Department of Orthopedic Surgery, Changhua Christian Hospital, Changhua, Taiwan.
Big Data Center, Changhua Christian Hospital, Changhua, Taiwan.
Orthop Surg. 2024 Nov;16(11):2751-2760. doi: 10.1111/os.14198. Epub 2024 Aug 25.
To retrospectively evaluate clinical outcomes, including function and pain, of patients after our all arthroscopic "whole layer" rotator cuff repair technique with simultaneous biceps tenodesis procedure; factors influencing results were also evaluated. Given the frequent association of rotator cuff tear with long head of biceps lesion and the need for effective combined treatment strategies, this study aims to evaluate the efficacy of our technique and compare it with established methods. We hypothesized that our technique would significantly improve function and reduce pain in patients with rotator cuff tears and biceps pathology.
This is a retrospective study that included patients older than 20 years who underwent all arthroscopic "whole layer" rotator cuff repair technique with simultaneous biceps tenodesis procedures for concomitant rotator cuff tear and long head biceps pathology, from 2016 to 2020. Patients were evaluated preoperatively and at a minimum of 2 years of follow-up using the American Shoulder and Elbow Surgeons (ASES) and visual analogue scale (VAS) scores paired t-tests were used for analysis and statistical significance was set at p < 0.05(two-tailed). The satisfaction rate and complications were also evaluated.
After an average follow-up of 2.3 years, 118 patients demonstrated significant improvement in both the ASES score (from 36.13 to 95.01, p < 0.001) and VAS score (from 6.81 to 0.89, p < 0.001). Ninety-four percent of the patients reported satisfaction with the surgical outcome. No complications related to Popeye deformity, biceps cramping pain, or ipsilateral shoulder reoperation were observed. Factors such as age, sex, body mass index (BMI), smoking status, alcohol consumption, hypertension, and diabetes did not influence the results. Patients showed significant improvement in both the ASES and VAS scores (p < 0.001).
At a mean follow-up time of 2.3 years, the all arthroscopic "whole layer" rotator cuff repair technique with simultaneous biceps tenodesis is a therapeutic and efficient procedure. The procedure revealed a satisfactory functional outcome, reduced pain, and minimal complications and reoperations.
回顾性评估采用全关节镜“全层”肩袖修复技术同时行肱二头肌肌腱固定术治疗的患者的临床疗效，包括功能和疼痛，并评估影响疗效的相关因素。鉴于肩袖撕裂常与肱二头肌长头病变相关，需要有效的联合治疗策略，本研究旨在评估我们的技术疗效，并与已确立的方法进行比较。我们假设，我们的技术将显著改善肩袖撕裂和肱二头肌病变患者的功能并减轻疼痛。
这是一项回顾性研究，纳入了 2016 年至 2020 年期间因肩袖撕裂和肱二头肌长头病变而接受全关节镜“全层”肩袖修复技术同时行肱二头肌肌腱固定术的 20 岁以上患者。患者术前及至少 2 年随访时采用美国肩肘外科医师协会（ASES）评分和视觉模拟评分（VAS）进行评估，采用配对 t 检验进行分析，p<0.05（双侧）为有统计学意义。还评估了满意度和并发症。
平均随访 2.3 年后，118 例患者的 ASES 评分（从 36.13 分提高到 95.01 分，p<0.001）和 VAS 评分（从 6.81 分降低到 0.89 分，p<0.001）均有显著改善。94%的患者对手术结果表示满意。未观察到 Popeye 畸形、肱二头肌痉挛性疼痛或同侧肩部再次手术相关并发症。年龄、性别、体质量指数（BMI）、吸烟状况、饮酒、高血压和糖尿病等因素均不影响疗效。患者的 ASES 和 VAS 评分均有显著改善（p<0.001）。
在平均 2.3 年的随访中，全关节镜“全层”肩袖修复技术同时行肱二头肌肌腱固定术是一种有效的治疗方法。该术式疗效满意，功能恢复良好，疼痛减轻，并发症和再次手术发生率低。
