Pillai Anand, Eranki Vivek, Malal Joby, Nimon Gavin
Department of Orthopaedics and Trauma, The Queen Elizabeth Hospital, The University of Adelaide, Woodville, SA 5011, Australia.
ISRN Surg. 2012;2012:806843. doi: 10.5402/2012/806843. Epub 2012 May 9.
Aim. To prospectively assess the effectiveness of revision with open subacromial decompression in patients who had a previous unsatisfactory outcome with the arthroscopic procedure. Methods. 11 patients were identified for the study, who did not demonstrate expected improvement in symptoms after arthroscopic acromioplasty. All patients underwent structured rehabilitation. Functional evaluation was conducted using the Hospital for Special Surgery, New York, shoulder rating questionnaire. Results. M : F was 7 : 4. The mean age was 57 years. The average shoulder score improved from 49.6 preoperatively to 56 postoperatively at an average followup of 16 months. Two patients showed deterioration in their shoulder scores after revision while the rest showed only marginal improvement. All except one patient stated that they would opt for surgery again if given a second chance. Conclusion. In the group of patients that fail to benefit from the arthroscopic decompression, only a marginal improvement was noted after revision with open decompression.
目的。前瞻性评估对先前关节镜手术效果不佳的患者进行开放性肩峰下减压翻修术的有效性。方法。确定11例患者进行研究，这些患者在关节镜下肩峰成形术后症状未显示出预期改善。所有患者均接受了结构化康复治疗。使用纽约特种外科医院的肩部评分问卷进行功能评估。结果。男∶女为7∶4。平均年龄为57岁。平均随访16个月时，平均肩部评分从术前的49.6提高到术后的56。2例患者翻修后肩部评分恶化，其余患者仅略有改善。除1例患者外，所有患者均表示如果有第二次机会，他们会再次选择手术。结论。在未能从关节镜减压中获益的患者组中，开放性减压翻修术后仅观察到轻微改善。
