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KMID : 0828620100140010049
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Journal of Korean Arthroscopy Society
2010 Volume.14 No. 1 p.49 ~ p.52
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Mini-open Rotator Cuff Repair Using Anterolateral Approach
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Cho Chul-Hyun
Sohn Sung-Won
Bae Ki-Cheor
Lee Kyung-Jae
Seo Hyuk-Jun
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Abstract
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Purpose: We introduce arthroscopically assisted mini-open rotator cuff repair using anterolateral approach.
Operative Technique: Placing lateral decubitus position on general anesthesia, a standard arthroscopic glenohumeral examination is performed to evaluate lesions of shoulder joint through posterior and anterior portal. And then arthroscope is placed in the subacromial space and we evaluate the size of the torn tendon and perform arthroscopic acromioplasty through lateral portal. A 3 to 4 cm skin incision is performed from anterolateral edge of acromion to distal and dissected along to raphe between anterior and middle deltoid. A deltoid retractor is then placed, allowing direct visualization of the rotator cuff and humeral head. As torn tendon is tagged by traction suture, we try to anatomical reduction on the footprint and then perform single row or double row repair of the rotator cuff using suture anchors. To prevent avulsion of the deltoid from the acromion, additional sutures by bone tunnel with acromion and deltoid is performed.
Conclusion: This technique is useful procedure to get direct approach to anterior portion of supraspinatus tendon and to need lesser deltoid retraction than portal extension approach due to dividing along to raphe between anterior and middle deltoid. Also it provide better visualization of the superior portion of subscapularis and infraspinatus.
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KEYWORD
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Rotator cuff tear, Mini-open repair, Anterolateral approach
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