McIntyre Louis F, Norris Mirjam, Weber Bruce
Westchester Orthopedic Associates, White Plains, New York 10604, USA.
Arthroscopy. 2006 Aug;22(8):833-6, 836.e1. doi: 10.1016/j.arthro.2006.04.097.
This study was undertaken to compare the results of mini-open rotator cuff repair with outcomes attained with hand-tied knots and suture welds.
A total of 50 consecutive patients treated by a single surgeon with mini-open cuff repair and suture welding were retrospectively evaluated and compared with 55 consecutive patients treated with mini-open cuff repair and hand-tied knots. The groups were similar in terms of age, sex, hand dominance, and preoperative duration of symptoms. All procedures were performed in a hospital outpatient surgery center with patients in a lateral decubitus position under general anesthetic. Glenohumeral arthroscopy and arthroscopic acromioplasty were performed in all cases. Rotator cuff tears were repaired through enlargement of the lateral portal. All patients were evaluated before and after surgery with the University of California Los Angeles (UCLA) Shoulder Scale.
In all, 47 of 50 patients treated with suture weld were available for evaluation, with an average follow-up of 26 months. Preoperative UCLA scores averaged 12.5, and postoperative scores averaged 29.6. Of 55 patients treated with hand-tied knots, 40 were available, with an average follow-up of 28 months. Preoperative UCLA scores averaged 13.2, and postoperative scores averaged 31.5.
No statistical difference in postoperative UCLA scores was noted between the 2 groups (P = .297).
Level III, retrospective comparative study.
本研究旨在比较小切口肩袖修补术采用手工打结与缝合焊接的结果。
对一位外科医生采用小切口肩袖修补术及缝合焊接治疗的50例连续患者进行回顾性评估，并与55例采用小切口肩袖修补术及手工打结治疗的连续患者进行比较。两组在年龄、性别、利手及术前症状持续时间方面相似。所有手术均在医院门诊手术中心进行，患者在全身麻醉下取侧卧位。所有病例均行肩关节镜检查及关节镜下肩峰成形术。通过扩大外侧入路修复肩袖撕裂。所有患者术前及术后均采用加州大学洛杉矶分校（UCLA）肩关节评分系统进行评估。
采用缝合焊接治疗的50例患者中，47例可进行评估，平均随访26个月。术前UCLA评分平均为12.5分，术后平均为29.6分。采用手工打结治疗的55例患者中，40例可进行评估，平均随访28个月。术前UCLA评分平均为13.2分，术后平均为31.5分。
两组术后UCLA评分无统计学差异（P = 0.297）。
III级，回顾性比较研究。
