New York University Langone Health, Orthopaedic Surgery Department, Sports Medicine Division, New York, New York, U.S.A..
New York University Langone Health, Orthopaedic Surgery Department, Sports Medicine Division, New York, New York, U.S.A.
Arthroscopy. 2022 Jul;38(7):2178-2182. doi: 10.1016/j.arthro.2022.01.039. Epub 2022 Feb 3.
The purpose of this study was to evaluate the outcomes of patients 5 years postoperatively following arthroscopic SLAP repair, and to evaluate factors associated with satisfaction.
A retrospective review of patients who underwent SLAP repair with a minimum of 5-year follow-up was performed. Recurrence, visual analog scale (VAS) score, Subjective Shoulder Value (SSV), American Shoulder & Elbow Surgeons (ASES) score, satisfaction, whether they would undergo the same surgery again, and the rate, level and timing of return to play (RTP) were evaluated. Multilinear regression models were used to evaluate factors affecting postoperative satisfaction.
Overall, 122 patients who underwent SLAP repair were included, with a mean age of 33.4 years. 81% were males, and 58.2% were participating in sport preoperatively. The mean follow-up was 86.4 ± 14.4 months. At final follow up, the mean satisfaction was 87.7%, and the mean SSV was 82.9. Overall, the rate of RTP was 85.9%, with 64.8% returning at the same level at a mean of 10.5 ± 8 months. Ultimately, 13 (10.7%) patients had a further surgery, including 10 (8.2%) patients that had a biceps tenodesis. VAS during sport (P = .025), SSV (P < .001), and time to RTP (P = .0056), were associated with higher satisfaction.
There was a high rate of satisfaction at 5-year follow-up, with excellent patient-reported outcomes but with one-tenth of patients requiring revision surgeries. Additionally, while there was an overall high rate of RTP, there was only a modest rate of RTP at their preinjury level, and overhead athletes took longer to RTP.
IV, case series.
本研究旨在评估关节镜下 SLAP 修复术后 5 年患者的治疗结果，并评估与满意度相关的因素。
对接受 SLAP 修复且随访时间至少 5 年的患者进行回顾性研究。评估复发情况、视觉模拟评分（VAS）、主观肩部值（SSV）、美国肩肘外科医生（ASES）评分、满意度、是否会再次接受相同手术以及重返运动（RTP）的比例、水平和时间。采用多元线性回归模型评估影响术后满意度的因素。
共纳入 122 例接受 SLAP 修复的患者，平均年龄为 33.4 岁。81%为男性，58.2%术前参与运动。平均随访时间为 86.4±14.4 个月。末次随访时，平均满意度为 87.7%，SSV 平均为 82.9。总体而言，RTP 率为 85.9%，64.8%在相同水平上重返运动，平均时间为 10.5±8 个月。最终，有 13 例（10.7%）患者接受了进一步手术，其中 10 例（8.2%）患者接受了二头肌固定术。运动时 VAS（P=0.025）、SSV（P<0.001）和 RTP 时间（P=0.0056）与更高的满意度相关。
5 年随访时满意度较高，患者报告的结果良好，但十分之一的患者需要进行翻修手术。此外，尽管总体 RTP 率较高，但只有适度比例的患者能够恢复到受伤前的水平，且过顶运动员的 RTP 时间较长。
IV，病例系列。
