Reardon Daniel J, Maffulli Nicola
Department of Trauma and Orthopaedic Surgery, Keele University School of Medicine, North Staffordshire Hospital, Stoke-on-Trent, England.
Arthroscopy. 2007 Jun;23(6):670-3. doi: 10.1016/j.arthro.2007.01.031.
Tears of the rotator cuff may be repaired by single- or double-row techniques. Single-row methods do not restore the rotator cuff footprint but do provide a good functional outcome. We surveyed the literature to ascertain the origin of the current trend of using double-row methods of repair. The footprint repair is a benefit of double-row fixation with strong evidence of its biomechanical success. However, the functional outcome of double-row fixation is equivalent to single-row fixation. Given the lack of scientific evidence and despite the enthusiasm of surgeons for this new technique, single-row fixation remains an acceptable method for managing these injuries, and it is our opinion that it is the preferable method.
肩袖撕裂可通过单排或双排技术进行修复。单排方法不能恢复肩袖的附着面积，但功能效果良好。我们查阅了文献，以确定当前使用双排修复方法趋势的起源。附着面积修复是双排固定的一个优点，有充分的生物力学成功证据。然而，双排固定的功能效果与单排固定相当。鉴于缺乏科学证据，尽管外科医生对这项新技术充满热情，但单排固定仍然是治疗这些损伤的一种可接受的方法，我们认为它是更可取的方法。
