Davis Daniel E, Zmistowski Benjamin, Ball Christopher, Patel Manan S, Kane Liam T, Lazarus Mark
Department of Orthopaedic Surgery, The Rothman Institute at Thomas Jefferson University, Philadelphia, PA, USA.
Arch Bone Jt Surg. 2021 Jan;9(1):58-63. doi: 10.22038/abjs.2020.46564.2279.
As preferred treatment options for superior labral tears continue to evolve, this study aims to describe the recent longitudinal trends in the treatment of SLAP tears in a sub-specialized practice at a single institution. We hypothesized that there was a trend toward biceps tenodesis over repair for Type II SLAP lesions.
A retrospective review was performed using an institutional billing database to identify all patients with a SLAP tear who underwent surgical intervention between January 2002 and January 2016. Procedural codes associated with the surgery were analyzed to determine type of treatment each patient received.
Of the 6,055 patients who underwent surgery for a SLAP tear during the study period, 39.1% (2,370) underwent labral repair, 15.4% (930) underwent tenodesis without repair, and 45.5% (2,755) underwent arthroscopy without tenodesis or repair. Labral repair made up a significantly higher proportion of surgical interventions in 2002 (82.2%) compared to in 2015 (21.8%; ). Surgeon experience did not impact trends. Over the study period, the mean age of patients receiving labral repair decreased from 40.4 years (range: 16.2 - 63.9) to 32.6 years (range: 14.0 - 64.7; ).
This study demonstrates that over the 14-year study period the rate of labral repairs for SLAP tears has decreased significantly and that these repairs have been directed towards a younger patient population.
随着上盂唇撕裂的首选治疗方案不断演变，本研究旨在描述在单一机构的一个亚专业实践中，近期治疗肩胛上盂唇前、后上盂唇从前到后的撕裂（SLAP撕裂）的纵向趋势。我们假设，对于II型SLAP损伤，存在一种从修复向肱二头肌固定术发展的趋势。
利用机构计费数据库进行回顾性研究，以确定2002年1月至2016年1月期间所有接受手术干预的SLAP撕裂患者。分析与手术相关的程序编码，以确定每位患者接受的治疗类型。
在研究期间接受SLAP撕裂手术的6055例患者中，39.1%（2370例）接受了盂唇修复，15.4%（930例）接受了未修复的固定术，45.5%（2755例）接受了未进行固定术或修复的关节镜检查。与2015年（21.8%； ）相比，2002年盂唇修复在手术干预中所占比例显著更高。外科医生的经验并未影响趋势。在研究期间，接受盂唇修复的患者的平均年龄从40.4岁（范围：16.2 - 63.9岁）降至32.6岁（范围：14.0 - 64.7岁； ）。
本研究表明，在14年的研究期间，SLAP撕裂的盂唇修复率显著下降，且这些修复针对的是更年轻的患者群体。
