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关节镜下改良梅森-艾伦修复术与缝线桥修复术治疗中型肩袖撕裂的临床疗效比较

[Comparison of clinical outcomes between arthroscopic modified Mason-Allen repair and suture-bridge repair for medium-size rotator cuff tears].

作者信息

Zhuo Hong-Wu, Pan Ling, Liu Shi-Luan, Li Jian

机构信息

The Second People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Fuzhou 350003, Fujian, China.

出版信息

Zhongguo Gu Shang. 2021 Jun 25;34(6):504-7. doi: 10.12200/j.issn.1003-0034.2021.06.004.

Abstract

OBJECTIVE

To observe and compare the clinical outcomes between arthroscopic modified Mason-Allen repair and suture-bridge repair for medium-size rotator cuff tears.

METHODS

From January 2017 to January 2018, 22 patients with medium-size rotator cuff tears underwent arthroscopic modified Mason-Allen repair. There were 9 males and 13 females with an average age of (57.14±10.26) years. From February 2018 to January 2019, 20 patients with medium-size rotator cuff tears underwent arthroscopic suture-bridge repair. There were 6 males and 14 females with an average age of (57.75±7.57) years. The preoperative and postoperative clinical function was assessed by American Shoulder and Elbow Surgeons (ASES) and Constant score system. The healing status of repaired rotator cuff was assessed using MRI.

RESULTS

All patients were followed up, and the duration ranged from 24 to 33 months, with a mean of (26.38±2.29) months. In modified Mason-Allen group, AS###ES score and Constant score increased from (45.22±7.58) and (58.72±9.26) preoperatively to (96.89±3.49) and (93.18± 3.20) postoperatively. In suture-bridge group, ASES score and Constant score increased from(47.33±7.50) and (60.05±11.76) scores to (97.58±3.43) and (93.85±3.15). There were no significant differences in ASES score and Constant score between the two groups before and after operation. There were no significant differences in rotator cuff healing between the two groups.

CONCLUSION

Both arthroscopic modified Mason-Allen and suture-bridge repair for treatment of medium-size rotator cuff tears could obtain good clinical outcomes, and there were no significant differences in clinical outcomes between the two techniques.

摘要

目的

观察并比较关节镜下改良Mason-Allen修复术与缝线桥修复术治疗中型肩袖撕裂的临床疗效。

方法

2017年1月至2018年1月,22例中型肩袖撕裂患者接受关节镜下改良Mason-Allen修复术。其中男性9例,女性13例,平均年龄(57.14±10.26)岁。2018年2月至2019年1月,20例中型肩袖撕裂患者接受关节镜下缝线桥修复术。其中男性6例,女性14例,平均年龄(57.75±7.57)岁。术前及术后采用美国肩肘外科医师(ASES)和Constant评分系统评估临床功能。采用MRI评估修复肩袖的愈合情况。

结果

所有患者均获随访,随访时间24~33个月,平均(26.38±2.29)个月。改良Mason-Allen组,ASES评分和Constant评分由术前的(45.22±7.58)分和(58.72±9.26)分分别提高至术后的(96.89±3.49)分和(93.18±3.20)分。缝线桥组,ASES评分和Constant评分由术前的(47.33±7.50)分和(60.05±11.76)分提高至术后的(97.58±3.43)分和(93.85±3.15)分。两组术前、术后ASES评分和Constant评分比较,差异均无统计学意义。两组肩袖愈合情况比较差异无统计学意义。

结论

关节镜下改良Mason-Allen修复术与缝线桥修复术治疗中型肩袖撕裂均能获得良好的临床疗效,两种技术的临床疗效差异无统计学意义。

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