Miyazaki Alberto Naoki, Fregoneze Marcelo, Santos Pedro Doneux, da Silva Luciana Andrade, do Val Sella Guilherme, Santos Ruy Mesquita Maranhão, de Souza Adriano, Estelles José Renato Depari, Checchia Sérgio Luiz
Assistant Professor and Head of the Shoulder and Elbow Surgery Group, Department of Orthopedics and Traumatology, School of Medical Sciences, Santa Casa de São Paulo, São Paulo, Brazil.
Assistant Professor and Attending Physician in the Shoulder and Elbow Surgery Group, Department of Orthopedics and Traumatology, School of Medical Sciences, Santa Casa de São Paulo, São Paulo, Brazil.
Rev Bras Ortop. 2015 Nov 16;46(1):45-50. doi: 10.1016/S2255-4971(15)30175-0. eCollection 2011 Jan.
To assess the results from open or arthroscopic surgical treatment on patients with symptomatic recurrence of rotator cuff injuries.
Between December 1990 and July 2007, 30 patients were assessed and underwent reoperation performed by the Shoulder and Elbow Surgery Group of the Department of Orthopedics and Traumatology, Fernandinho Simonsen Wing, Santa Casa de São Paulo, because of dehiscence of the rotator cuff suture. The study included patients with symptomatic recurrence of the injury and with at least 24 months of postoperative follow-up.
According to the UCLA evaluation criteria, 21 patients (70%) showed excellent or good outcomes; and nine patients (30%) showed fair or poor outcomes.
Open or arthroscopic surgical treatment of recurrent rotator cuff injuries tended to present worse results than from the primary repair. In this study, we found that 70% of the results were excellent and good. The presence of extensive injuries in the reoperation tended to evolve with larger numbers of unsatisfactory results. In our study, we obtained better results from arthroscopic surgery than from open surgery.
评估开放性或关节镜手术治疗肩袖损伤症状复发患者的结果。
1990年12月至2007年7月，30例因肩袖缝合处裂开而接受评估并由圣保罗圣卡塔琳娜医院费尔南迪尼奥·西蒙森翼骨科与创伤科肩肘外科组进行再次手术的患者纳入研究。该研究纳入了损伤症状复发且术后至少随访24个月的患者。
根据加州大学洛杉矶分校（UCLA）评估标准，21例患者（70%）显示出优良结果；9例患者（30%）显示出一般或较差结果。
开放性或关节镜手术治疗复发性肩袖损伤的结果往往比初次修复更差。在本研究中，我们发现70%的结果为优良。再次手术中存在广泛损伤往往会导致更多不满意的结果。在我们的研究中，关节镜手术的结果优于开放手术。
