Department of Orthopaedic Surgery, University of Virginia Medical Center, 2280 Ivy Road, Charlottesville, VA 22903, USA.
Department of Orthopaedic Surgery, University of Virginia Medical Center, 2280 Ivy Road, Charlottesville, VA 22903, USA.
Clin Sports Med. 2023 Jan;42(1):141-155. doi: 10.1016/j.csm.2022.08.006.
With an increasing incidence of rotator cuff repairs (RCRs), and by extension, RCR failures, surgeons must be facile in the diagnosis and management of this complication. A detailed history and physical exam as well as familiarity with the patient-specific, anatomic, and technical variables that increase a patient's risk of RCR failure is critical. Modifiable factors should be addressed prior to revision RCR and non-modifiable factors should be examined as they may disqualify an individual from a revision attempt. A methodical surgical approach is critical. In general, outcomes following revision RCR are typically favorable although inferior than those following primary RCR.
随着肩袖修复术（RCR）发病率的增加，以及由此导致的 RCR 失败的增加，外科医生必须熟练掌握这种并发症的诊断和处理。详细的病史和体格检查，以及熟悉增加患者 RCR 失败风险的患者特异性、解剖学和技术变量至关重要。应在进行翻修 RCR 之前解决可改变的因素，并且应检查不可改变的因素，因为它们可能使个体不符合进行翻修尝试的条件。系统的手术方法至关重要。一般来说，翻修 RCR 后的结果通常是有利的，尽管不如初次 RCR 后。
