봉합술 - 단순 봉합술과의 비교 -
고상훈·이채칠·신승명·김상우·조범근
울산대학교 의과대학 울산대학교병원 정형외과학교실
Abstract
PURPOSE
To evaluate the clinical results of arthroscopic repair with UU-Tension Band suture for full thickness rotator cuff tear above 4 cm sized. MATERIALS AND METHODS: From January 2006 to October 2011, in 71 full thickness tears above 4 cm sized which is possible to arthroscopic repair to medial margin of greater tuberosity. The group I is 71 patients which is arthroscopic repair with UU-Tension Band suture, and the group II is 20 cases which is arthroscopic repair with simple suture. Both groups were compared with a VAS score for pain, Activity of Daily Living, UCLA score, KSS score in pre operation, 7 months, 1 year and last follow-up. Statistical analysis was performed by student t test and paired test. Mean age was 63.2 (52~80) year old, mean follow-up was 38.4 (13~62) months.
RESULTS
The VAS scores for pain decreased from 8.1 at preoperative period to 1.6 at postoperative last follow-up period in group I (p<0.05), the score decreased from 7.6 at preoperative period to 1.8 postoperative last follow-up period in group II (p<0.05). The significant difference was not noted between two groups (p<0.05). Mean ADL scores increased from 12.5 at preoperative period to 29.0 post operative last follow-up period in group I (p<0.05), the score increased from 11.3 in pre op to 27.5 post-operative last follow-up in group II (p<0.05). The significant difference was not noted between two groups (p<0.05). The UCLA score increased from 12.9 at preoperative period to 28.7 postoperative last follow-up period in group I (p<0.05), the score increased from 13.8 at preoperative period to 30.1 postoperative last follow-up period in group II (p<0.05). The significant difference was not noted between two groups (p<0.05). In comparing of retear which was checked by MRI and ultrasound evaluated at postoperative period 7 months (mean: 27.5 weeks), the retears were 28% in the group I, and 11 shoulders out of 20 shoulders in the group II. The significant differences were noted between two groups (p<0.05).
CONCLUSION
Arthroscopic repair with UU-Tension Band suture and simple suture for full thickness rotator cuff tear above 4 cm sized were not different clinical result between both groups. However, the significant differences were noted in point of failure rate between both groups.
Key Words: Shoulder; Full thickness rotator cuff tear above 4 cm sized; Arthroscopic repair; UU-Tension Band suture


ABOUT
ARTICLE CATEGORY

Browse all articles >

BROWSE ARTICLES
EDITORIAL POLICY
FOR CONTRIBUTORS
Editorial Office
Department of Orthopaedic Surgery, Seoul National University Hospital,
#6603, 101 Daehak-ro, Jongno-gu, Seoul 03080, Korea
Tel: +82-2-3410-1854    Fax: +82-2-3410-0061    E-mail: journal@cisejournal.org                

Copyright © 2021 by Korean Shoulder and Elbow Society. All rights reserved.

Developed in M2PI

Close layer
prev next