Castagna Alessandro, Borroni Mario, Garofalo Raffaele, Rose Giacomo Delle, Cesari Eugenio, Padua Roberto, Conti Marco, Gumina Stefano
IRCCS Istituto Clinico Humanitas, Rozzano, Italy.
Knee Surg Sports Traumatol Arthrosc. 2015 Feb;23(2):460-3. doi: 10.1007/s00167-013-2536-6. Epub 2013 May 21.
The purpose of this study is to compare the clinical and subjective difference between transtendon repair or complete/repair in two homogeneous groups of patients affected by deep partial articular supraspinatus tear.
Seventy-four patients were randomized in two groups of 37 patients each. The first group (A) was treated with arthroscopic transtendon repair while the second group (B) was treated with an arthroscopic completion of the tear and formal repair. All the patients were revaluated at a minimum 2 years of follow-up with Constant score and Visual Analogic Scale (VAS).
Constant score improved by a mean value of 25 (95 % CI 21-28) (p < 0.0001) and of 29 (95 % CI 26-31) (p < 0.0001), respectively; VAS score decreased by a mean value of 3.4 (95 % CI 2.9-3.9) (p < 0.0001) and of 3.6 (95 % CI 3.3-4.0) (p < 0.0001), respectively. The improvement was higher in both groups for the ADL, and in Group B, the improvement in strength was higher than in Group A. There were no statistical differences between the two different techniques.
Both repairing techniques of deep partial supraspinatus tear provide good results in terms of function and pain. There were no statistically significant differences between the two techniques.
Prospective comparative study, Level II.
本研究旨在比较两组患深部部分关节面冈上肌撕裂的同质患者在经肌腱修复或完全修复/修复后的临床和主观差异。
74例患者被随机分为两组，每组37例。第一组（A组）接受关节镜下经肌腱修复，而第二组（B组）接受关节镜下撕裂处完全修复及正式修复。所有患者在至少2年的随访中采用Constant评分和视觉模拟量表（VAS）进行重新评估。
Constant评分分别平均提高25分（95%CI 21 - 28）（p < 0.0001）和29分（95%CI 26 - 31）（p < 0.0001）；VAS评分分别平均降低3.4分（95%CI 2.9 - 3.9）（p < 0.0001）和3.6分（95%CI 3.3 - 4.0）（p < 0.0001）。两组在日常生活活动（ADL）方面的改善均更大，且在B组中，力量的改善高于A组。两种不同技术之间无统计学差异。
深部部分冈上肌撕裂的两种修复技术在功能和疼痛方面均取得了良好效果。两种技术之间无统计学显著差异。
前瞻性比较研究，二级。
