Anatomical Repair of Massive Rotator Cuff Tear / 대한정형외과학회잡지

ABSTRACT

PURPOSE: We evaluate the possibility of the anatomical repair of massive rotator cuff tear and review the clinical results. MATERIALS AND METHODS: From March 1995 to June 1999, twenty-six cases of massive rotaor cuff tear were reviewed with minimal followup of one year. The clinical results were evaluated using ASES (American Shoulder and Elbow Surgeons) score. RESULTS: Twenty two cases (85%) showed satisfactory results, 8 excellent results (31%) and 14 good results (54%). There were four cases (15%) of unsatisfactory results, two cases of fair and two cases of poor results. Mean value of the ASES score increased from 41 (14-60) points to 83 (46-98) points. Mean value of the increased score was 42 (20-76) points. There were no cases of functional deterioration or revision surgery. CONCLUSION: Anatomical repair was considered to be practically possible in the majority of cases of massive rotator cuff tear as an initial treatment.