Piatti Massimiliano, Gorla Massimo, Turati Marco, Omeljaniuk Robert J, Gaddi Diego, Bigoni Marco
Orthopedic and Traumatology Department, Policlinico San Pietro, Via Carlo Forlanini 15, Ponte San Pietro, 24036, Italy.
Transalpine Center of Pediatric Sports Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
J Clin Orthop Trauma. 2022 Jul 9;31:101950. doi: 10.1016/j.jcot.2022.101950. eCollection 2022 Aug.
Surgical repair of the rotator cuff is based on the use of anchors whose ideal numbers and configurations continue to be controversial. We compared the clinical-functional results arising from the arthroscopic repair of shoulders, with small-medium lesions of the supraspinatus tendon, among patients using one anchor with three sutures, or two anchors with two sutures.
In this retrospective study patient were resolved into 2 groups. Clinical and functional results were assessed based on Constant Score and instrumental isometric examination.
Patients in Group 1 experienced shoulder repair using a single anchor with three sutures (n = 21, mean age = 56 years, range = 51-65). In Group 2, patients received two anchors with two sutures each (n = 24, mean age = 59 years, range = 24-75). The mean follow-up time was 15 months. The mean values of the operated shoulders' Constant Score were 88.05 and 88.25 respectively. Examination of isometric test results in operated shoulders, healthy shoulders and the two different rotator cuff repair techniques did not reveal any statistically significant differences.
In the arthroscopic repair of small-medium supraspinatus tendon tears, the short to mid-term clinical and functional outcomes arising from use of 1 triple-loaded or 2 double-loaded metallic sutures anchors are comparable.
肩袖的手术修复基于锚钉的使用，而理想的锚钉数量和配置仍存在争议。我们比较了使用单锚三缝线或双锚双缝线的患者在关节镜下修复肩袖中、小损伤后的临床功能结果。
在这项回顾性研究中，患者被分为两组。基于Constant评分和仪器等长检查评估临床和功能结果。
第1组患者使用单锚三缝线进行肩部修复（n = 21，平均年龄 = 56岁，范围 = 51 - 65岁）。第2组患者接受双锚，每锚双缝线（n = 24，平均年龄 = 59岁，范围 = 24 - 75岁）。平均随访时间为15个月。手术肩部的Constant评分平均值分别为88.05和88.25。对手术肩部、健康肩部以及两种不同肩袖修复技术的等长测试结果检查未发现任何统计学上的显著差异。
在关节镜下修复中、小型冈上肌腱撕裂时，使用1个三负荷或2个双负荷金属缝线锚钉的短期至中期临床和功能结果相当。
