Medialized repair for retracted rotator cuff tears
- Authors
- Kim, Young-Kyu; Jung, Kyu-Hak; Won, Jun-Sung; Cho, Seung-Hyun
- Issue Date
- Aug-2017
- Publisher
- MOSBY-ELSEVIER
- Keywords
- Rotator cuff; chronic retracted rotator cuff tear; medialization; medialized repair; medial advancement; length of medialization
- Citation
- JOURNAL OF SHOULDER AND ELBOW SURGERY, v.26, no.8, pp.1432 - 1440
- Journal Title
- JOURNAL OF SHOULDER AND ELBOW SURGERY
- Volume
- 26
- Number
- 8
- Start Page
- 1432
- End Page
- 1440
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/5901
- DOI
- 10.1016/j.jse.2016.11.007
- ISSN
- 1058-2746
- Abstract
- Background: The purpose of this study was to evaluate the functional outcomes of medialized rotator cuff repair and the continuity of repaired tendon in chronic retracted rotator cuff tears. Methods: Thirty-five consecutive patients were selected from 153 cases that underwent arthroscopic rotator cuff repair for more than medium-sized posterosuperior rotator cuff tears between July 2009 and July 2012 performed with the medialized repair. All cases were available for at least 2 years of postoperative follow-up. The visual analog scale of pain, muscle strength, Constant score, American Shoulder and Elbow Surgeons (ASES) score, and University of California-Los Angeles score were evaluated. Results: At the final follow-up, all clinical outcomes were significantly improved. The visual analog scale score for pain improved from 6 +/- 1 preoperatively to 2 +/- 1 postoperatively. The range of motion increased from preoperatively to postoperatively: active forward elevation, from 134 degrees +/- 49 degrees to 150 degrees +/- 16 degrees; active external rotation at the side, from 47 degrees +/- 15 degrees to 55 degrees +/- 10 degrees; and active internal rotation, from L3 to L1. The shoulder score also improved: Constant score, from 53.5 +/- 16.7 to 79 +/- 10; American Shoulder and Elbow Surgeons score, from 51 +/- 15 to 82 +/- 8; and University of California- Los Angeles score, from 14 +/- 4 to 28 +/- 4. The retear cases at the final follow-up were 6 (17%). Conclusions: Medialized repair may be useful in cases in which anatomic bone-o-tendo repair would be difficult because of the excessive tension of the repaired tendon and a torn tendon that does not reach the anatomic insertion. (C) 2016 Journal of Shoulder and Elbow Surgery Board of Trustees. All rights reserved.
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