Shoulder and Elbow Unit, IRCCS Humanitas Institute, Rozzano, Milano, Italy.
Shoulder Service, Miulli Hospital, Acquaviva delle Fonti, Bari, Italy.
J Biol Regul Homeost Agents. 2020 Jul-Aug;34(4 Suppl. 3):51-57. Congress of the Italian Orthopaedic Research Society.
The aim of our study was to define if Arthroscopic Transosseous Rotator Cuff Techniques should have comparable results to those of the suture-anchors technique in a single row configuration. We reported the preliminary results of a consecutive population of 22 patients who underwent a rotator cuff treatment on the left and right sides for average medium-sized thickness tears with minimal fatty infiltration with the two different techniques: transosseous rotator cuff repair technique on one side and single row with suture-anchors on the other side, in different times. Subjective evaluation with DASH questionnaires, Constant Scores and Numerical Rating Scale (NRS) for pain evaluation, have been submitted pre and postoperatively after both operations. A statistical analysis was performed to assess the superiority of one technique and to compare pre and postoperative ROM data and clinical outcomes. A transosseous rotator cuff repair was performed in 7 patients on the dominant arm, while the other 15 patients had dominant arm cuff tear lesions repaired by using suture-anchors technique. At last follow-up a significant improvement, in shoulder pain and function, was referred at both sides. Also, DASH, Constant Scores and NRS for pain evaluation improved with both techniques, but no statistical difference was found between them. Arthroscopic transosseous rotator cuff repair technique shows comparable results to those of the suture-anchors technique in a single row configuration.
我们的研究目的是确定关节镜下经骨缝合修复肩袖技术在单排固定中是否与缝线锚钉技术具有相当的效果。我们报告了 22 例连续患者的初步结果,这些患者因中等大小的肩袖全层撕裂伴最小程度的脂肪浸润而在左右两侧接受了两种不同技术的治疗:一侧采用经骨缝合修复肩袖技术,另一侧采用单排缝线锚钉技术,这两种治疗在不同时间进行。所有患者在两种手术前后均使用 DASH 问卷、Constant 评分和疼痛数字评分量表(NRS)进行主观评估。为了评估一种技术的优势并比较术前和术后的 ROM 数据和临床结果,进行了统计学分析。7 例优势臂患者行经骨缝合修复肩袖术,而其余 15 例优势臂肩袖撕裂患者行缝线锚钉技术修复。末次随访时,双侧肩部疼痛和功能均显著改善。两种技术的 DASH、Constant 评分和疼痛 NRS 均有所改善,但两者之间无统计学差异。关节镜下经骨缝合修复肩袖技术在单排固定中与缝线锚钉技术具有相当的效果。