Lindley Kenneth, Jones Grant L
Department of Orthopaedic Surgery and Sports Medicine, University of South Carolina, Columbia, USA.
Am J Orthop (Belle Mead NJ). 2010 Dec;39(12):592-600.
Full-thickness rotator cuff tears are common. When symptomatic, they can affect quality of life. Surgical repair might improve patients' overall health. We systematically reviewed postoperative outcomes in 10 studies comparing mini-open repair and all-arthroscopic repair techniques. Data regarding patient demographics, rotator cuff pathology, postoperative rehabilitation protocols, American Shoulder and Elbow Surgeons (ASES) scores, University of California Los Angeles (UCLA) scores, pain scores, and incidence of recurrent defects were extracted. There were no statistically significant differences between groups within each study in terms of these data points. One study found decreased pain 6 months after surgery in the all-arthroscopic group versus the miniopen repair group. This systematic literature review indicates there is no statistically significant difference in postoperative ASES, UCLA, or pain scores or incidence of recurrent rotator cuff tears in rotator cuffs repaired all-arthroscopically versus using the mini-open technique. However, there might be decreased short-term pain in patients who undergo arthroscopic repairs.
全层肩袖撕裂很常见。出现症状时，会影响生活质量。手术修复可能会改善患者的整体健康状况。我们系统回顾了10项比较小切口开放修复和全关节镜修复技术的研究的术后结果。提取了有关患者人口统计学、肩袖病理、术后康复方案、美国肩肘外科医师学会（ASES）评分、加利福尼亚大学洛杉矶分校（UCLA）评分、疼痛评分以及复发性缺损发生率的数据。在每项研究中，各研究组之间在这些数据点方面无统计学显著差异。一项研究发现，与小切口开放修复组相比，全关节镜组术后6个月疼痛减轻。这项系统文献综述表明，在全关节镜修复肩袖与使用小切口开放技术修复肩袖之间，术后ASES评分、UCLA评分或疼痛评分以及复发性肩袖撕裂的发生率无统计学显著差异。然而，接受关节镜修复的患者可能短期疼痛会减轻。
