search for




 

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;  https://doi.org/10.14517/aosm18004
© 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, https://orcid.org/0000-0003-1541-8357
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: oeo-oeoeo@hanmail.net
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 (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
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
References
  1. Berjano P, González BG, Olmedo JF, Perez-España LA, Munilla MG. Complications in arthroscopic shoulder surgery. Arthroscopy 1998;14:785-8.
    CrossRef
  2. Hynson JM, Tung A, Guevara JE, Katz JA, Glick JM, Shapiro WA. Complete airway obstruction during arthroscopic shoulder surgery. Anesth Analg 1993;76:875-8.
    Pubmed CrossRef
  3. Smith CD, Shah MM. Fluid gain during routine shoulder arthroscopy. J Shoulder Elbow Surg 2008;17:415-7.
    Pubmed CrossRef
  4. Borgeat A, Bird P, Ekatodramis G, Dumont C. Tracheal compression caused by periarticular fluid accumulation: a rare complication of shoulder surgery. J Shoulder Elbow Surg 2000;9:443-5.
    Pubmed CrossRef
  5. Lo IK, Burkhart SS. Immediate postoperative fluid retention and weight gain after shoulder arthroscopy. Arthroscopy 2005;21:605-10.
    Pubmed CrossRef
  6. Sperber A, Wredmark T. Intramuscular pressure and fluid absorption during arthroscopic acromioplasty. J Shoulder Elbow Surg 1999;8:414-8.
    CrossRef
  7. Jung WS, Kim HS, Lee KC, Kwak HJ. [Severe neck edema and pleural effusion caused by a large amount of irrigation fluid following shoulder arthroscopy : a case report]. Anesth Pain Med 2009;4:276-9. Korean.
  8. Habegger R, Siebenmann R, Kieser C. Lethal air embolism during arthroscopy. A case report. J Bone Joint Surg Br 1989;71:314-6.
    Pubmed CrossRef
  9. Hegde RT, Avatgere RN. Air embolism during anaesthesia for shoulder arthroscopy. Br J Anaesth 2000;85:926-7.
    CrossRef
  10. Faure EA, Cook RI, Miles D. Air embolism during anesthesia for shoulder arthroscopy. Anesthesiology 1998;89:805-6.
    Pubmed CrossRef


November 2018, 5 (2)