KSF Orthopaedic Center, Houston, TX 77090, USA.
J Shoulder Elbow Surg. 2012 Apr;21(4):431-40. doi: 10.1016/j.jse.2011.11.029. Epub 2012 Jan 9.
Failed rotator cuff repair may be caused by surgical complications, diagnostic errors, technical errors, failure to heal, and traumatic failure. Revision rotator cuff repair is made technically more difficult by poor tissue quality, tissue adhesions, and retained suture and suture anchor material. Historically, open revision rotator cuff repair yields inferior results compared with primary rotator cuff repair; however, more recent studies show 52% to 69% satisfactory results in small-sized or medium-sized tears. Arthroscopic revision rotator cuff repair yields greater than 60% good or excellent results. Poor tissue quality, detachment of the deltoid origin, and multiple previous surgeries are risk factors for poor results in revision rotator cuff repair.
肩袖修复失败可能由手术并发症、诊断错误、技术失误、愈合失败和创伤性失败引起。组织质量差、组织粘连以及残留缝线和缝线锚钉材料会使翻修肩袖修复在技术上更加困难。从历史上看，与初次肩袖修复相比，开放翻修肩袖修复的效果较差；然而，最近的研究表明，对于小型或中型撕裂，52%至69%的结果令人满意。关节镜下翻修肩袖修复的优良率超过60%。组织质量差、三角肌起点分离和多次既往手术是翻修肩袖修复效果不佳的危险因素。
