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Object:To evaluate the efficiencies of the arthroscopic rotator cuff surgery without traction in the lateral decubitus position.Methods:From February 2002 to January 2003,twenty-nine cases of arthroscopic rotator cuff surgery without tration system in the lateral decubitus position were studied. The arthroscopic rotator cuff surgery without traction system in the lateral decubitus position consisted of the arthroscopic debridement and the arthroscopic rotator cuff repair or the mini-open technique after the identification of rotator cuff tear,followed by the arthroscopic subacromial decompression after the identification of subacromial lesions.Results:The subscapularis tear that often was overlooked during arthroscoic rotator cuff surgery with traction system could easily be identified by the relaxation of subscapularis as arm position was internal rotation in 45 to 70 degrees of abduction.We could reduce the operation time of 14 minutes compaired with the using group of the traction system.Also,we could prevent the neurologic complications of the upper extremity that were developed by using the traction system.Conclusions:We considered the arthroscopic rotator cuff surgery without traction system in the lateral decubitus position as one of satisfactory procedure because of following efficiencies;①Better visual field;②Easily evaluated subscapularis condition;③Short operation time;④Easily evaluate pre- and post-operative ROM and postoperative manipulation;⑤Easily swetch to the mini-open incision technique.

Arthroscopic rotator cuff surgery without traction system in the lateral position