Wolf Eugene M, Pennington William T, Agrawal Vivek
California Pacific Medical Center, San Francisco, California, USA.
Arthroscopy. 2004 Jan;20(1):5-12. doi: 10.1016/j.arthro.2003.11.001.
The purpose of this article is to report the 4- to 10-year results of arthroscopic repair of full- thickness rotator cuff tears.
This is a retrospective study evaluating a series of arthroscopic rotator cuff repairs performed by a single surgeon from February 1990 to February 1996.
Retrospective chart reviews and telephone interviews were performed to evaluate the results of arthroscopic repair of rotator cuff tears. Results were evaluated using a modified University of California, Los Angeles (UCLA), shoulder scoring system.
One-hundred five arthroscopic rotator cuff repairs were performed in 104 patients between February 1990 and February 1996. Of these, 95 patients (96 shoulders) were available for follow-up evaluation at the time of this review. The mean UCLA score of all shoulders involved was 32. Fifty-one patients showed excellent results; 39, good; 2, fair; and 4, poor according to the modified UCLA scoring system. In no case was any loss of motion noted as a result of the surgical intervention.
This retrospective study is the largest series of arthroscopic rotator cuff repairs with the longest period of follow-up thus far reported. Of the patients available for follow-up evaluation, 94% of patients qualified as a good to excellent result according to the UCLA shoulder scoring system. This study shows that patients treated with this arthroscopic rotator cuff repair technique have maintained excellent clinical outcomes 4 to 10 years after surgery.
Level IV.
本文旨在报告关节镜下修复全层肩袖撕裂的4至10年结果。
这是一项回顾性研究，评估了1990年2月至1996年2月由一名外科医生进行的一系列关节镜下肩袖修复手术。
通过回顾病历和电话访谈来评估关节镜下肩袖撕裂修复的结果。使用改良的加利福尼亚大学洛杉矶分校（UCLA）肩关节评分系统对结果进行评估。
1990年2月至1996年2月期间，对104例患者进行了105次关节镜下肩袖修复手术。在本次综述时，其中95例患者（96个肩关节）可进行随访评估。所有受累肩关节的平均UCLA评分为32分。根据改良的UCLA评分系统,51例患者结果为优；39例为良；2例为中；4例为差。手术干预后未发现任何活动度丧失的情况。
这项回顾性研究是迄今为止报道的最大系列的关节镜下肩袖修复手术，随访时间最长。在可进行随访评估的患者中，根据UCLA肩关节评分系统，94%的患者结果为良至优。本研究表明，采用这种关节镜下肩袖修复技术治疗的患者在术后4至10年保持了优异的临床效果。
四级。
