Department of Orthopaedic Surgery, St Antonius Ziekenhuis, Nieuwegein, the Netherlands.
J Orthop Sports Phys Ther. 2014 Mar;44(3):153-63. doi: 10.2519/jospt.2014.4832. Epub 2014 Jan 22.
Systematic literature review.
To perform a systematic review of the literature on prognostic factors for successful recovery after arthroscopic rotator cuff repair.
Rotator cuff lesion is a common shoulder disorder, with a prevalence ranging from 13% in people over 50 years of age to more than 50% in people over 80 years of age. Several factors can affect the extent to which a person will recover after the surgical repair of a rotator cuff tear. More knowledge about these prognostic factors may lead to a better understanding of why the recovery process is successful in some patients but not in others.
A systematic literature search from 1995 to November 2013 was performed to identify studies reporting prognostic factors for successful recovery after arthroscopic rotator cuff repair.
A total of 455 studies were initially identified, 10 of which were included in the review. For all included studies, the percentage of patients with complete tendon healing at final assessment ranged from 60% to 88%. Twelve prognostic factors, which could be divided into 4 categories, were identified as being associated with better recovery: demographic factors (younger age, male gender), clinical factors (higher bone mineral density, absence of diabetes mellitus, higher level of sports activity, greater preoperative range of motion, absence of obesity), factors related to cuff integrity (smaller sagittal size of the cuff lesion, less retraction of the cuff, less fatty infiltration, no multiple tendon involvement), and factors related to the surgical procedure (no concomitant biceps or acromioclavicular joint procedures).
Knowledge and understanding of prognostic factors should be used in the decision-making process concerning arthroscopic rotator cuff repair to offer better care to patients.
Prognosis, level 2a-.
系统文献回顾。
对关节镜肩袖修复术后成功恢复的预后因素进行系统评价。
肩袖损伤是一种常见的肩部疾病，50 岁以上人群的发病率为 13%，80 岁以上人群的发病率超过 50%。一些因素可能会影响肩袖撕裂患者手术后的恢复程度。更多地了解这些预后因素可能有助于更好地理解为什么在一些患者中恢复过程是成功的，而在另一些患者中则不是。
从 1995 年至 2013 年 11 月进行了系统的文献检索，以确定报道关节镜肩袖修复术后成功恢复的预后因素的研究。
最初共确定了 455 项研究，其中 10 项研究纳入了综述。对于所有纳入的研究，最终评估时完全愈合的患者比例从 60%到 88%不等。确定了 12 个与更好的恢复相关的预后因素，这些因素可分为 4 类：人口统计学因素（年龄较小，男性）；临床因素（骨密度较高，无糖尿病，运动水平较高，术前活动范围较大，无肥胖）；肩袖完整性相关因素（肩袖病变矢状径较小，肩袖回缩较小，脂肪浸润较少，无多个肌腱受累）；以及与手术过程相关的因素（无伴发的二头肌或肩锁关节手术）。
关节镜肩袖修复术的决策过程中应考虑预后因素的知识和理解，以为患者提供更好的护理。
预后，2a 级。
