抄録
Arthroscopic shoulder surgery has been widely used for arthroscopic rotator cuff repair. We developed and introduced the suture-reel technique through sliding knot for the footprint fixation of arthroscopic rotator cuff repair last year. In this study short clinical results were evaluated. We clinically performed this procedure on 20 shoulders in 20 patients with medium(15 cases) or large(5 cases) rotator cuff tear in our hospital. There were 20 men and 2 women, the mean age was 68 years old. We evaluated the troubles during the surgery and the short term clinical results using JOA scores and MRI. The repaired cuff was evaluated by MRI using the grading system previously described by Sugaya. In all 22 cases there was no trouble with suture tangles and suture breakage during the surgery. 6 months after this procedure, Type I were 10, type II: 4, type III: 2, were in the case of medium tear, type I were 2 type II: 2, type III: 1, and type IV: 1 were in the large tear by MRI. This suture-reel technique enables the bridging suture to be slid and fixed freely and adequately. This technique may be one of the useful options for the suture-bridge employed for the repair of rotator.
