Shah Sarav S, Shah Aalok, Chadayammuri Vivek, McGill Marlena, Wei Nicole, Tuckman David V, Sgaglione Nicholas A
Hofstra Northwell School of Medicine Department of Orthopaedic Surgery, United States.
University of Colorado Denver School of Medicine, United States.
J Orthop. 2018 Jan 31;15(1):216-221. doi: 10.1016/j.jor.2018.01.037. eCollection 2018 Mar.
Our aim was to identify predictors of construct selection and recent trends for arthroscopic knotless rotator cuff repair (RCR).
A manual review of 1617 operative reports was performed.
A medium-sized tear had a threefold increase in odds of single row (SR) knotless repair (OR, 6.91; p = 0.009) versus SR knotted (OR, 3.05; p = 0.003). Generalist orthopaedic surgeons were 79% less likely to perform SR knotless repairs versus sports medicine trained specialists (p < 0.001).
There was a significant increase from 2009 to 2016 in SR knotless and double row medial row knotless constructs contrasting the declining use of the SR knotted technique.
我们的目的是确定关节镜下无结肩袖修复术（RCR）中移植物选择的预测因素以及近期趋势。
对1617份手术报告进行人工查阅。
与单排（SR）有结修复相比，中等大小的撕裂采用单排无结修复的几率增加了三倍（OR，6.91；p = 0.009），而单排有结修复的几率为（OR，3.05；p = 0.003）。与接受运动医学培训的专科医生相比，普通骨科医生进行单排无结修复的可能性要低79%（p < 0.001）。
从2009年到2016年，单排无结和双排内侧排无结移植物的使用显著增加，而单排有结技术的使用则在减少。
