Papalia Rocco, Franceschi Francesco, Del Buono Angelo, Zampogna Biagio, Maffulli Nicola, Denaro Vincenzo
Department of Orthopaedic and Trauma Surgery, Campus Biomedico University of Rome, Via Alvaro del Portillo, Rome, Italy.
Sports Med Arthrosc Rev. 2011 Dec;19(4):342-7. doi: 10.1097/JSA.0b013e3182394215.
In the operative management of rotator cuff disease, comparable functional results have been reported after open or mini-open repair and arthroscopic fixation. Surgical repair aims to re-establish an anatomical configuration of the tendon-bone construct for restoring its mechanical performance. Single row repair is the most commonly used technique, but recently some authors have proposed to re-establish the rotator cuff footprint with 2 rows of suture anchors ("double row" repair). In regard to imaging assessment, at time zero double row repair results being more anatomic and allows for structurally sound restoration of the rotator cuff footprint. However, this does not seem to translate into superior clinical outcomes for the double row repair when evaluating all different sizes of rotator cuff tears as a whole. The scientific basis for recommending single or double row repair as preferred treatment for patients with rotator cuff tear is questionable, as minimal differences have been measured on clinical and functional rating scales.
在肩袖疾病的手术治疗中，开放或小切口修复以及关节镜下固定术后的功能结果相当。手术修复旨在重建肌腱-骨结构的解剖结构，以恢复其力学性能。单排修复是最常用的技术，但最近一些作者提议用两排缝合锚钉重建肩袖足迹（“双排”修复）。在影像学评估方面，在术后即刻，双排修复结果更接近解剖结构，能够在结构上完好地恢复肩袖足迹。然而，当将所有不同大小的肩袖撕裂作为一个整体进行评估时，双排修复似乎并未转化为更优的临床结果。推荐单排或双排修复作为肩袖撕裂患者的首选治疗方法的科学依据存在疑问，因为在临床和功能评分量表上测得的差异极小。
