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Clin Shoulder Elbow > Volume 16(2); 2013 > Article
Clinics in Shoulder and Elbow 2013;16(2):84-93.
DOI: https://doi.org/10.5397/CiSE.2013.16.2.84    Published online December 31, 2013.
Clinical Result of Layered Suture Bridge Technique in Arthroscopic Repair for Delaminated Rotator Cuff Tear
Eui Sung Choi, Kyoung Jin Park, Yong Min Kim, Dong Soo Kim, Hyun Chul Shon, Byung Ki Cho, Ji Kang Park, Dong Whan Kim, Sang Wook Keum, Jung Kwon Cha
Department of Orthopaedic Surgery, College of Medicine, Chungbuk National University, Cheongju, Korea. oslion@chungbuk.ac.kr
회전근 개 층간 분리 파열에서 관절경을 이용한 층상 교량형 봉합술의 임상 결과
최의성·박경진·김용민·김동수·손현철·조병기·박지강·김동환·금상욱·차정권
충북대학교 의과대학 정형외과학교실
Abstract
PURPOSE
The purpose of this study was to evaluate the repair integrity and clinical outcomes of delaminated tears following arthroscopic layered suture bridge rotator cuff repair in a prospective fashion. MATERIALS AND METHODS: A consecutive series of 67 patients with delaminated rotator cuff tears who underwent surgery using the arthroscopic Layered Suture Bridge Technique were followed prospectively. Of 67 shoulders, 26 patients were male and 40 patients were female (one patient had bilateral tears); the mean age was 58.8(40~76) years. The clinical evaluation was performed according to ASES, UCLA, and KSS (Korea Shoulder Scoring System) scores with an average follow up period of 33 months. Repair integrity was estimated using MRI, which was performed six months postoperatively.
RESULTS
The average clinical outcome in ASES, UCLA, and KSS scores showed significant improvement at the time of the final follow-up compared to preoperatively, from 50.2 to 92.3, 15 to 31.3, and 54.4 to 90.7, respectively (p<0.001 for all scores). Follow up by MRI showed that 16 shoulders had a type-I; 14, a type-II; five, a type-III; two, a type-IV; one, a type-V re-tear. The overall rate of re-tear (types IV and V) was 7.9%.
CONCLUSION
Use of the Arthroscopic Layered Suture Bridge Technique can result in improved functional and structural outcome in cases of delaminated rotator cuff tear.
Key Words: Shoulder; Arthroscopy; Delaminated rotator cuff tear; Suture bridge technique


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