Baumgarten Keith M
Orthopedic Institute; and University of South Dakota Sanford School of Medicine. Sioux Falls, South Dakota, U.S.A.
Arthrosc Sports Med Rehabil. 2020 Jul 10;2(5):e517-e522. doi: 10.1016/j.asmr.2020.05.017. eCollection 2020 Oct.
To determine whether patients who require margin convergence would have equivalent postsurgical patient-determined scores compared with patients with standard rotator cuff repair. The secondary purpose of this study was to determine whether the short-term results found for patients with margin convergence repairs would be durable through medium-term follow-up.
A retrospective analysis of patients undergoing arthroscopic rotator cuff repair was performed to examine the effects of marginal convergence on patient-determined outcomes (Western Ontario Rotator Cuff Index, American Shoulder and Elbow Surgeons score, Simple Shoulder Test, Single Assessment Numeric Evaluation, and Shoulder Activity Level). Patient-determined outcomes in patients who had margin convergence repairs were compared with patients who had standard rotator cuff repair. Prospective follow-up of patients that had margin convergence repairs was performed to determine whether patient-determined outcomes deteriorated over time.
Two-hundred-seventy-two patients had standard rotator cuff repairs and 9 patients had margin convergence rotator cuff repair (3.2%). All patients had significant improvements in their Western Ontario Rotator Cuff Index, American Shoulder and Elbow Surgeons score, Simple Shoulder Test, and Single Assessment Numeric Evaluation. Patients requiring margin convergence rotator cuff repair had similar preoperative and postoperative scores compared with patients with a standard rotator cuff repair. At a mean follow-up of 7.5 years, there was no change in outcome scores compared with the early follow-up time point (mean 3.3 years) for patients undergoing margin convergence.
Arthroscopic margin convergence repair techniques along with the treatment of concomitant pathologies result in similar patient-determined outcomes compared with standard rotator cuff repair techniques. These results appear to be durable and do not deteriorate from short-term to medium-term follow-up.
III: Retrospective comparative study.
确定需要边缘对合的患者与接受标准肩袖修复的患者相比，术后患者自评得分是否相当。本研究的次要目的是确定边缘对合修复患者的短期结果在中期随访中是否持久。
对接受关节镜下肩袖修复的患者进行回顾性分析，以检查边缘对合对患者自评结果（西安大略肩袖指数、美国肩肘外科医师评分、简易肩部测试、单评估数字评价和肩部活动水平）的影响。将接受边缘对合修复的患者的患者自评结果与接受标准肩袖修复的患者进行比较。对接受边缘对合修复的患者进行前瞻性随访，以确定患者自评结果是否随时间恶化。
272例患者接受了标准肩袖修复，9例患者接受了边缘对合肩袖修复（3.2%）。所有患者的西安大略肩袖指数、美国肩肘外科医师评分、简易肩部测试和单评估数字评价均有显著改善。需要边缘对合肩袖修复的患者与接受标准肩袖修复的患者相比，术前和术后评分相似。在平均7.5年的随访中，与接受边缘对合的患者的早期随访时间点（平均3.3年）相比，结果评分没有变化。
与标准肩袖修复技术相比，关节镜下边缘对合修复技术以及伴随病变的治疗导致相似的患者自评结果。这些结果似乎是持久的，从中期随访到短期随访没有恶化。
III：回顾性比较研究。
