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
- 2019.12
- 수록면
- 203 - 209 (7page)
이용수
초록· 키워드
오류제보하기
Background: Clinical outcomes and prognosis of large and massive rotator cuff tears are known to be unpredictable not only in degeneration of the rotator cuff, but also due to a high rate of retear.
Methods: Totally, 81 patients who had undergone arthroscopic rotator cuff repair from May 2008 to February 2016 were evaluated in our study. Clinical and functional evaluations were performed with the Constant score and the University of California, Los Angeles (UCLA) score, as well as full physical examination of the shoulder. All patients were confirmed to have magnetic resonance imaging (MRI) of tendon healing at least 1 year postoperatively.
Results: The average age at the time of surgery was 65 years (range, 47–78 years). The average duration of postoperative time in which a follow-up MRI was performed was 36.1 months (range, 12–110 months). Large tears were present in 48 cases (59.3%) and massive tears in 33 cases (40.7%). Overall, there were 33 retear cases (40.7%). All the average clinical outcome scores were significantly improved at the last follow-up (p<0.001), although repair integrity was not maintained. Compared to type A, types C, and D of the Collin’s classification showed significantly higher retear rates (p=0.036).
Conclusions: Arthroscopic rotator cuff repair yields improved clinical outcomes and a relatively high degree of patient satisfaction, despite the repair integrity not being maintained. Involvement of the subscapularis muscle or infraspinatus muscle had no effect on the retear rate.
Methods: Totally, 81 patients who had undergone arthroscopic rotator cuff repair from May 2008 to February 2016 were evaluated in our study. Clinical and functional evaluations were performed with the Constant score and the University of California, Los Angeles (UCLA) score, as well as full physical examination of the shoulder. All patients were confirmed to have magnetic resonance imaging (MRI) of tendon healing at least 1 year postoperatively.
Results: The average age at the time of surgery was 65 years (range, 47–78 years). The average duration of postoperative time in which a follow-up MRI was performed was 36.1 months (range, 12–110 months). Large tears were present in 48 cases (59.3%) and massive tears in 33 cases (40.7%). Overall, there were 33 retear cases (40.7%). All the average clinical outcome scores were significantly improved at the last follow-up (p<0.001), although repair integrity was not maintained. Compared to type A, types C, and D of the Collin’s classification showed significantly higher retear rates (p=0.036).
Conclusions: Arthroscopic rotator cuff repair yields improved clinical outcomes and a relatively high degree of patient satisfaction, despite the repair integrity not being maintained. Involvement of the subscapularis muscle or infraspinatus muscle had no effect on the retear rate.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (23)
참고문헌 신청
Daniel Goutallier / 2003 / Influence of cuff muscle fatty degeneration on anatomic and functional outcomes after simple suture of full-thickness tears / Journal of Shoulder and Elbow Surgery 12(6):550~554
Stephen S. Burkhart / 2007 / Arthroscopic Repair of Massive Rotator Cuff Tears With Stage 3 and 4 Fatty Degeneration / Arthroscopy: The Journal of Arthroscopic & Related Surgery 23(4):347~354
Pascal Boileau / 2005 / Arthroscopic Repair of Full-Thickness Tears of the Supraspinatus: Does the Tendon Really Heal? / The Journal of Bone and Joint Surgery (American) 87(6):1229
Sungwook Choi / 2014 / Factors associated with clinical and structural outcomes after arthroscopic rotator cuff repair with a suture bridge technique in medium, large, and massive tears / Journal of Shoulder and Elbow Surgery 23(11):1675~1681
Cameron M Anley / 2014 / Arthroscopic treatment options for irreparable rotator cuff tears of the shoulder / World Journal of Orthopedics 5(5):557
Stephen S. Burkhart / 2007 / Arthroscopic Repair of Massive Rotator Cuff Tears With Stage 3 and 4 Fatty Degeneration / Arthroscopy: The Journal of Arthroscopic & Related Surgery 23(4):347~354
Pascal Boileau / 2005 / Arthroscopic Repair of Full-Thickness Tears of the Supraspinatus: Does the Tendon Really Heal? / The Journal of Bone and Joint Surgery (American) 87(6):1229
Sungwook Choi / 2014 / Factors associated with clinical and structural outcomes after arthroscopic rotator cuff repair with a suture bridge technique in medium, large, and massive tears / Journal of Shoulder and Elbow Surgery 23(11):1675~1681
Cameron M Anley / 2014 / Arthroscopic treatment options for irreparable rotator cuff tears of the shoulder / World Journal of Orthopedics 5(5):557
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UCI(KEPA) : I410-ECN-0101-2020-514-000120559