Sharma Nikhil, El Refaiy Ahmed, Sibly T F
Hereford County Hospital, Wye Valley NHS Trusts, United Kingdom.
J Orthop. 2018 May 18;15(2):732-735. doi: 10.1016/j.jor.2018.05.037. eCollection 2018 Jun.
We report outcomes of using GraftJacket to repair massive rotator-cuff-tears. Twenty patients with a mean age of 64.6y over 12-month duration were reviewed. Two patients had a single GraftJacket repair (group1), whilst 18 had the GraftJacket sheet doubled (group2). Pre and post oxford shoulder scores (OSS) and patient related outcome measures were evaluated. A statistically significant improvement of OSS was demonstrated in-group 2 from a mean of 22 to 45.5 (p < 0.00148) over a follow up of 18 months. GraftJacket is a safe and effective procedure to use as an interpositional graft and doubling the graft may improve outcomes.
我们报告了使用GraftJacket修复巨大肩袖撕裂的结果。对20例平均年龄64.6岁、病程超过12个月的患者进行了回顾性研究。2例患者接受了单次GraftJacket修复(第1组),而18例患者使用了双层GraftJacket片(第2组)。评估了术前和术后的牛津肩评分(OSS)以及患者相关结局指标。在18个月的随访中,第2组的OSS从平均22分显著提高到45.5分(p<0.00148)。GraftJacket作为一种间置移植材料是一种安全有效的手术方法,将移植材料加倍可能会改善治疗效果。