Ren Jiangtao, Xu Cong, Liu Xianglin, Wang Jiansong, Li Zhihuai, Lü Yongming
Department of Joint Surgery, Affiliated Hospital of Chengde Medical University, Chengde Hebei, 067000, P.R.China.
Department of Joint Surgery, Affiliated Hospital of Chengde Medical University, Chengde Hebei, 067000,
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2017 Oct 15;31(10):1168-1172. doi: 10.7507/1002-1892.201703005.
To explore the effectiveness of the arthroscopic separate double-layer suture bridge technique in treatment of the delaminated rotator cuff tear.
Between May 2013 and May 2015, 54 patients with the delaminated rotator cuff tears were recruited in the study. They were randomly allocated into 2 groups to receive repair either using arthroscopic separate double-layer suture bridge technique (trial group, =28) or using arthroscopic whole-layer suture bridge technique (control group, =26). There was no significant difference in gender, age, injured side, tear type, and preoperative visual analogue scale (VAS) score, Constants score, American Shoulder and Elbow Surgeons (ASES) score, University of California Los Angeles (UCLA) score, and the range of motion of shoulder joint between 2 groups ( >0.05). Postoperative functional scores, range of motion, and recurrence rate of tear in 2 groups were observed and compared.
The operation time was significant longer in trial group than in control group ( =8.383, =0.000). All incisions healed at stage Ⅰ without postoperative complication. All the patients were followed up 12 months. At 12 months postoperatively, the UCLA score, ASES score, VAS score, Constant score, and the range of motion were significantly improved when compared with the preoperative values in 2 groups ( <0.05). However there was no significant difference in above indexes between 2 groups ( >0.05). Four cases (14.3%) of rotator cuff tear recurred in trial group while 5 cases (19.2%) in control group, showing no significant difference ( =0.237, =0.626).
Compared with the arthroscopic whole-layer suture bridge technique, arthroscopic separate double-layer suture bridge technique presents no significant difference in the shoulder function score, the range of motion, and recurrence of rotator cuff tear, while having a longer operation time.
探讨关节镜下分层双层缝合桥技术治疗分层肩袖撕裂的有效性。
2013年5月至2015年5月，招募54例分层肩袖撕裂患者。将他们随机分为2组，分别采用关节镜下分层双层缝合桥技术（试验组，n = 28）或关节镜下全层缝合桥技术（对照组，n = 26）进行修复。两组在性别、年龄、患侧、撕裂类型、术前视觉模拟评分（VAS）、康斯坦特评分、美国肩肘外科医师学会（ASES）评分、加州大学洛杉矶分校（UCLA）评分以及肩关节活动范围方面均无显著差异（P > 0.05）。观察并比较两组术后的功能评分、活动范围及撕裂复发率。
试验组手术时间显著长于对照组（t = 8.383，P = 0.000）。所有切口均Ⅰ期愈合，无术后并发症。所有患者均随访12个月。术后12个月时，两组的UCLA评分、ASES评分、VAS评分、康斯坦特评分及活动范围与术前相比均显著改善（P < 0.05）。然而，两组上述指标之间无显著差异（P > 0.05）。试验组有4例（14.3%）肩袖撕裂复发，对照组有5例（19.2%）复发，差异无统计学意义（χ² = 0.237，P = 0.626）。
与关节镜下全层缝合桥技术相比，关节镜下分层双层缝合桥技术在肩功能评分、活动范围及肩袖撕裂复发方面无显著差异，但手术时间较长。
