Division of Orthopaedics and Trauma Surgery, Geneva University Hospitals, Geneva, Switzerland.
Arthroscopy. 2012 Aug;28(8):1160-9. doi: 10.1016/j.arthro.2012.01.006. Epub 2012 Apr 6.
Recurrent tear after rotator cuff repair is not uncommon. Advances in arthroscopic shoulder surgery have created opportunities to better evaluate and treat these failures. The purposes of this systematic review were to evaluate the reported results of revision arthroscopic rotator cuff repair (ARCR) and to describe our technique of revision ARCR.
A PubMed search from 1950 to 2011 was performed to identify articles describing revision rotator cuff repair. Studies were included in this systematic review if (1) they focused on revision ARCR, (2) they provided Levels I-IV evidence relevant to the search terms, (3) at least a partial repair was performed, and (4) they had a minimum of 12 months' follow-up.
We identified 4 articles that discussed the techniques and the results of revision ARCR. In all studies there were improvements in postoperative motion and functional outcome scores. Poorer results were associated with female patients, tear recurrence after revision repair, preoperative active forward flexion of less than 135°, and preoperative pain score greater than 5 on a visual analog scale.
This systematic review suggests that revision ARCR can frequently lead to improvement in functional outcome and reasonable patient satisfaction.
Level IV, systematic review of Level IV studies.
肩袖修补术后再撕裂并不少见。关节镜肩关节手术的进步为更好地评估和治疗这些失败提供了机会。本系统评价的目的是评估报道的关节镜下修复肩袖再撕裂（ARCR）的结果，并描述我们的 ARCR 再修复技术。
对 1950 年至 2011 年的 PubMed 进行了检索，以确定描述 ARCR 再修复的文章。如果符合以下标准，本系统评价纳入这些研究：（1）重点为 ARCR 再修复；（2）提供与搜索词相关的 I-IV 级证据；（3）至少部分修复；（4）随访至少 12 个月。
我们确定了 4 篇讨论 ARCR 再修复技术和结果的文章。在所有研究中，术后运动和功能结果评分均有所改善。女性患者、再修复后撕裂复发、术前主动前屈小于 135°以及术前视觉模拟评分大于 5 分与较差的结果相关。
本系统评价表明，ARCR 再修复通常可导致功能结果改善和患者满意度提高。
IV 级，IV 级研究的系统评价。
