|
KMID : 1037920150020010042
|
|
Arthroscopy and Orthopedic Sports Medicine
2015 Volume.2 No. 1 p.42 ~ p.47
|
|
|
Arthroscopic mattress locking suture technique for the repair of small- and medium-sized rotator cuff tears
|
|
Ko Sang-Hun
Cho Yun-Jae
Youn Chang-Hyun
Cho Hye-Yong
Cha Jae-Ryung
|
|
|
Abstract
|
|
|
Background: To prospectively compare the outcomes of an arthroscopic mattress locking (ML) suture repair and a simple suture repair of small or medium-sized rotator cuff tears.
Methods: The 92 patients who had received an unsuccessful conservative treatment of small or medium-sized rotator cuff tears between April 2007 and October 2010 and who required an additional arthroscopic treatment were enrolled in the study. The patients were arbitrarily divided into the type of arthroscopic repair they received; 27 patients who received the arthroscopic ML suture were put into group 1, and 65 patients who received the simple suture were put into group 2. The mean age of patients at the time of surgery was 58 years, and the mean duration to final follow-up was 30 months. To measure the outcome of the treatment, visual analogue scale (VAS) for pain (clinical score), UCLA, American Shoulder and Elbow Surgeons (ASES) and Korean shoulder scoring (KSS) for the range of motion (functional scores) were measured for each patient. Lastly, the magnetic resonance imaging (MRI) scans of the patient’s shoulder were taken at the final follow-up.
Results: Although the mean scores for clinical and functional outcomes (VAS, KSS, UCLA, and ASES scores) had improved from after the operation in both groups (P < 0.001), we found no significant differences in these improvements between the two groups (P > 0.001). Through MRI scans at the follow-up, we found that the proportion of re-tears was significantly lower in group 1 (2 patients, 7.41%) than in group 2 (12 patients, 18.46%).
Conclusion: We found no significant difference in the clinical or functional outcomes of an arthroscopic ML suture repair and the simple suture repair of small-sized or medium-sized rotator cuff tears after a follow-up period of at least one year. However, the proportion of re-tears was significantly lower in patients who received ML sutures than in patients who received simple sutures.
|
|
|
KEYWORD
|
|
|
Shoulder, Rotator cuff, Partial-thickness tears, Mattress locking suture, Simple suture
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|