title: Medialized repair for retracted rotator cuff tears.
abstract: BACKGROUND
  The purpose of this study was to evaluate the functional outcomes of medialized rotator cuff repair and the continuity of repaired tendon in chronic retracted rotator cuff tears.
  
  
  METHODS
  Thirty-five consecutive patients were selected from 153 cases that underwent arthroscopic rotator cuff repair for more than medium-sized posterosuperior rotator cuff tears between July 2009 and July 2012 performed with the medialized repair. All cases were available for at least 2 years of postoperative follow-up. The visual analog scale of pain, muscle strength, Constant score, American Shoulder and Elbow Surgeons (ASES) score, and University of California-Los Angeles score were evaluated.
  
  
  RESULTS
  At the final follow-up, all clinical outcomes were significantly improved. The visual analog scale score for pain improved from 6 ± 1 preoperatively to 2 ± 1 postoperatively. The range of motion increased from preoperatively to postoperatively: active forward elevation, from 134° ± 49° to 150° ± 16°; active external rotation at the side, from 47° ± 15° to 55° ± 10°; and active internal rotation, from L3 to L1. The shoulder score also improved: Constant score, from 53.5 ± 16.7 to 79 ± 10; American Shoulder and Elbow Surgeons score, from 51 ± 15 to 82 ± 8; and University of California-Los Angeles score, from 14 ± 4 to 28 ± 4. The retear cases at the final follow-up were 6 (17%).
  
  
  CONCLUSIONS
  Medialized repair may be useful in cases in which anatomic bone-to-tendon repair would be difficult because of the excessive tension of the repaired tendon and a torn tendon that does not reach the anatomic insertion.
authors.affiliation: Department of Orthopaedic Surgery, Gil Medical Center, Gachon University, Incheon, Republic of Korea.
authors.forename: Young-Kyu
authors.initials: YK
authors.lastname: Kim
authors.affiliation: Department of Orthopaedic Surgery, CM General Hospital, Seoul, Republic of Korea. Electronic address: jjangumom52@hanmail.net.
authors.forename: Kyu-Hak
authors.initials: KH
authors.lastname: Jung
authors.affiliation: Department of Orthopaedic Surgery, Veterans Hospital of Seoul, Seoul, Republic of Korea.
authors.forename: Jun-Sung
authors.initials: JS
authors.lastname: Won
authors.affiliation: Department of Orthopaedic Surgery, Seonam Hospital, Seoul, Republic of Korea.
authors.forename: Seung-Hyun
authors.initials: SH
authors.lastname: Cho
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001178:Arthroplasty / Q000379:methods*; D001182:Arthroscopy; D004551:Elbow Joint / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D053580:Muscle Strength; D010147:Pain Measurement; D016059:Range of Motion, Articular; D012008:Recurrence; D012189:Retrospective Studies; D012399:Rotation; D000070636:Rotator Cuff Injuries / Q000503:physiopathology* / Q000601:surgery*; D012785:Shoulder Joint / Q000503:physiopathology* / Q000601:surgery*; D020069:Shoulder Pain; D016896:Treatment Outcome
keywords: Rotator cuff; chronic retracted rotator cuff tear; length of medialization; medial advancement; medialization; medialized repair