ISAKOS Congress 2021

2021 ISAKOS Biennial Congress ePoster

 

The Result Of Long Term Follow Up Of Arthroscopic Partial Repair For Massive Irreparable Rotator Cuff Tear Using Biceps Long Head Auto Graft

Sang-Hun Ko, MD, Prof., Ulsan, Ulsan Metrpolitian KOREA, REPUBLIC OF
Yong Tae Joo, Ulsan, Gyeongsangnam-do KOREA, REPUBLIC OF
Kyung-Joo Lee, MD, Suwon, Kyung-gido KOREA, REPUBLIC OF

Ulsan University Hospital, Ulsan, Ulsan, KOREA, REPUBLIC OF

FDA Status Not Applicable

Summary

Arthroscopic partial repair for massive irreparable rotator cuff tear using biceps long head auto graft has significant clinical usefulness in functional recovery, muscle strength enhancement and decreases re-tear rates after surgery than arthroscopic partial repair alone, showing favorable results after long term follow up.

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Abstract

Introduction

In this study, we present long term follow up of arthroscopic partial repair for massive irreparable rotator cuff tear using biceps long head auto graft.

Materials & Methods
We retrospectively reviewed 41 patients with massive irreparable rotator cuff tear who underwent arthroscopic repair. Patients who underwent arthroscopic partial repair using biceps long head auto graft were in group 1, and patients in group 2 underwent arthroscopic partial repair alone. Clinical scores were measured by Visual Analogue Pain Scale (VAS) for pain, Range of motion (ROM), The University of California at Los Angeles Shoulder Score (UCLA), American Shoulder and Elbow Surgeons Shoulder Score (ASES), and Korean Shoulder Scoring System (KSS) scores preoperatively, and at final follow up. Acromiohumeral interval (AHI) was measured using plain radiographs taken preoperatively and at final follow up, and re-tear was evaluated using postoperative ultrasound (US) or magnetic resonance imaging (MRI) at last follow up.

Results

Mean age of the patients was 62.1±12.7 years and mean follow up period was 90.3 ± 16.8 months. In groups 1 & 2, no significant differences in VAS and ROM (forward flexion, external rotation, internal rotation) were found between two groups (P=0.179, P=0.129, P=0.098, P=0.155, respectively). UCLA (P =0.041), ASES (P =0.023), and KSS (P =0.019) scores showed functional improvements in group 1 compared with group 2. In group 1, forward elevation strength showed a significant improvement from 3.4 ± 1.7 preoperatively to 4.7 ± 2.2 postoperatively (P=0.022). Postoperative forward elevation strength was significantly higher in group 1 compared with group 2 (P=0.034). Re-tear was observed in 6 out of 21 cases (29%) in group 1, 9 out of 20 cases (45%) in group 2; re-tear rate was significantly lower in group 1 than in group 2 (P =0.011).

Conclusion

Arthroscopic partial repair for massive irreparable rotator cuff tear using biceps long head auto graft has significant clinical usefulness in functional recovery, muscle strength enhancement and decreases re-tear rates after surgery than arthroscopic partial repair alone, showing favorable results after long term follow up.

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