Title Page
Contents
I. INTRODUCTION 10
II. Patients and Methods 12
1. Patient Enrollment 12
2. Range of Motion Evaluation 15
3. Functional and Clinical Satisfaction Evaluation 15
4. Radiological Evaluation 16
5. Surgical Technique 16
1) Preparation procedure 16
2) Superior capsule reconstruction 17
3) Patch graft augmentation 22
6. Postoperative Rehabilitation 26
7. Statistical Analysis 26
III. Results 27
1. Patients Characteristics 27
2. Range of Motion Outcomes 28
3. Functional and Clinical Satisfaction Outcomes 29
4. Radiological Outcomes 31
IV. Discussion 33
V. Conclusion 37
VII. References 38
Abstract (Korean) 44
Abstract (English) 46
Table 1. Patient demographics 27
Table 2. Comparison of range of motion between the two groups 28
Table 3. Comparison of functional and clinical satisfaction between the two groups 30
Table 4. Comparison of the re-tear on postoperative MRI between the two groups 31
Figure 1. Patient flowchart. (LMRCTs, large to massive rotator cuff tears; MRI, magnetic resonance imaging; A/S, arthroscopy; SCR, superior capsule... 13
Figure 2. Preoperative MRI and A/S images. (A),(B) LMRCTs are shown in the preoperative MRI image of the patient who underwent PGA... 14
Figure 3. The external images of the right shoulder that underwent SCR reinforcement before ACRC in the beach chair position. (A) The patient's... 19
Figure 4. The A/S images of the patients who underwent ACRC and SCR reinforcement. (A),(B) This patient underwent SCR and was partially... 21
Figure 5. The external images of the right shoulder that underwent PGA reinforcement after ACRC in the beach chair position. (A) BellaCell HD™... 24
Figure 6. The A/S images of the patients who underwent ACRC and PGA reinforcement. (A) The supraspinatus and infraspinatus muscles were... 25
Figure 7. Preoperative and postoperative MRI images. (A),(B) LMRCTs are shown in the preoperative MRI image. In the postoperative MRI image,... 32