Wang EnZhi, Wang Liang, Gao Peng, Li ZhongJi, Zhou Xiao, Wang SongGang
Department of Orthopaedic Surgery, People's Hospital of Zhangqiu, Zhangqiu, Shandong, China (mainland).
Department of Orthopaedic Surgery, Qilu Hospital of Shandong University, Jinan, Shandong, China (mainland).
Med Sci Monit. 2015 May 28;21:1556-61. doi: 10.12659/MSM.893058.
It is a challenge for orthopaedic surgeons to treat massive rotator cuff tears. The optimal management of massive rotator cuff tears remains controversial. Therefore, the goal of this study was to compare arthroscopic single- versus double-row rotator cuff repair with a larger sample size.
Of the subjects with massive rotator cuff tears, 146 were treated using single-row repair, and 102 were treated using double-row repair. Pre- and postoperative functional outcomes and radiographic images were collected. The clinical outcomes were evaluated for a minimum of 2 years.
No significant differences were shown between the groups in terms of functional outcomes. Regarding the integrity of the tendon, a lower rate of post-treatment retear was observed in patients who underwent double-row repair compared with single-row repair.
The results suggest that double-row repair is relatively superior in shoulder ROM and the strength of tendon compared with single-row repair. Future studies involving more patients in better-designed randomized controlled trials will be required.
对于骨科医生而言，治疗巨大肩袖撕裂是一项挑战。巨大肩袖撕裂的最佳治疗方法仍存在争议。因此，本研究的目的是在更大样本量的情况下比较关节镜下单排与双排肩袖修复术。
在患有巨大肩袖撕裂的受试者中，146例采用单排修复治疗，102例采用双排修复治疗。收集术前和术后的功能结果及影像学图像。临床结果至少评估2年。
两组在功能结果方面未显示出显著差异。关于肌腱的完整性，与单排修复相比，接受双排修复的患者治疗后再撕裂率较低。
结果表明，与单排修复相比，双排修复在肩关节活动度和肌腱强度方面相对更优。未来需要在设计更优的随机对照试验中纳入更多患者进行研究。
