Anterolateral approach for mini-open rotator cuff repair
- 조철현; 송광순; 민병우
- Alternative Author(s)
- Cho, Chul Hyun; Song, Kwang Soon; Min, Byung Woo
- Publication Year
- Purpose This study was undertaken to introduce an anterolateral
approach for mini-open rotator cuff repair and
evaluate its clinical outcome and effectiveness.
Methods We evaluated 128 consecutive cases that were
repaired by mini-open repair using an anterolateral approach.
There were 80 men and 48 women, with an average
age of 56.2 years. Average follow-up was 25.7 months.
There were eight partial-thickness, 26 small, 40 medium, 39
large and 15 massive tears. After arthroscopic glenohumeral
examination and subacromial decompression, wemade a 3- to
4-cm skin incision from anterolateral edge of the acromion
and dissected to the raphe between the anterior and middle
deltoid. The torn tendon was repaired with single- or doublerow
technique using suture anchors. To prevent avulsion of
the deltoid from the acromion, additional suturing within the
bone tunnel was performed. We retrospectively evaluated
clinical outcomes using the American Shoulder and Elbow
Surgeon (ASES) scoring system.
Results The average visual analogue scale (VAS), activity
of daily living (ADL) and ASES scores improved,
respectively, from 6.6, 12.0 and 36.7 preoperatively to
1.2, 26.6 and 88.2 postoperatively. There were 71 excellent,
39 good, ten fair and eight poor results. There were no
statistically significant difference between final ASES
scores and age, symptom duration, tear size or preoperative
stiffness, but men had significantly higher final ASES
scores than women (P=0.014).
Conclusion Anterolateral approach for mini-open rotator
cuff repair produces satisfactory results. It may also provide
better visualisation for rotator cuff tears of all sizes.
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