Treatment Outcomes of Single-Versus Double-Row Repair for Larger Than Medium-Sized Rotator Cuff Tears The Effect of Preoperative Remnant Tendon Length
DC Field | Value | Language |
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dc.contributor.author | Kim, Young Kyu | - |
dc.contributor.author | Moon, Sung Hoon | - |
dc.contributor.author | Cho, Seung Hyun | - |
dc.date.available | 2020-02-28T22:45:53Z | - |
dc.date.created | 2020-02-06 | - |
dc.date.issued | 2013-10 | - |
dc.identifier.issn | 0363-5465 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/14253 | - |
dc.description.abstract | Background: In rotator cuff repair, no practical guidelines exist for deciding which technique is the most beneficial to outcomes. Purpose: To determine which of 2 repair techniques, the single-row (SR) and double-row suture bridge (DR-SB) methods, leads to better therapeutic outcomes in terms of remnant tendon length in patients with larger than medium-sized cuff tears. Study Design: Cohort study; Level of evidence, 3. Methods: Remnant tendon length, muscle atrophy, and fatty degeneration were measured on preoperative magnetic resonance imaging (MRI) in 78 patients with larger than medium-sized rotator cuff tears who were available for follow-up MRI. There were 30 patients with remnant tendons <10 mm in length (group 1) and 48 with remnant tendons 10 mm in length (group 2). In group 1, the SR technique was performed on 17 patients and the DR-SB technique on 13 patients. In group 2, the SR technique was performed on 16 patients and the DR-SB technique on 32 patients. The mean follow-up period for all patients was 26.6 months (range, 24-42 months). Clinical outcomes were evaluated using the University of California, Los Angeles (UCLA), Constant, and American Shoulder and Elbow Surgeons (ASES) scores. Results: In group 1, there was 1 retear (6%) with the SR repair and 6 (46%) with the DR-SB repair. In group 2, there were 3 retears (19%) with the SR repair and 2 (6%) with the DR-SB repair. The retear rate was significantly higher in patients with the DR-SB repair in group 1 (P = .025), while there was no significant difference between the 2 techniques in group 2 (P = .316). The UCLA and Constant scores were significantly higher in patients with the SR repair in group 1 (P = .02 and P = .029, respectively), and the UCLA and ASES scores were significantly higher in patients with the DR-SB repair in group 2 (P < .001 and P = .001, respectively). Conclusion: Remnant tendon length should be considered to improve repair integrity. The SR technique may provide superior rotator cuff integrity when remnant tendons are <10 mm in length. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | SAGE PUBLICATIONS INC | - |
dc.relation.isPartOf | AMERICAN JOURNAL OF SPORTS MEDICINE | - |
dc.subject | RANDOMIZED CONTROLLED-TRIAL | - |
dc.subject | SUTURE ANCHOR TECHNIQUE | - |
dc.subject | FULL-THICKNESS TEARS | - |
dc.subject | 2-YEAR FOLLOW-UP | - |
dc.subject | PROGNOSTIC-FACTORS | - |
dc.subject | STRUCTURAL INTEGRITY | - |
dc.subject | FUNCTIONAL OUTCOMES | - |
dc.subject | FATTY INFILTRATION | - |
dc.subject | PART II | - |
dc.subject | EQUIVALENT | - |
dc.title | Treatment Outcomes of Single-Versus Double-Row Repair for Larger Than Medium-Sized Rotator Cuff Tears The Effect of Preoperative Remnant Tendon Length | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000325096300008 | - |
dc.identifier.doi | 10.1177/0363546513499000 | - |
dc.identifier.bibliographicCitation | AMERICAN JOURNAL OF SPORTS MEDICINE, v.41, no.10, pp.2270 - 2277 | - |
dc.identifier.scopusid | 2-s2.0-84884934658 | - |
dc.citation.endPage | 2277 | - |
dc.citation.startPage | 2270 | - |
dc.citation.title | AMERICAN JOURNAL OF SPORTS MEDICINE | - |
dc.citation.volume | 41 | - |
dc.citation.number | 10 | - |
dc.contributor.affiliatedAuthor | Kim, Young Kyu | - |
dc.contributor.affiliatedAuthor | Moon, Sung Hoon | - |
dc.contributor.affiliatedAuthor | Cho, Seung Hyun | - |
dc.type.docType | Article | - |
dc.subject.keywordAuthor | rotator cuff repair | - |
dc.subject.keywordAuthor | single row | - |
dc.subject.keywordAuthor | double row | - |
dc.subject.keywordAuthor | length of tendon remnant | - |
dc.subject.keywordAuthor | retear rate | - |
dc.subject.keywordPlus | RANDOMIZED CONTROLLED-TRIAL | - |
dc.subject.keywordPlus | SUTURE ANCHOR TECHNIQUE | - |
dc.subject.keywordPlus | FULL-THICKNESS TEARS | - |
dc.subject.keywordPlus | 2-YEAR FOLLOW-UP | - |
dc.subject.keywordPlus | PROGNOSTIC-FACTORS | - |
dc.subject.keywordPlus | STRUCTURAL INTEGRITY | - |
dc.subject.keywordPlus | FUNCTIONAL OUTCOMES | - |
dc.subject.keywordPlus | FATTY INFILTRATION | - |
dc.subject.keywordPlus | PART II | - |
dc.subject.keywordPlus | EQUIVALENT | - |
dc.relation.journalResearchArea | Orthopedics | - |
dc.relation.journalResearchArea | Sport Sciences | - |
dc.relation.journalWebOfScienceCategory | Orthopedics | - |
dc.relation.journalWebOfScienceCategory | Sport Sciences | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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