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关节镜下肩峰成形术联合肩袖修复术治疗老年全层肩袖撕裂和肩袖损伤的疗效

Effect of Arthroscopic Acromioplasty Combined with Rotator Cuff Repair in the Treatment of Aged Patients with Full-Thickness Rotator Cuff Tear and Rotator Cuff Injury.

作者信息

He Shihui, Xu Hao, Liu Shuhua

机构信息

Department of Orthopaedics, Zhoushan Hospital, Zhoushan, Zhejiang Province 316000, China.

出版信息

Emerg Med Int. 2022 Aug 3;2022:4475087. doi: 10.1155/2022/4475087. eCollection 2022.

Abstract

Full-thickness rotator cuff tear and rotator cuff injury are frequently occurring diseases and widely exist in the social population. Surgical repair is the most effective treatment for rotator cuff tears and injuries. With the continuous development of arthroscopy, more and more surgeons choose arthroscopic acromioplasty plus rotator cuff repair for the treatment of rotator cuff injury. However, previously published systematic reviews or meta-analyses still cast doubt on the efficacy of such concomitant procedures for postoperative patient function and pain recovery. In this study, we analyzed the effects of parameters such as shoulder function and acromion morphology on aged patients with full-thickness rotator cuff tear combined with rotator cuff injury treated with arthroscopic acromion plasty and rotator cuff repair. The results showed that arthroscopic acromion plasty and rotator cuff repair helped to promote the joint function recovery of the aged patients with full-thickness rotator cuff tear combined with rotator cuff injury and alleviate the pain of the patients. Compared with simple rotator cuff repair, this technique can increase the postoperative AT and reduce the ACEA and to some extent reduce the risk of postoperative rotator cuff reinjury, which is worthy of promotion.

摘要

全层肩袖撕裂和肩袖损伤是常见疾病,广泛存在于社会人群中。手术修复是治疗肩袖撕裂和损伤最有效的方法。随着关节镜技术的不断发展,越来越多的外科医生选择关节镜下肩峰成形术联合肩袖修复术来治疗肩袖损伤。然而,以往发表的系统评价或荟萃分析仍对这种联合手术对术后患者功能和疼痛恢复的疗效存在疑问。在本研究中,我们分析了肩功能和肩峰形态等参数对接受关节镜下肩峰成形术和肩袖修复术治疗的全层肩袖撕裂合并肩袖损伤老年患者的影响。结果表明,关节镜下肩峰成形术和肩袖修复术有助于促进全层肩袖撕裂合并肩袖损伤老年患者的关节功能恢复,减轻患者疼痛。与单纯肩袖修复相比,该技术可增加术后的AT,降低ACEA,并在一定程度上降低术后肩袖再损伤的风险,值得推广。

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