지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.12
- 수록면
- 197 - 205 (9page)
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초록· 키워드
오류제보하기
Background: The purpose of this study was to evaluate the postoperative magnetic resonance imaging (MRI) results of minimal-tying(one medial-row tie among 4 medial-row sutures) on the medial-row in double–row suture-bridge configuration (2×2 anchor with 4×4 suture stands).
Methods: From 2011 March to 2012 July, 79 patients underwent arthroscopic rotator cuff repair using 2×2 anchor double-row configuration. The mean age was 61.3 years (range, 31–81 years). Two double-loaded suture anchors were used for medial-row. Four medialrow stitches were made with only one medial-row knot-tying (the most anterior suture). Lateral-row was secured using the conventional suture-bridge anchor technique; all 4 strands were used for each anchor. Repair integrity was evaluated with MRI at mean 6.2 months postoperatively. Retear and the pattern of retear, change of fatty infiltration, and muscle atrophy of supraspinatus were evaluated using pre- and postoperative MRI.
Results: Repaired tendon integrity was 38 for type I, 30 for type II, 6 for type III, 4 for type IV, and 1 for type V, according to Sugaya classification. Considering type IV/V as retear, the rate was 6.3% (5 out of 79 patients). Medial cuff failure was observed in 4 patients. Fatty atrophy of supraspinatus was significantly improved postoperatively according to Goutallier grading (p=0.01). The level of muscle atrophy of supraspinatus was not changed significantly after surgery.
Conclusions: Minimal tying technique with suture configuration of four-by-four strand double-row suture-bridge yielded a lower retear rate (6.3%) in medium to large rotator cuff tears.
Methods: From 2011 March to 2012 July, 79 patients underwent arthroscopic rotator cuff repair using 2×2 anchor double-row configuration. The mean age was 61.3 years (range, 31–81 years). Two double-loaded suture anchors were used for medial-row. Four medialrow stitches were made with only one medial-row knot-tying (the most anterior suture). Lateral-row was secured using the conventional suture-bridge anchor technique; all 4 strands were used for each anchor. Repair integrity was evaluated with MRI at mean 6.2 months postoperatively. Retear and the pattern of retear, change of fatty infiltration, and muscle atrophy of supraspinatus were evaluated using pre- and postoperative MRI.
Results: Repaired tendon integrity was 38 for type I, 30 for type II, 6 for type III, 4 for type IV, and 1 for type V, according to Sugaya classification. Considering type IV/V as retear, the rate was 6.3% (5 out of 79 patients). Medial cuff failure was observed in 4 patients. Fatty atrophy of supraspinatus was significantly improved postoperatively according to Goutallier grading (p=0.01). The level of muscle atrophy of supraspinatus was not changed significantly after surgery.
Conclusions: Minimal tying technique with suture configuration of four-by-four strand double-row suture-bridge yielded a lower retear rate (6.3%) in medium to large rotator cuff tears.
목차
Introduction
Methods
Results
Discussion
References
참고문헌 (30)
참고문헌 신청
[학술지(정기간행물)] - Burkhart SS / 2010 / Bridging self-reinforcing double-row rotator cuff repair : we really are doing better / Arthroscopy 26 (5) : 677 ~ 680
[학술지(정기간행물)] - Pauly S / 2010 / Biomechanical comparison of 4 double-row suture-bridging rotator cuff repair techniques using different medial-row configurations / Arthroscopy 26 (10) : 1281 ~ 1288
[학술지(정기간행물)] - Park MC / 1360 / “Transosseousequivalent”rotator cuff repair technique / Arthroscopy 22 (12) : 1360e1 ~ 5
[학술지(정기간행물)] - Cho NS / 2011 / Arthroscopic rotator cuff repair using a suture bridge technique: is the repair integrity actually maintained? / Am J Sports Med 39 (10) : 2108 ~ 2116
[학술지(정기간행물)] - Cho NS / 2010 / Retear patterns after arthroscopic rotator cuff repair: single-row versus suture bridge technique / Am J Sports Med 38 (4) : 664 ~ 671
[학술지(정기간행물)] - Pauly S / 2010 / Biomechanical comparison of 4 double-row suture-bridging rotator cuff repair techniques using different medial-row configurations / Arthroscopy 26 (10) : 1281 ~ 1288
[학술지(정기간행물)] - Park MC / 1360 / “Transosseousequivalent”rotator cuff repair technique / Arthroscopy 22 (12) : 1360e1 ~ 5
[학술지(정기간행물)] - Cho NS / 2011 / Arthroscopic rotator cuff repair using a suture bridge technique: is the repair integrity actually maintained? / Am J Sports Med 39 (10) : 2108 ~ 2116
[학술지(정기간행물)] - Cho NS / 2010 / Retear patterns after arthroscopic rotator cuff repair: single-row versus suture bridge technique / Am J Sports Med 38 (4) : 664 ~ 671
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UCI(KEPA) : I410-ECN-0101-2016-514-002319557