Rossi Luciano A
Buenos Aires, Argentina.
Arthroscopy. 2021 May;37(5):1455-1457. doi: 10.1016/j.arthro.2021.01.015.
The available evidence shows that arthroscopic repair using either the transtendon in situ repair technique or the tear completion and subsequent repair technique are associated with favorable results in the short term. Likewise, the location of the lesions (articular or bursal) does not seem to significantly influence the clinical results, regardless of the technique used. Specifically with regard to the surgical technique of choice in the case of deciding to complete the tear and then repair it, it remains to be defined more clearly in future investigations whether it is better to repair with a single- or double-row technique, whether associated subacromial decompression has any advantage and what the results of this technique are in the subgroup of athletes, especially in competitive and overhead athletes in whom repair of rotator cuff tears has shown unfavorable outcomes mainly at the expense of a low return to the same level of sport.
现有证据表明,采用经肌腱原位修复技术或撕裂完成后修复技术进行关节镜修复在短期内都能取得良好效果。同样,无论采用何种技术,损伤部位(关节内或滑囊内)似乎对临床结果没有显著影响。特别是在决定完成撕裂然后进行修复的情况下,对于选择的手术技术而言,未来的研究仍需更明确地界定单排或双排修复技术哪种更好、肩峰下减压是否有优势,以及该技术在运动员亚组中的效果如何。尤其是在竞技和从事过头运动的运动员中,肩袖撕裂修复的结果主要以较低的恢复到同等运动水平为代价,表现不佳。