Steadman Philippon Research Institute, Vail, CO 81657, USA.
J Shoulder Elbow Surg. 2010 Mar;19(2 Suppl):83-90. doi: 10.1016/j.jse.2009.12.012.
Rotator cuff repair has shown to improve shoulder function and reduce pain experienced by patients. Successful repairs should have high fixation strength, allow minimal gap formation, maintain stability, and restore normal anatomy and function of the supraspinatus footprint. The purpose of this study is to describe our preferred method for rotator cuff repair using a knotless self-reinforcing double-row system, and to cite biomechanical data rationalizing its use.
Seventeen of 22 patients were identified as undergoing primary rotator cuff repair with minimum follow-up of 1 year (mean, 535 days; range, 370-939). The average age was 63 (range, 43-79). Data collected included average pain today, average worst pain, Single Assessment Numeric Evaluation (SANE), and patient satisfaction.
For all patients, average pain today and average worst pain decreased and functional scores (SANE) increased. Patient satisfaction was 9.8 out of 10 (range, 7-9). The patients also began rehabilitation earlier and returned to full activities at 4 months.
These results indicate that the knotless self-reinforcing double-row repair system is a viable option in treating rotator cuff tears. This system provides improved contact area and restores the native footprint of the tendon leading to better outcomes.
肩袖修复术已被证明可以改善肩部功能并减轻患者的疼痛。成功的修复应具有较高的固定强度，最小化间隙形成，保持稳定性，并恢复冈上肌腱的正常解剖结构和功能。本研究旨在描述我们使用无结自增强双排系统进行肩袖修复的首选方法，并引用生物力学数据来合理化其使用。
在 22 名患者中，有 17 名患者被确定为接受原发性肩袖修复，随访时间至少为 1 年（平均 535 天；范围为 370-939 天）。平均年龄为 63 岁（范围为 43-79 岁）。收集的数据包括今日平均疼痛、最严重疼痛平均、单一评估数字评估（SANE）和患者满意度。
对于所有患者，今日平均疼痛和最严重疼痛均减轻，功能评分（SANE）增加。患者满意度为 10 分中的 9.8 分（范围为 7-9 分）。患者也更早开始康复，在 4 个月时恢复完全活动。
这些结果表明，无结自增强双排修复系统是治疗肩袖撕裂的一种可行选择。该系统提供了更大的接触面积，并恢复了肌腱的原生足迹，从而带来更好的结果。
