ONS Foundation for Clinical Research and Education, Greenwich, CT 06830, USA.
J Shoulder Elbow Surg. 2010 Dec;19(8):1210-7. doi: 10.1016/j.jse.2010.03.018. Epub 2010 Aug 3.
The purpose of this study was to examine the healing rate of 2-tendon rotator cuff tears repaired by the use of a transosseous-equivalent (TOE) suture bridge technique.
Forty-three patients with combined supraspinatus and infraspinatus tendon tears underwent arthroscopic repair using TOE technique. Forty of these patients were then evaluated by MRI and clinical exam at a minimum of 1-year follow-up to determine the rate of healing of the repair and clinical outcomes associated with healing.
Eighty-three percent of the repairs demonstrated intact rotator cuff repairs at a mean of 16 months post-op. Larger tears (3.5 vs 2.8 cm) were associated with failure (P = .01), as was more advanced fatty infiltration (Goutallier 1.3 vs 0.3, P = .01). Age was not different between intact and nonintact tendons. Strength was the only clinical finding that differed between intact and nonintact tendons.
Two-tendon tears of the rotator cuff can heal at a high rate with the use of TOE suture bridge repair technique. Furthermore, tear size and Goutallier grading were negatively correlated with postoperative healing. The incremental improvement in the rate of observed rotator cuff healing still does not translate to statistical differences in the objective shoulder scoring systems.
本研究旨在探讨经皮等长缝线桥技术修复二头肌腱肩袖撕裂的愈合率。
43 例合并冈上肌和冈下肌肌腱撕裂的患者行关节镜下修复，采用经皮等长缝线桥技术。其中 40 例患者在至少 1 年的随访时行 MRI 和临床检查评估，以确定修复的愈合率和与愈合相关的临床结果。
83%的修复在术后 16 个月时显示完整的肩袖修复。较大的撕裂（3.5 厘米比 2.8 厘米）与失败相关（P =.01），更严重的脂肪浸润（Goutallier 1.3 比 0.3，P =.01）也是如此。在完整和不完整肌腱之间，年龄没有差异。在完整和不完整肌腱之间，只有力量是临床发现的不同之处。
使用经皮等长缝线桥修复技术，二头肌腱肩袖撕裂可以获得较高的愈合率。此外，撕裂大小和 Goutallier 分级与术后愈合呈负相关。观察到的肩袖愈合率的提高并没有转化为客观肩部评分系统的统计学差异。
