Nuvoli Nicolò, Troiano Elisa, Masini Azzurra, Colasanti Giovanni Battista, Mondanelli Nicola, Giannotti Stefano
Department of Medicine, Surgery and Neurosciences, University of Siena, Viale Mario Bracci 16, 53100 Siena, Italy.
Section of Orthopedics, Azienda Ospedaliero Universitaria Senese, Policlinico Santa Maria alle Scotte, Viale Mario Bracci 16, 53100 Siena, Italy.
J Clin Med. 2024 Sep 20;13(18):5596. doi: 10.3390/jcm13185596.
Rotator cuff (RC) repair leads to less than optimal results when dealing with massive lesions, so the use of scaffolds as biological support has been proposed to improve RC repair site biology. The present study aims to evaluate the clinical and radiographical outcomes of a series of patients suffering from massive or irreparable RC tears treated with patch (porcine or human scaffolds) repair (augmentation or bridging). Twenty-three patients with a minimum follow-up of 24 months were subjectively, clinically, and radiographically assessed before and after surgery. Three different patient-related outcome measurements (PROMs) (American Shoulder and Elbow Surgeons score, Constant score, visual analog scale) were used for the subjective and clinical evaluation, while plain radiographs and magnetic resonance imaging where employed for radiographical follow-up. Regardless of the technique (augmentation or bridging) or type of scaffold (porcine or human) employed, at follow-up, all patients experienced a statistically significant improvement in all PROMs and clinically. Patch repair represents a valid salvage procedure in massive or irreparable RC tears, improving the quality of life and eventually delaying the need for prosthetic replacement.
在处理大面积肩袖损伤时，肩袖（RC）修复的效果往往不尽人意，因此有人提出使用支架作为生物支撑来改善肩袖修复部位的生物学状况。本研究旨在评估一系列接受补片（猪或人源支架）修复（增强或桥接）治疗的大面积或不可修复性肩袖撕裂患者的临床和影像学结果。对23例至少随访24个月的患者在手术前后进行了主观、临床和影像学评估。主观和临床评估采用三种不同的患者相关结局测量指标（PROMs）（美国肩肘外科医师评分、Constant评分、视觉模拟量表），而X线平片和磁共振成像用于影像学随访。无论采用何种技术（增强或桥接）或支架类型（猪或人源），随访时所有患者的所有PROMs指标和临床情况均有统计学意义的改善。补片修复是治疗大面积或不可修复性肩袖撕裂的一种有效挽救方法，可提高生活质量并最终推迟假体置换的需求。
