목적: 광범위 회전근 개 파열에 대해 개방적 완전 봉합이 가능하였던 환자들을 대상으로 수술 전, 후의 방사선학적 소견의 변화와 진행 정도를 회전근 개 재파열 정도 및 임상적 결과와 함께...
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https://www.riss.kr/link?id=A99571354
2009
Korean
514
KCI등재
학술저널
109-114(6쪽)
0
0
상세조회0
다운로드국문 초록 (Abstract)
목적: 광범위 회전근 개 파열에 대해 개방적 완전 봉합이 가능하였던 환자들을 대상으로 수술 전, 후의 방사선학적 소견의 변화와 진행 정도를 회전근 개 재파열 정도 및 임상적 결과와 함께...
목적: 광범위 회전근 개 파열에 대해 개방적 완전 봉합이 가능하였던 환자들을 대상으로 수술 전, 후의 방사선학적 소견의 변화와 진행 정도를 회전근 개 재파열 정도 및 임상적 결과와 함께 비교 분석하고자 하였다.
대상 및 방법: 광범위 회전근 개 파열에 대해 개방적 완전 봉합술을 시행 받고 24개월 이상 추시가 가능하였던 33예를 대상으로 하였다. 임상적 평가는 American Shoulder and Elbow Surgeons(ASES)의 견관절 기능 평가법을 기준으로 하였으며, 광범위 회전근 개 파열과 관련한 관절염의 정도는 Hamada의 분류법을 기준으로 하였다.
결과: ASES 점수는 수술 전 평균 37.6점에서 85.6점으로 호전되었다. 수술 전 acromiohumeral interval (AHI)은 평균 6.5 mm였으며, 수술 직후 평균 9.3 mm로 증가하였으나, 최종 추시에서 평균 6.5 mm로 다시 감소되는 소견을 보였다. Hamada 분류법에 따른 관절염의 방사선학적 단계는 수술 전과 수술 후 모두 그 단계가 낮을수록 보다 좋은 임상적 결과를 보였다.
결론: 광범위 회전근 개 파열에 대한 수술적 치료로서 개방적 완전 봉합술은 비록 수술 후 재파열이 발생하더라도 임상적으로는 통증 경감과 견관절 기능 향상 면에서 상당히 만족할만한 결과를 보였다.
다국어 초록 (Multilingual Abstract)
Purpose: This study evaluated the preoperative and postoperative radiologic findings of patients with complete repairs after massive rotator cuff tears along with the incidence of re-tear and the clinical outcomes. Materials and methods: This study...
Purpose: This study evaluated the preoperative and postoperative radiologic findings of patients with complete repairs after massive rotator cuff tears along with the incidence of re-tear and the clinical outcomes.
Materials and methods: This study evaluated 33 cases who had open complete repairs for massive rotator cuff tears and these patients were followed up for more than 24 months. The clinical evaluation was performed according to the shoulder joint function test of the American Shoulder and Elbow Surgeons (ASES), and the degree of arthritis related to the massive rotator cuff tears was evaluated using the Hamada classification.
Results: The ASES scores improved from 37.6 preoperatively to 85.6 postoperatively. The mean preoperative acromio-humeral interval (AHI) score was 6.5 mm, which increased to 9.3 mm immediately after surgery, and there was a decreased to 6.5 mm noted at the last follow up. The lower radiology stages of arthritis according to the classification showed better preoperative and postoperative results.
Conclusion: An open complete repair as the surgical treatment for a massive rotator cuff tear showed satisfactory results for pain relief and an improvement in the shoulder joint function though re-tear after surgery.
참고문헌 (Reference)
1 Gerber C, "The results of repair of massive tears of the rotator cuff" 82 : 505-515, 2000
2 Goutallier D, "Tension-free cuff repairs with excision of macroscopic tendon lesions and muscular advancement: Results in a prospective series with limited fatty muscular degeneration" 15 : 164-172, 2006
3 Hawkins RJ, "Surgery for full-thickness rotator-cuff tears" 67 : 1349-1355, 1985
4 Weiner DS, "Superior migration of the humeral head. A radiologic aid in the diagnosis of tears of the rotator cuff" 52 : 524-527, 1970
5 Rokito AS, "Strength after surgical repair of the rotator cuff" 5 : 12-17, 1996
6 Post M, "Rotator cuff tear. Diagnosis and treatment" 173 : 78-91, 1983
7 Hamada K, "Roentgenographic Findings in Massive Rotator Cuff Tears. A Long-Term Observation" 254 : 92-96, 1990
8 Harryman DT 2nd, "Repairs of the rotator cuff. Correlation of functional results with integrity of the cuff" 73 : 982-989, 1991
9 Debeyre J, "Repair of ruptures of the rotator cuff of the shoulder" 47 : 36-42, 1965
10 Iannotti JP, "Postoperative assessment of shoulder function: A prospective study of full-thickness rotator cuff tears" 5 : 449-457, 1996
1 Gerber C, "The results of repair of massive tears of the rotator cuff" 82 : 505-515, 2000
2 Goutallier D, "Tension-free cuff repairs with excision of macroscopic tendon lesions and muscular advancement: Results in a prospective series with limited fatty muscular degeneration" 15 : 164-172, 2006
3 Hawkins RJ, "Surgery for full-thickness rotator-cuff tears" 67 : 1349-1355, 1985
4 Weiner DS, "Superior migration of the humeral head. A radiologic aid in the diagnosis of tears of the rotator cuff" 52 : 524-527, 1970
5 Rokito AS, "Strength after surgical repair of the rotator cuff" 5 : 12-17, 1996
6 Post M, "Rotator cuff tear. Diagnosis and treatment" 173 : 78-91, 1983
7 Hamada K, "Roentgenographic Findings in Massive Rotator Cuff Tears. A Long-Term Observation" 254 : 92-96, 1990
8 Harryman DT 2nd, "Repairs of the rotator cuff. Correlation of functional results with integrity of the cuff" 73 : 982-989, 1991
9 Debeyre J, "Repair of ruptures of the rotator cuff of the shoulder" 47 : 36-42, 1965
10 Iannotti JP, "Postoperative assessment of shoulder function: A prospective study of full-thickness rotator cuff tears" 5 : 449-457, 1996
11 Ahn BW, "Open Repair of Massive Rotator Cuff Tears" 9 : 20-26, 2006
12 Melillo AS, "Massive rotator cuff tears: Debridement versus repair" 28 : 117-124, 1997
13 Rockwood CA Jr, "Management of Patients with Massive Rotator Cuff Defects by Acromioplasty and Rotator Cuff Debridement" 12 : 190-191, 1988
14 Montgomery TJ, "Manage- ment of rotator cuff tears: A comparison of arthroscopic debridement with open surgical repair" 3 : 70-78, 1994
15 Rokito AS, "Long-term functional outcome of repair of large and massive chronic tears of the rotator cuff" 81 : 991-997, 1999
16 Goutallier D, "Long-term functional and structural outcome in patients with intact repairs 1 year after open transosseous rotator cuff repair" 18 : 521-528, 2009
17 Gazielly DF, "Functional and anatomical results after rotator cuff repair" 304 : 43-53, 1994
18 Iannotti JP, "Full-thickness rotator cuff tears: Factors affecting surgical outcome" 2 : 87-95, 1994
19 Boes MT, "Diagnosis and management of massive rotator cuff tears: The surgeon’s dilemma" 55 : 45-57, 2006
20 Cofield RH, "Current Concepts Review. Rotator cuff disease of the shoulder" 67 : 974-979, 1985
21 Noh HK, "Correlation of Clinical Outcome and Cuff Integrity after Open Repair in Large and Massive Rotator Cuff Tears" 10 : 65-72, 2007
22 Jost B, "Clinical outcome after structural failure of rotator cuff repairs" 82 : 304-314, 2000
23 Green A, "Chronic massive rotator cuff tears: Evaluation and management" 11 : 321-331, 2003
24 Nich C, "Augereau B: Long-term Clinical and MRI Results of Open Repair of the Supraspinatus Tendon" 467 : 2613-2622, 2009
25 Thomazeau H, "Atrophy of the supraspinatus belly. Assessment by MRI in 55 patients with rotator cuff pathology" 67 : 264-268, 1996
26 Burkhart SS, "Arthroscopic treatment of massive rotator cuff tears: Clinical results and biomechanical rationale" 267 : 45-56, 1991
27 Burkhart SS, "Arthroscopic treatment of massive rotator cuff tears" 390 : 107-118, 2001
28 Bennett WF, "Arthroscopic repair of massive rotator cuff tears: A prospective cohort with 2- to 4-year follow- up" 19 : 380-390, 2003
29 Jones CK, "Arthroscopic repair of large and massive rotator cuff tears" 19 : 564-571, 2003
30 Grana WA, "An analysis of rotator cuff repair" 22 : 585-588, 1994
회전근 개 파열의 봉합에서 UU 봉합법은 변형된 MA(Mason-Allen) 봉합법을 대치할 수 있는가?
40세 이상 재발성 견관절 탈구 환자에서 관절내 병변에 대한 관절경적 연구
견갑하 건 단독 파열에 대한 쇄골하 삽입구를 이용한 봉합술
학술지 이력
연월일 | 이력구분 | 이력상세 | 등재구분 |
---|---|---|---|
2027 | 평가예정 | 재인증평가 신청대상 (재인증) | |
2021-01-01 | 평가 | 등재학술지 유지 (재인증) | |
2018-01-01 | 평가 | 등재학술지 유지 (등재유지) | |
2015-01-01 | 평가 | 등재학술지 유지 (등재유지) | |
2011-08-04 | 학술지명변경 | 외국어명 : Journal of Korean Shoulder and Elow Society -> Clinics in Shoulder and Elbow | |
2011-01-01 | 평가 | 등재학술지 선정 (등재후보2차) | |
2010-01-01 | 평가 | 등재후보 1차 PASS (등재후보1차) | |
2008-01-01 | 평가 | 등재후보학술지 선정 (신규평가) |
학술지 인용정보
기준연도 | WOS-KCI 통합IF(2년) | KCIF(2년) | KCIF(3년) |
---|---|---|---|
2016 | 0.04 | 0.04 | 0.07 |
KCIF(4년) | KCIF(5년) | 중심성지수(3년) | 즉시성지수 |
0.06 | 0.07 | 0.255 | 0.02 |