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采用改良梅森-艾伦技术对肩袖缝合患者进行评估。

Evaluation of patients undergoing rotator cuff suture with the modified mason-allen technique.

作者信息

Porto Fernanda de Marchi Bosi, Alves Marcelo Wiltemburg, de Andrade André Luis Lugnani

机构信息

Department of Orthopedics and Traumatology of Fundação Centro Médico de Campinas, Campinas, SP, Brazil.

Department of Sports Medicine of Instituto Nova Campinas, Campinas, SP, Brazil.

出版信息

Acta Ortop Bras. 2013 May;21(3):167-9. doi: 10.1590/S1413-78522013000300008.

Abstract

OBJECTIVE

: The purpose of this study was to clinically evaluate patients who underwent Arthroscopic Rotator Cuff Repair (RC) using the Modified Manson-Allen technique.

METHODS

: We evaluated 79 patients who underwent shoulder arthroscopy. The lesions were repaired using the modified Mason-Allen suture between 2003 and 2009, divided by Cofield classification and clinically evaluated by the scoring system of the University of Los Angeles (UCLA) in the pre- and postoperative periods.

RESULTS

: The evaluation of lesion sizes showed 7 small lesions (<1cm), 55 average lesions (1-3cm) and 17 large lesions (3-5cm), and in this last group there were 5 reruptures and the patients were reoperated by the same technique. Comparing the pre (14.1) and postoperative (32.6) values by UCLA system there was a significant improvement of score (142.3%), regardless of lesion size. The modified Mason-Allen suture provided satisfactory clinical results, regardless of lesion size, similar to those found in literature. The rerupture rate was high in large lesions. New suture techniques have been developed with the aim of reducing the incidence of rerupture.

CONCLUSION

: The modified Mason-Allen suture technique provided clinical improvement, regardless of lesion size. Level of Evidence IV, Cases Series .

摘要

目的

本研究旨在对采用改良曼森 - 艾伦技术进行关节镜下肩袖修复(RC)的患者进行临床评估。

方法

我们评估了79例接受肩关节镜检查的患者。在2003年至2009年期间,采用改良梅森 - 艾伦缝线修复损伤,根据科菲尔德分类进行划分,并在术前和术后通过洛杉矶大学(UCLA)评分系统进行临床评估。

结果

对损伤大小的评估显示,有7个小损伤(<1cm),55个中等损伤(1 - 3cm)和17个大损伤(3 - 5cm),在最后一组中有5例再破裂,患者通过相同技术再次手术。通过UCLA系统比较术前(14.1)和术后(32.6)的值,评分有显著提高(142.3%),与损伤大小无关。改良梅森 - 艾伦缝线无论损伤大小均提供了满意的临床结果,与文献中发现的结果相似。大损伤的再破裂率较高。已开发出新的缝线技术以降低再破裂的发生率。

结论

改良梅森 - 艾伦缝线技术无论损伤大小均带来了临床改善。证据等级IV,病例系列。

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Biologic augmentation of rotator cuff repair.肩袖修复的生物增强。
Curr Rev Musculoskelet Med. 2011 Dec;4(4):221-30. doi: 10.1007/s12178-011-9095-6.

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