无结原位缝线桥技术治疗高度肩峰下型肩袖撕裂后的临床特征及修复完整性
Clinical features and repair integrity after knotless - In situ suture bridge technique in high-grade bursal side rotator cuff tears.
作者信息
Prasetia Renaldi, Sukhapradit Bordee, Chernchujit Bancha
机构信息
Department of Orthopaedics- Traumatology, Faculty of Medicine, University Padjadjaran, Hasan Sadikin General Hospital, Bandung, Indonesia.
Department of Orthopaedics Surgery, Faculty of Medicine, Thammasat University, Thailand.
出版信息
J Orthop. 2020 Jul 8;20:352-358. doi: 10.1016/j.jor.2020.06.019. eCollection 2020 Jul-Aug.
INTRODUCTION
The purpose of study is to describe outcome of the knotless-in-situ suture-bridge repair technique, combining concept of articular-preservation, medial-row knotless, and full-layer repair on the high-grade bursal-side rotator cuff tear (PBS-RCT).
METHODS
The repair-technique, on 27 shoulders with PBS-RCT, were retrospectively evaluated. Range of Motion (RoM), visual analog scale (VAS), American Shoulder and Elbow Surgeon (ASES) score were evaluated. Minimal 6-months Post-operative MRI were evaluated for repair-integrity.
RESULT
RoM evaluation, VAS, and ASES Score were improved significantly ( < 0.01). Post-operative MRI showed intact repaired tendon in 25-patients (96.2%).
CONCLUSION
Arthroscopic knotless-in-situ suture-bridge repair technique in PBS- RCT showed good functional-outcome and repair-integrity at minimum 2-years after surgery.
引言
本研究的目的是描述无结原位缝合桥修复技术的结果，该技术结合了关节保留、内侧排无结和全层修复的概念，用于治疗高级别滑囊侧肩袖撕裂（PBS-RCT）。
方法
对27例患有PBS-RCT的肩部进行回顾性评估该修复技术。评估了活动范围（RoM）、视觉模拟量表（VAS）、美国肩肘外科医生（ASES）评分。对术后至少6个月的MRI进行评估，以确定修复完整性。
结果
RoM评估、VAS和ASES评分均有显著改善（<0.01）。术后MRI显示25例患者（96.2%）的肌腱修复完整。
结论
PBS-RCT的关节镜下无结原位缝合桥修复技术在术后至少2年显示出良好的功能结果和修复完整性。
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