|
KMID : 1036220160190020060
|
|
Clinics in Shoulder and Elbow
2016 Volume.19 No. 2 p.60 ~ p.66
|
|
|
Comparison of Clinical and Structural Outcomes of Open and Arthroscopic Repair for Massive Rotator Cuff Tear
|
|
Cho Nam-Su
Cha Sang-Won
Shim Hee-Seok
Juh Hyung-Suk
Rhee Yong-Girl
|
|
|
Abstract
|
|
|
Background: Management of massive rotator cuff tears can be challenging because of the less satisfactory results and a higher retear rate regardless of the use of open or arthroscopic repair technique.
Methods: We retrospectively analyzed 102 cases of massive rotator cuff tear treated with either open or arthroscopic repair. Open repair was performed in 38 patients; and arthroscopic repair, in 64 patients. The mean age at the time of surgery was 59.7 years in the open group and 57.6 years in the arthroscopic group.
Results: The Constant score increased from the preoperative mean of 55.9 to 73.2 at the last follow-up in the open repair group and from 53.8 to 67.6 in the arthroscopic repair group (p<0.001 and <0.001, respectively). The University of California at Los Angeles (UCLA) score increased from a preoperative mean of 17.7 to 30.8 at the last follow-up in the open group and from 17.5 to 28.7 in the arthroscopic group (p<0.001 and <0.001, respectively). No statistically significant difference in the Constant and UCLA scores was ob-served between the two groups at the last follow-up (p=0.128 and 0.087, respectively). Retear was found in 14 patients (36.8%) in the open group and 39 patients (60.9%) in the arthroscopic group (p=0.024).
Conclusions: Open and arthroscopic repairs of massive rotator cuff tears may provide satisfactory clinical results with no significant dif-ference. However, a significantly lower retear rate was observed for the open repair group compared with the arthroscopic repair group.
|
|
|
KEYWORD
|
|
|
Shoulder, Rotator cuff, Tendon injuries, Massive, Open, Arthroscopy
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
 
|