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Preservation of bursal-sided tendon in partial-thickness articular-sided rotator cuff tears: a novel arthroscopic transtendon anatomic repair technique

Title
Preservation of bursal-sided tendon in partial-thickness articular-sided rotator cuff tears: a novel arthroscopic transtendon anatomic repair technique
Authors
Shin S.-J.Jeong J.-H.Jeon Y.S.Kim R.G.
Ewha Authors
신상진
SCOPUS Author ID
신상진scopus
Issue Date
2016
Journal Title
Archives of Orthopaedic and Trauma Surgery
ISSN
0936-8051JCR Link
Citation
vol. 136, no. 12, pp. 1701 - 1708
Keywords
Arthroscopic transtendon anatomic repair techniqueArticular-sidedPartial-thickness rotator cuff tears
Publisher
Springer Verlag
Indexed
SCIE; SCOPUS WOS scopus
Abstract
Introduction: The purpose of this study was to introduce a novel arthroscopic transtendon anatomic repair technique that spares the intact bursal-sided tendon in articular-sided partial-thickness rotator cuff tears (PTRCT) and to present shoulder functional outcomes in patients with symptomatic articular-sided PCRCT that involves more than 50 % of its thickness after arthroscopic repair using a novel technique. Materials and methods: Eighteen patients with symptomatic articular-sided PCRCT involving more than 50 % of the tendon’s thickness underwent arthroscopic repair using a devised technique. The devised technique restores only the torn articular portion of the rotator cuff at the anatomical footprint using a suture anchor, and preserves the integrity of the corresponding bursal-sided tendon by tying knots at the most lateral bursal side on the subacromial space. Clinical and functional outcome using ASES and Constant scores were evaluated. The structural integrity of the rotator cuff was evaluated by MRI at 6 months postoperatively. Results: Pain relief and shoulder functional outcomes were encouraging during the recovery phase after operation. ASES (preoperative 54.0 ± 10.3 to postoperative 92.6 ± 8.0), Constant score (61.2 ± 8.5–88.0 ± 5.3), VAS for pain (4.9 ± 2.6–0.6 ± 0.7) improved significantly after arthroscopic transtendon anatomic repair (p < 0.001). No patients had rotator cuff retears on 6-month MRI. No complications related to surgical procedures had occurred. Conclusion: The devised technique of arthroscopic transtendon repair provided satisfactory functional outcomes without postoperative discomforts. This technique minimizes over-tightening of the articular layer and reduces tension mismatches between the articular and bursal layers, which are considered as important factors for improvement of postoperative shoulder motion. © 2016, Springer-Verlag Berlin Heidelberg.
DOI
10.1007/s00402-016-2546-1
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의학전문대학원 > 의학과 > Journal papers
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