Moon Namhoon, Lee Seung-Jun, Kwak Sang-Ho, Lee Eunsung, Jeong Hee Seok, Suh Kuen Tak
Acta Orthop Belg. 2018 Dec;84(4):516-525.
We compared clinical outcome between the Speed- Bridge technique and single-row techniques in patients with full-thickness rotator cuff tears and figured out the patterns of retear by computed tomography (CT) arthrogram and ultrasonography follow-up. In total 209 patients with full-thickness rotator cuff tears who underwent arthroscopic rotator cuff repair and were followed up for at least 2-year were enrolled retrospectively (group 1: single-row repair, group 2: Speed-Bridge repair). Pre- and postoperative data were reviewed to assess clinical and radiologic outcomes. There were no significant differences in clinical outcome between the 2 groups. The retear rates of medium and large-sized rotator cuff tear groups were higher in group 1 than in group 2 (p < 0.05). There was no significant difference in the medial row failure rate between the 2 groups. Present study showed that the knotless suture Bridge technique may be a considerable alternative method for treating full-thickness rotator cuff-tears. Level of evidence: Level III, Retrospective comparative study.
我们比较了全层肩袖撕裂患者采用Speed-Bridge技术与单排技术的临床结果，并通过CT关节造影和超声随访确定了再撕裂模式。回顾性纳入了总共209例接受关节镜下肩袖修补且至少随访2年的全层肩袖撕裂患者（第1组：单排修复，第2组：Speed-Bridge修复）。回顾术前和术后数据以评估临床和影像学结果。两组之间的临床结果无显著差异。第1组中、大型肩袖撕裂组的再撕裂率高于第2组（p<0.05）。两组之间内侧排失败率无显著差异。本研究表明，无结缝线桥技术可能是治疗全层肩袖撕裂的一种相当不错的替代方法。证据级别：III级，回顾性比较研究。
