Castagna Alessandro, Campeggi Tommaso, Minelli Marco Maria, Borroni Mario, Conti Marco, Delle Rose Giacomo, Garofalo Raffaele, Ranieri Riccardo
Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, 20072 Pieve Emanuele, Italy.
IRCCS Humanitas Research Hospital, Via Manzoni 56, 20089 Rozzano, Italy.
J Clin Med. 2025 Jan 3;14(1):235. doi: 10.3390/jcm14010235.
Arthroscopic rotator cuff repair (RCR) is a common procedure, yet long-term patient-centered outcome studies remain limited. This study aims to evaluate the outcomes of arthroscopic RCR using a single-row metallic anchor technique over a 12-year follow-up, focusing on patient-reported outcomes and potential risk factors. A monocentric cohort study was conducted on patients who underwent complete arthroscopic RCR with a single-row metallic anchor technique from January 2007 to July 2011. A total of 628 patients completed three standardized questionnaires: Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH), American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES), and the Simple Shoulder Test (SST). They were also asked for their overall satisfaction on the procedure with a single direct question. Outcomes were analyzed by gender, age at surgery, lesion pattern, and follow-up duration. The mean follow-up period was 12.9 ± 1.3 years. Overall satisfaction was 96.5%. The mean scores for QuickDASH, ASES, and SST were 7.2 ± 15.7, 83.8 ± 23.9, and 89.9 ± 22.3, respectively. Female patients reported significantly lower QuickDASH ( < 0.001), ASES ( < 0.001), and SST ( = 0.004) than male patients, but overall satisfaction did not differ by gender. Age, number of tendons repaired, anterior tear, and follow-up length were not significantly associated with differences in outcome measures. Single-row arthroscopic RCR provides excellent long-term patient-reported outcomes and high patient satisfaction. Female gender may be associated with slightly lower functional scores, yet satisfaction remains unaffected. This study supports the single-row technique as a reliable, efficient, and cost-effective option for long-term success in RCR, challenging the need for more complex multi-anchor approaches.
关节镜下肩袖修补术（RCR）是一种常见的手术，但以患者为中心的长期疗效研究仍然有限。本研究旨在评估采用单排金属锚钉技术进行关节镜下RCR在12年随访期内的疗效，重点关注患者报告的结局和潜在风险因素。对2007年1月至2011年7月期间采用单排金属锚钉技术接受全关节镜下RCR的患者进行了一项单中心队列研究。共有628例患者完成了三份标准化问卷：手臂、肩部和手部快速残疾问卷（QuickDASH）、美国肩肘外科医生标准化肩部评估表（ASES）和简易肩部测试（SST）。还通过一个直接问题询问了他们对该手术的总体满意度。根据性别、手术年龄、损伤模式和随访时间对结局进行分析。平均随访期为12.9±1.3年。总体满意度为96.5%。QuickDASH、ASES和SST的平均得分分别为7.2±15.7、83.8±23.9和89.9±22.3。女性患者报告的QuickDASH得分（<0.001）、ASES得分（<0.001）和SST得分（=0.004）显著低于男性患者，但总体满意度在性别上没有差异。年龄、修复的肌腱数量、前侧撕裂和随访时间与结局指标的差异无显著相关性。单排关节镜下RCR提供了优异的长期患者报告结局和高患者满意度。女性性别可能与功能评分略低有关，但满意度不受影响。本研究支持单排技术作为RCR长期成功的可靠、高效且具有成本效益的选择，对更复杂的多锚钉方法的必要性提出了挑战。
