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KMID : 0828620090130020119
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Journal of Korean Arthroscopy Society
2009 Volume.13 No. 2 p.119 ~ p.125
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Revision Rotator Cuff Repair
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Kim Young-Kyu
Kim Dong-Wook
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Abstract
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The primary purposes of revision repair for a failed rotator cuff repair are a relief of pain and functional improvement. Therefore, revision repair is most proper in patients with the functional deficit accompanied with the shoulder weakness as well as the persistent pain. The important factor that is considered in revision repair is a quality of torn cuff. Especially, Care must be taken to ensure that the revision repair is possible, considering the size of tendon defect, atrophy of the muscle, fatty infiltration and extent of the retraction of tendon. Revision repair of a failed rotator cuff repair is more difficult, and the functional results are less satisfactory than those of primary repair, because excessive bursal scarring and tendon retraction may be exhibited, a large or massive tear is often detected, tear has usually been present for a long time, and a quality of muscle-tendon may be poor. So, we discuss our experiences related to revision repair after a failed cuff repair that has been recently introduced through the articles.
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KEYWORD
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Rotator cuff, Retear, Quality of torn cuff, Revision repair
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