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Clin Shoulder Elbow > Volume 20(1); 2017 > Article
Clinics in Shoulder and Elbow 2017;20(1):42-45.
DOI: https://doi.org/10.5397/cise.2017.20.1.42    Published online March 31, 2017.
Cement Augmentation for Lateral Row Fixation in Rotator Cuff Repair: A Case Report
Jin Hwan Kim, Kyoung Hwan Koh
Department of Orthopaedic Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea. osdoc.koh@gmail.com
Received: 29 November 2016   • Revised: 25 December 2016   • Accepted: 23 January 2017
Abstract
One of the most important factors leading to a successful healing of rotator cuff tear is good bone quality to secure the suture anchor in the bone for a stable fixation. However, rotator cuff tear are commonly found in elderly patients, and their proximal humerus often shows osteoporosis or cystic lesions. Especially when the transosseous repair prevails for a torn rotator cuff, a weak metaphyseal cancellous bone is often the case, which associated with difficulty in stable fixation of the lateral row suture anchor. In this situation, we were able to augment the lateral row fixation with polymethylmethacrylate bone cement. Although there is a concern of disturbance in the blood flow and healing potential, our case showed good clinical results with respect to healing. If we suspect a weak fixation of the lateral row suture anchor, bone cement seems to be a good option for augmentation.
Key Words: Rotator cuff injuries; Osteoporosis; Suture anchors; Polymethyl methacrylate; Bone cements


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