Ranalletta Maximiliano, Rossi Luciano Andrés, Bertona Agustin Bernardo, Atala Nicolas Agustin, Tanoira Ignacio, Maignon Gastón, Bongiovanni Santiago L
Department of Orthopedics and Traumatology, Prof. Dr. Carlos E. Ottolenghi, Italian Hospital of Buenos Aires, Buenos Aires, Argentina.
Department of Orthopedics and Traumatology, Prof. Dr. Carlos E. Ottolenghi, Italian Hospital of Buenos Aires, Buenos Aires, Argentina.
Arthroscopy. 2016 Aug;32(8):1523-8. doi: 10.1016/j.arthro.2016.01.027. Epub 2016 Mar 31.
To evaluate the clinical outcomes and complications in a series of patients with painful partial articular cuff tears treated with the arthroscopic transtendinous repair with a minimum 2-year follow-up.
Eighty patients with a mean age of 51 ± 5.4 years who had undergone an arthroscopic transtendon repair for a painful articular-sided rotator cuff tear with a minimum of 2-year follow-up were contacted. Clinical outcomes using a patient-based questionnaire, the University of California at Los Angeles score, the American Shoulder and Elbow Surgeons score, and the visual analog scale were evaluated. Postoperative complications were also assessed.
After arthroscopic repair, the University of California at Los Angeles scores improved from 13.6 to 31.5; the American Shoulder and Elbow Surgeons scores improved from 44.4 to 76.1; and the visual analog scale scores improved from 6.3 to 1.3 (P < .0001). A total of 92.5% of patients were satisfied with their results. Only 5 patients developed a postoperative adhesive capsulitis that responded favorably to physical therapy. Eleven patients had concurrent procedures performed at the time of surgery. We found no difference between these patients and those who had an isolated tendon repair.
Arthroscopic transtendon repair of partial-thickness articular-side rotator cuff tears is a reliable procedure that can be expected to produce satisfactory functional improvements and pain relief in most patients with a low rate of complications in the midterm follow-up. Concurrent procedures performed at the time of supraspinatus repair do not change functional outcomes.
Level IV, therapeutic case series.
评估一系列采用关节镜下经肌腱修复术治疗的疼痛性部分关节面肩袖撕裂患者的临床疗效及并发症，随访时间至少为2年。
联系了80例平均年龄为51±5.4岁的患者，这些患者因疼痛性关节侧肩袖撕裂接受了关节镜下经肌腱修复术，且随访时间至少为2年。使用基于患者的问卷、加州大学洛杉矶分校（UCLA）评分、美国肩肘外科医师学会（ASES）评分和视觉模拟量表评估临床疗效。同时评估术后并发症。
关节镜修复术后，UCLA评分从13.6提高到31.5；ASES评分从44.4提高到76.1；视觉模拟量表评分从6.3提高到1.3（P <.0001）。共有92.5%的患者对治疗结果满意。只有5例患者发生了术后粘连性关节囊炎，经物理治疗后效果良好。11例患者在手术时同时进行了其他手术。我们发现这些患者与单纯肌腱修复的患者之间没有差异。
关节镜下经肌腱修复术治疗部分厚度关节侧肩袖撕裂是一种可靠的手术方法，在中期随访中，大多数患者有望获得满意的功能改善和疼痛缓解，并发症发生率较低。在进行冈上肌修复时同时进行的其他手术不会改变功能结果。
IV级，治疗性病例系列。
