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Arthroscopic rotator cuff repair under atmospheric air pressure condition: arthroscopic rotator cuff repair without pump system
Arthrosc Orthop Sports Med 2018;5:57-60
Published online November 1, 2018;
© 2018 Korean Arthroscopy Society and Korean Orthopedic Society for Sports Medicine.

Doo Hyun Kim1, Jin Woong Yi2

1Catholic Orthopaedic Hospital, 2Department of Orthopaedic Surgery, College of Medicine, Konyang University, Daejeon, Korea
Correspondence to: Jin Woong Yi,
Department of Orthopaedic Surgery, College of Medicine, Konyang University, 158 Gwanjeodong-ro, Seo-gu, Daejeon 35365, Korea.
Tel: +82-42-600-6902, Fax: +82-42-600-9793, E-mail:
Received May 10, 2018; Revised September 3, 2018; Accepted September 22, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
This article describes a new technique for the arthroscopic treatment of rotator cuff tear. In arthroscopic rotator cuff repair surgery, we did not use fluid as medium. Operation field was not distended and we did operation on atmospheric condition same as open rotator cuff repair surgery. We used only two portals (posterolateral and anterolateral) in most cases and additional portal (posterior and anterior portal) was used if needed. Other procedures were same as usual shoulder arthroscopic surgery with fluid. In this method, rotator cuff repaired successfully with no operation field visualization difficulty. Soft tissue swelling which can result airway complication did not occur. It also has benefit to prevent contamination by surroundings and can be changed to conventional arthroscopy immediately when it is necessary. We think this technique is reliable another option for arthroscopic rotator cuff repair.
Keywords : Shoulder; Rotator cuff tear; Arthroscopy; Technique
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November 2018, 5 (2)