Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Reverse Total Shoulder Arthroplasty in the Massive Rotator Cuff Tear

  • Jeong, Jin Young (Department of Orthopedic Surgery, The Catholic University of Korea, St. Vincent's Hospital) ;
  • Cha, Hong Eun (Department of Orthopedic Surgery, The Catholic University of Korea, St. Vincent's Hospital)
  • Received : 2014.07.06
  • Accepted : 2014.08.18
  • Published : 2014.09.30
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Abstract

In the patients of retracted massive rotator cuff tears, there are much of difficulty to functional recovery and pain relief. Nevertheless the development of treatment, there are still debates of the best treatments in the massive rotator cuff tears. Recenlty various of treatments are introduced; these are acromioplasty with debridement, biceps tenotomy, great tuberoplasty with biceps tenotomy, partial repair, mini-open rotator cuff repair, arthroscopic rotator cuff repair, soft tissue augmentation, tendon transfer, flap, hemiarthroplasty, and reverse total shoulder arthroplasty. That there is no difference of result for reverse total shoulder arthroplasty between patients who have massive rotator cuff tear without arthritis and patients who have cuff tear arthropathy. Reverse total shoulder arthroplasty is one of reliable and successful treatment options for massive rotator cuff tear. Especially it is more effective for patients who have a pseudoparalysis.

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References

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