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Clin Shoulder Elbow > Volume 13(2); 2010 > Article
Clinics in Shoulder and Elbow 2010;13(2):237-243.
DOI: https://doi.org/10.5397/CiSE.2010.13.2.237    Published online December 31, 2010.
Anchor Hole Augmentation with Bone Cement in Arthroscopic Rotator Cuff Repair
Ho Min Lee, Suk Kee Tae, Jeong Min Park
Department of Orthopaedic Surgery Dongguk University Ilsan Hospital, Korea. skt97@duih.org
관절경적 회전근 개 봉합술에서 골 시멘트를 이용한 봉합 나사 구멍 보강술
이호민·태석기·박정민
동국대학교 일산병원 정형외과
Abstract
PURPOSE
In arthroscopic rotator cuff repair, the crucial step is secure fixation of Anchor to bone. However, osteoporosis of the tuberosity is frequently encountered in old patients, and can cause insecure fixation of anchors. The Aim of our study was to introduce a technique for anchor hole augmentation with bone cement when fixation failure of an anchor occurs, and to investigate the outcome. MATERIALS AND METHODS: Among 223 rotator cuff repairs performed between 2005 and 2009, anchor hole augmentation with polymethylmethacrylate was performed in 15 cases (all females; mean age of 65 years: range 49~77). Bone cement was injected into the anchor hole in a thick fluid state and the procedure was repeated to make a pot-like cement mantle. The anchor was inserted into the cement mantle while the cement hardened. The outcome was investigated, on average, at 16 months (6~32).
RESULTS
Radiographs showed cystic changes of the tuberosity. On follow-up radiographs and MRI, a change in the cement mantle was not noted. The final average UCLA score was 31 (28~35); 6 had excellent, 8 good and 1 fair results (p=0.008). Age-sex matched Constants score was 90 (74~98) (p=0.008).
CONCLUSION
Anchor hole augmentation with bone cement is useful when fixation failure of an anchor is encountered due to bone atrophy. Anchor hole augmentation with bone cement does not negatively influence the outcome.
Key Words: Rotator cuff tear; Arthroscopic repair; Suture anchor; Fixation failure; Augmentation; Bone cement


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