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KMID : 0950120100090010035
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Jouranl of Korean Orthopaedic Sports Medicine
2010 Volume.9 No. 1 p.35 ~ p.40
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Comparison of Arthroscopic versus Mini Open Repair in Rotator Cuff Tear
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Park Ji-Kang
Park Kyoung-Jin
Kim Yong-Min
Kim Dong-Soo
Choi Eui-Sung
Shon Hyun-Chul
Cho Byung-Ki
Im Se-Hyuk
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Abstract
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Purpose: To compare the outcome of patients who underwent rotator cuff repair using all-arthroscopic mini-open repair techniques.
Materials and Methods: We retrospectively reviewed 44 patients who underwent either arthroscopic (group I) or mini-open (group II) rotator cuff repair. 23 patients underwent an arthroscopic repair and 21 patients had a mini-open repair. The mean age was 50.4 years in the arthroscopic group and 56.7 years in the mini-open group. The outcomes for the 2 groups were evaluated using ROM, VAS, ASES, UCLA scale. Statistical analysis was performed using correlations, T-test, Paired T-test. The mean follow-up period in the arthroscopic and mini-open groups were 24.1months and 26.1months, respectively.
Results: The group I (arthroscopic group) had 2 small-sized tears, 10 medium sized tears, and 11 large sized tears (3~5 cm). The group II (mini-open group) had 1 small sized tears, 8 medium sized tears, and 12 large sized tears.
The mean cuff tear size of the group I and Group II were 3.8 cm and 4.2 cm, respectively. At last follow-up periods, ROM and functional scores were improved. In the group I and group II, there were no significant difference in ROM, VAS, ASES, UCLA score.
Conclusion: The size of the tear did not produce different results at arthroscopic repair group but larger tear size was associated with a worse outcome in mini-open group. There were no significant clinical results between the arthroscopic and mini-open group.
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KEYWORD
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Rotator cuff tears, Arthroscopic rotator cuff repair, Mini-open rotator cuff repair
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