2017 ISAKOS Biennial Congress ePoster #2246

 

The Results of partial repair of massive rotator cuff tear

Moonsup Lim, MD, Pusan KOREA, REPUBLIC OF
Good Gang An Hospital, 493 Su Young- Ro, Su Young-Gu, Pusan, KOREA, REPUBLIC OF

FDA Status Not Applicable

Summary

repair of massive and irreparable rotator cuff tear is very challenging but could be a one of proper substitution of arthroplasty or tendon transfer.

Abstract

Introduction

Repair of massive and irreparable RCT is technically very challenging. There were several methods for resolving this conundrum including reverse shoulder arthroplasty.
In the view of force coupling theory, if subscapularis tendon is robust, partial repair of arthroscopic supraspinatus or infraspinatus tendon procedure would decrease patient’s pain and increase shoulder function. We hypotheses that arthroscopic partial repair and balancing of massive rotator cuff tear may take good shoulder scoring and VAS of pain.

Methods

Over a thirty eight months period, 15 cases of Massive and over grade 3 of Goutallier fatty degeneration rotator cuff tear partial repair were followed. Clinical outcomes assessment included American Shoulder and Elbow Surgeons ( ASES) score, Constant score and visual analog pain scale were measured at six weeks, 3mos, one year, two years and final 4yrs.

Results

There were significant differences of ASES score, CS and VAS pain score on 6 weeks, 3months, 6months, 1 year, 2 years and 4years follow up compare with preoperative state. The 2 years and 4 years score was quite comparable with conventional arthroscopic RC repair procedure. Two patients had re-tear of Rotator cuff and re-operation. One of them had Reverse shoulder arthroplasty after arthroscopic re-repair try.