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KMID : 0828620120160010098
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Journal of Korean Arthroscopy Society
2012 Volume.16 No. 1 p.98 ~ p.103
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What’s New in Rotator Cuff Repair
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Hwang Jung-Taek
Kho Duk-Hwan
Park Jin-Young
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Abstract
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The repair technique of rotator cuff tear has been markedly developed in recent years. When the natural history of rotator cuff tear was followed, the size of rotator cuff tear increased with time. The fatty infiltration which would come at the later period of rotator cuff tear and the rotator cuff tear arthropathy which would be occurred after massive rotator cuff tear may be the important factors in predicting the prognosis of rotator cuff tear or determining the timing of surgery. Because moderate supraspinatus fatty infiltration appeared an average of 3 years after onset of symptoms, the repair of rotator cuff tear was recommended to be performed before that. And if there was massive rotator cuff tear with cuff tear arthropathy, it was recommended that the rotator cuff repair should be performed before the occurrence of the narrowing of acromiohumeral interval. The techniques of arthroscopic rotator cuff repair were mainly the single row repair and the double row repair. The former is good in view of time consuming and cost, but the latter is superior in view of biomechanics. To maintain the benefit in biomechanics of double row technique and reduce the time of surgery, the suture-bridge technique was invented and widely used recently. There are several modified techniques in arthroscopic suture-bridge technique according to the characteristics of rotator cuff tear.
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KEYWORD
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Rotator cuff tear, Fatty infiltration, Rotator cuff tear arthropathy, Arthroscopic rotator cuff repair, Suture-bridge repair
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