Itoi E, Tabata S
Department of Orthopaedic Surgery, Iwaki Kyoritsu General Hospital, Japan.
Clin Orthop Relat Res. 1992 Nov(284):128-35.
Thirty-eight shoulders of 36 patients with incomplete rotator cuff tears surgically repaired were evaluated, with an average follow-up period of 4.9 years. The average age at operation was 52.2 years. Three types of incomplete tears were identified: superficial (12 shoulders), intratendinous (three), and deep surface tears (23). Full-thickness cuff involving the lesion was resected and repaired by side-to-side suture (13 shoulders), side-to-bone suture (eight), fascial patch grafting (16), or side-to-bone suture with fascial patch grafting (one). The overall results were satisfactory in 31 shoulders (82%). The results were not affected by the tear types, operative methods, or follow-up period. The patients with poor results were associated with major complications other than rotator cuff tears or with insufficient resection of the damaged cuff. When the full-thickness cuff involving the lesion is completely resected and repaired, long-term satisfactory results can be anticipated in a high percentage of patients regardless of tear types.
对36例接受手术修复的肩袖不全撕裂患者的38个肩部进行了评估，平均随访期为4.9年。手术时的平均年龄为52.2岁。识别出三种类型的不全撕裂：表浅型（12个肩部）、肌腱内型（3个）和深面撕裂型（23个）。切除累及病变的全层肩袖并通过端端缝合（13个肩部）、端骨缝合（8个）、筋膜补片移植（16个）或端骨缝合加筋膜补片移植（1个）进行修复。31个肩部（82%）的总体结果令人满意。结果不受撕裂类型、手术方法或随访期的影响。结果不佳的患者与肩袖撕裂以外的主要并发症或受损肩袖切除不充分有关。当切除累及病变的全层肩袖并进行修复时，无论撕裂类型如何，高比例的患者都可预期获得长期满意的结果。
