The Usefulness of all Arthroscopic Repair with Biceps Incorporation in Massive Sized Fullthickness Rotator Cuff Tears

Ko, Sang Hun; Rhee, Young Girl; Jeon, Hyung Min; Lee, Chae Chil

doi:10.5397/cise.2007.10.1.106

Cited by 11 publications

(4 citation statements)

References 6 publications

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“…1,2) 초기 보존적인 치료 방법이 선택될 수 있으나, 개방 봉합술에 의한 수술적 치료를 비롯하여, 소 절개 봉합술, 3,4) 관절 경을 이용한 여러 가지 수술 술 식이 있다. [5][6][7][8][9] 회전근 개 파열이 큰 크기로 진행되었다면, 건의 봉합 4) 에서 대 결절에 회전 근 개를 부착시켜, 조직 치유를 향상시키고, 기능 회복 을 증진시키기 위해서 10) 강력하고 튼튼한 봉합이 요구된 다. 큰 크기의 회전근 개의 수술 술식의 진화는 처음 개방적 봉합으로부터 시작하여 소 절개 봉합을 비롯하 여, 최근에는 관절경 봉합술로 6,7) 향상되었다.…”

Section: 서 론unclassified

Arthroscopic UU-Tension Band Suture for Rotator Cuff Tear above 4 cm - Comparative Study with Simple Suture -

Ko¹,

Lee²,

Kim³

et al. 2012

The Journal of the Korean Shoulder and Elbow Society

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Purpose: To evaluate the clinical results of arthroscopic repair with UU-Tension Band suture for full thickness rotator cuff tear above 4 cm sized. Materials and Methods: From January 2006 to October 2011, in 71 full thickness tears above 4 cm sized which is possible to arthroscopic repair to medial margin of greater tuberosity. The group I is 71 patients which is arthroscopic repair with UU-Tension Band suture, and the group II is 20 cases which is arthroscopic repair with simple suture. Both groups were compared with a VAS score for pain, Activity of Daily Living, UCLA score, KSS score in pre operation, 7 months, 1 year and last follow-up. Statistical analysis was performed by student t test and paired t est. Mean age was 63.2 (52~80) year old, mean follow-up was 38.4 (13~62) months. Results: The VAS scores for pain decreased from 8.1 at preoperative period to 1.6 at postoperative last follow-up period in group I (p<0.05), the score decreased from 7.6 at preoperative period to 1.8 postoperative last follow-up period in group II (p<0.05). The significant difference was not noted between two groups (p<0.05). Mean ADL scores increased from 12.5 at preoperative period to 29.0 post operative last follow-up period in group I (p<0.05), the score increased from 11.3 in pre op to 27.5 post-operative last follow-up in group II (p<0.05). The significant difference was not noted between two groups (p<0.05). The UCLA score increased from 12.9 at preoperative period to 28.7 postoperative last follow-up period in group I (p<0.05), the score increased from 13.8 at preoperative period to 30.1 postoperative last follow-up period in group II (p<0.05). The significant difference was not noted between two groups (p<0.05). In

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Section: 서 론unclassified

Arthroscopic UU-Tension Band Suture for Rotator Cuff Tear above 4 cm - Comparative Study with Simple Suture -

Ko¹,

Lee²,

Kim³

et al. 2012

The Journal of the Korean Shoulder and Elbow Society

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“…견관절 근육의 구조적 연속성의 복구 유지는 근력 회 복을 가져온다고 보고되었다 1) . 그러나, 기존의 연구들 은 동일한 견관절 질환에서 치료 전후 비교 연구가 대 부분이어서 7) , 질환의 진행에 따른 근력 변화의 정도 및 방향을 알아보는 연구는 의미가 있을 것으로 사료된다. 등속성 근력 검사는 근력의 연구를 위해 널리 쓰이는 방법으로 이 논문의 목적은 1, 2단계 충돌 증후군과 회 전근 개 파열 환자의 등속성 근력을 비교하여 회전근 개 질환의 진행 단계에 따른 근력 변화를 관찰하고자 한다.…”

Section: 서 론unclassified

Comparison of Isokinetic Strength between Stage 1,2 Impingement Syndrome and Rotator Cuff Tear

Kim¹,

Joo²,

Jung³

2010

The Journal of the Korean Shoulder and Elbow Society

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Purpose: The goal of this study was to evaluate differences in strength deficits between (i) patients with stage 1 or 2 impingement syndrome and (ii) patients with rotator cuff tears. Materials and Methods:We enrolled 43 patients with stage 1 or 2 impingement syndrome (group 1) and 21 patients with rotator cuff tears (group 2). The isokinetic strength of both groups was evaluated at 60°/sec for external rotation, internal rotation, adduction and abduction. We measured the peak torque, total work, average power of bilateral sides, peak torque relationship to body weight, and the ratio between unilateral agonist and antagonist. Results: The isokinetic strength deficits assessed in ratio of peak torque to body weight for group 1 and group 2 respectively were; 28.48±23.76% and 29.12±32.81% for abduction (p=0.929), 7.20±13.98% and 18.94±19.52%; for adduction (p=0.021), 16.88±13.76% and 25.80±24.07%; for external rotation (p=0.221), and 14.1±25.67% and 29.02±35.06% for internal rotation (p=0.059). For average power and total work, group 2 showed a significantly greater deficit for adduction and internal rotation than group 1. Conclusion: Those with rotator cuff tears have more isokinetic muscle strength deficits than those with stage 1 or 2 impingement syndrome. Progression from stage 1 and 2 impingement syndrome to stage 3 may result in greatest changes in strength deficits for internal rotation and adduction.

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“…최근 관절경 하 회전근 개 봉합은 개선된 수술 기구 와 진보된 관절경 술기와 더불어 점진적으로 일반화되 어 가고 있다 5-9, 11,14,17) . 관절경 하 회전근 개 봉합의 초 기 실패는 건 봉합간 접촉면에서의 연결이 약해짐으로 인하여 생길 수 있다 1,4,6) .…”

Section: 서 론unclassified

Is the UU Stitch Really Alternative to Modified MA (Mason-Allen) Stitch for Rotator Cuff Repair? - Biomechanical Comparative Study of UU to Modified MA Stitch -

Friedman

Ko²,

Park³

et al. 2009

The Journal of the Korean Shoulder and Elbow Society

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Purpose:In arthroscopic rotator cuff repairs there are generally weak link in tendon suture interface, arthroscopic rotator cuff repairs can have higher retear rates than open repairs. The purpose of this study was to compare the strength of UU (Ulsan University) suture than open modified MA (Mason-Allen) suture when suture anchored into bone. Materials and Methods:The human supraspinatus tendons were harvested from the shoulder of the cadaver and split in 2 times, producing four tendons per one shoulder, for a total of 24 specimens. Two suture configurations (UU, MA) were randomized and checked on each set of tendons. Specimens were cyclically loaded under force control between 5 and 30 N at 0.25 Hz for fifty cycles. Each specimen was loaded to failure under displacement control at 1 mm/sec. Cyclic elongation, peak to peak displacement, stiffness, ultimate tensile load, mode of failure were checked. Results: No significant difference was found between two suture configuration with respect to peak to peak displacement, cyclic elongation, and stiffness. With regard to ultimate failure load, there were no significant difference statistically between the UU suture and modified MA suture (109.4 N, 110.6 N). The most common mode of failure between both sutures was suture pull-out through the tendon. Conclusion:The UU suture and modified MA suture produced similar biomechanical properties.

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The Usefulness of all Arthroscopic Repair with Biceps Incorporation in Massive Sized Fullthickness Rotator Cuff Tears

Cited by 11 publications

References 6 publications

Arthroscopic UU-Tension Band Suture for Rotator Cuff Tear above 4 cm - Comparative Study with Simple Suture -

Arthroscopic UU-Tension Band Suture for Rotator Cuff Tear above 4 cm - Comparative Study with Simple Suture -

Comparison of Isokinetic Strength between Stage 1,2 Impingement Syndrome and Rotator Cuff Tear

Is the UU Stitch Really Alternative to Modified MA (Mason-Allen) Stitch for Rotator Cuff Repair? - Biomechanical Comparative Study of UU to Modified MA Stitch -

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