관절경하 봉합술후 자가골수혈장 주입법을 이용한 회전근개 파열의 치료

Abstract

Introduction : To evaluate the efficacy of autologous bone marrow plasma injection after rotator cuff repair. Materials and methods : Fifty six patients who were diagnosed with rotator cuff tear and had arthroscopic rotator cuff repair were selected. Twenty six patients had additional autologous iliac bone marrow plasma injection following arthroscopic rotator cuff repair and remaining 28 patients had repair procedure only. Aspirated iliac bone marrow was centrifuged at 1,800 rpm for 20 to 30 minutes before injection. Pain and function were evaluated using Constant Shoulder Score, University of California at Los Angeles Shoulder Scale, Oxford Shoulder Score and Visual Analogue Scale. Postoperative sonography was done to evaluate the condition of rotator cuff tendon. Cytokine analysis of centrifuged bone marrow plasma was obtained. Results : The group with autologous bone marrow plasma injection showed significantly better functional results. In songraphic exam, rotator cuffs were healed successfully. In cytokine analysis, interleukin-12, interferon-gamma-inducible protein-10 and RANTES were predominant. Conclusion : Injection of autologous bone marrow plasma after rotator cuff repair may enhance biologic healing and thereby contribute to pain relieve and functional improvement.