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评估Sironix缝合锚钉在肩袖修复和Bankart修复手术中的临床及患者报告结局。

Assessing clinical and patient reported outcomes of Sironix suture anchors in rotator cuff and Bankart repair surgeries.

作者信息

Kumar Puthumanapully Vinod, Sugath Subin, Mohan Vijay, Moharana Ashok Kumar, Angrish Sachin, Ts Deepak

机构信息

Department of Orthopedics, Aster Medcity, Kochi 682027, Kerala, India.

Department of Orthopedic Oncology, Aster Medcity, Kochi 682027, Kerala, India.

出版信息

World J Orthop. 2024 Dec 18;15(12):1183-1190. doi: 10.5312/wjo.v15.i12.1183.

Abstract

BACKGROUND

Rotator cuff tears and Bankart lesions significantly affect shoulder function and quality of life. Arthroscopic rotator cuff repair and Bankart repair has become the standard treatment for restoring function and reducing pain. Recent advancements include new suture anchor technologies, such as the Sironix suture anchor known for its biomechanical strength and promising outcomes. However, there are limited real-world data on its effectiveness and safety, particularly in the Indian population.

AIM

To evaluate the effectiveness and safety of Sironix suture anchors in rotator cuff and Bankart repair surgeries.

METHODS

Sixty participants underwent surgery between January 2021 and December 2022, and demographic data and postoperative outcomes were collected through retrospective reviews and telephonic interviews. Validated scales, including the PENN Shoulder Score (PSS), Disabilities of the Arm, Shoulder, and Hand (DASH) score, and Single Assessment Numeric Evaluation (SANE), were utilized for assessment.

RESULTS

Treatment with Sironix suture anchor devices, including Ceptre Knotted UHMWPE Suture Titanium Anchor, Spyke Knotted UHMWPE Suture Peek Anchor, Stativ Knotted UHMWPE Suture Anchor, and Viplok Knotless Peek Screw Anchor with Titanium Tip, revealed no repair failures. Participants demonstrated high satisfaction and functional improvement, as evidenced by the mean Quick DASH score (32.01) and PSS (71.65) and the satisfactory SANE scores for both injured joints (74.33) and non-injured (83.67) shoulder joints.

CONCLUSION

The study yielded favorable outcomes for rotator cuff tear repair and Bankart repair. No repair failures were observed, supporting the safety and efficacy of these devices in shoulder injury management.

摘要

背景

肩袖撕裂和Bankart损伤会显著影响肩部功能和生活质量。关节镜下肩袖修复和Bankart修复已成为恢复功能和减轻疼痛的标准治疗方法。最近的进展包括新的缝合锚技术,如以生物力学强度和良好效果著称的Sironix缝合锚。然而,关于其有效性和安全性的真实世界数据有限,尤其是在印度人群中。

目的

评估Sironix缝合锚在肩袖和Bankart修复手术中的有效性和安全性。

方法

2021年1月至2022年12月期间,60名参与者接受了手术,并通过回顾性审查和电话访谈收集了人口统计学数据和术后结果。使用经过验证的量表进行评估,包括宾夕法尼亚肩部评分(PSS)、手臂、肩部和手部功能障碍(DASH)评分以及单项评估数字评定(SANE)。

结果

使用Sironix缝合锚装置进行治疗,包括Ceptre带结超高分子量聚乙烯缝合钛锚、Spyke带结超高分子量聚乙烯缝合聚醚醚酮锚、Stativ带结超高分子量聚乙烯缝合锚以及带钛尖的Viplok无结聚醚醚酮螺钉锚,均未出现修复失败情况。参与者表现出高度满意度和功能改善,平均快速DASH评分为32.01,PSS为71.65,受伤关节(74.33)和未受伤肩关节(83.67)的SANE评分均令人满意。

结论

该研究在肩袖撕裂修复和Bankart修复方面取得了良好结果。未观察到修复失败情况,支持了这些装置在肩部损伤治疗中的安全性和有效性。

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本文引用的文献

1
Current concepts in the evolution of arthroscopic rotator cuff repair.关节镜下肩袖修复术进展的当前概念
JSES Rev Rep Tech. 2021 Feb 25;1(2):75-83. doi: 10.1016/j.xrrt.2021.01.004. eCollection 2021 May.
9
Rotator Cuff Repair Technique With Transosseous Knotless Anchor System.采用经骨无结锚钉系统的肩袖修复技术
Arthrosc Tech. 2018 Aug 20;7(9):e927-e937. doi: 10.1016/j.eats.2018.05.003. eCollection 2018 Sep.

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