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关节镜下肩袖修复的当前概念

Current concepts in arthroscopic rotator cuff repair.

作者信息

Lee Kang-San, Kim Dong-Hyun, Chung Seok Won, Yoon Jong Pil

机构信息

Department of Orthopedic Surgery, W General Hospital, Daegu, Korea.

Department of Orthopedic Surgery, Kyungpook National University Hospital, Daegu, Korea.

出版信息

Clin Shoulder Elb. 2025 Mar;28(1):103-112. doi: 10.5397/cise.2025.00010. Epub 2025 Feb 17.

DOI:10.5397/cise.2025.00010
PMID:40077877
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11938925/
Abstract

Rotator cuff repair has experience great development, transitioning from open surgical techniques to minimally invasive arthroscopic methods. This review explores its historical development, current repair techniques, biomechanical considerations, and advances in materials and biological augmentation. It also addresses strategies for managing partial-thickness and massive tears, compares single-row and double-row repairs, and highlights the importance of individualized postoperative rehabilitation. By integrating biomechanical precision with biological innovations, modern rotator cuff repair aims to improve healing rates, reduce retear risk, and optimize functional outcomes.

摘要

肩袖修复技术经历了巨大的发展,从开放手术技术过渡到微创关节镜方法。本综述探讨了其历史发展、当前的修复技术、生物力学考量以及材料和生物增强方面的进展。它还讨论了处理部分厚度撕裂和巨大撕裂的策略,比较了单排和双排修复,并强调了个性化术后康复的重要性。通过将生物力学精度与生物创新相结合,现代肩袖修复旨在提高愈合率、降低再撕裂风险并优化功能结果。

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Current concepts in arthroscopic rotator cuff repair.关节镜下肩袖修复的当前概念
Clin Shoulder Elb. 2025 Mar;28(1):103-112. doi: 10.5397/cise.2025.00010. Epub 2025 Feb 17.
2
Outcomes of single-row and double-row arthroscopic rotator cuff repair: a systematic review.单排和双排关节镜下肩袖修复的结果:系统评价。
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Functional and structural outcomes of single-row versus double-row versus combined double-row and suture-bridge repair for rotator cuff tears.单排与双排与双排结合缝线桥接修复肩袖撕裂的功能和结构结果。
Am J Sports Med. 2011 Oct;39(10):2091-8. doi: 10.1177/0363546511415660. Epub 2011 Jul 22.
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Am J Sports Med. 2012 May;40(5):1176-85. doi: 10.1177/0363546511428866. Epub 2011 Dec 8.
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The Clinical Effect of a Rotator Cuff Retear: A Meta-analysis of Arthroscopic Single-Row and Double-Row Repairs.肩袖撕裂的临床效果:关节镜下单排和双排修复的Meta分析
Am J Sports Med. 2017 Mar;45(3):733-741. doi: 10.1177/0363546516652900. Epub 2016 Jul 21.
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Reduced retear rates yet similar clinical outcomes following arthroscopic partial repair of large and massive irreparable rotator cuff tears with biceps augmentation compared to repairs without biceps augmentation: A systematic review and meta-analysis.与未进行肱二头肌增强修复相比,关节镜下对大型和巨大不可修复的肩袖撕裂进行肱二头肌增强部分修复后,再撕裂率降低,但临床结果相似:一项系统评价和荟萃分析。
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Ultrasound evaluation of arthroscopic full-thickness supraspinatus rotator cuff repair: single-row versus double-row suture bridge (transosseous equivalent) fixation. Results of a prospective, randomized study.关节镜下全层冈上肌肩袖修补术的超声评估:单排与双排缝线桥(经骨等效)固定。一项前瞻性、随机研究的结果。
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本文引用的文献

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Bioinductive patch as an augmentation for rotator cuff repair, a systematic review and meta-analysis.生物诱导贴补片增强肩袖修复术:系统评价和荟萃分析。
J Shoulder Elbow Surg. 2024 Nov;33(11):2515-2529. doi: 10.1016/j.jse.2024.05.002. Epub 2024 Jun 26.
2
Arthroscopic rotator cuff repair using a single or double row technique: A meta-analysis of randomized clinical trial.使用单排或双排技术的关节镜下肩袖修复术:一项随机临床试验的荟萃分析
Rev Esp Cir Ortop Traumatol. 2023 Nov 29. doi: 10.1016/j.recot.2023.11.023.
3
Arthroscopic debridement for management of massive, irreparable rotator cuff tears: a systematic review of outcomes.关节镜下清创术治疗巨大、不可修复的肩袖撕裂:结果的系统评价
JSES Rev Rep Tech. 2021 Oct 2;2(1):1-7. doi: 10.1016/j.xrrt.2021.08.012. eCollection 2022 Feb.
4
Biceps-incorporating rotator cuff repair with footprint medialization in large-to-massive rotator cuff tears.大到巨大肩袖撕裂中包含肱二头肌的肩袖修复及足印内移。
Knee Surg Sports Traumatol Arthrosc. 2022 Jun;30(6):2113-2122. doi: 10.1007/s00167-021-06829-9. Epub 2022 Jan 6.
5
Clinical Outcomes of Interposition Graft Versus Superior Capsular Reconstruction in Patients With Irreparable Rotator Cuff Tears: A Systematic Review and Meta-analysis.不可修复性肩袖撕裂患者中植入移植物与上囊重建的临床结果:一项系统评价和荟萃分析
Orthop J Sports Med. 2021 Sep 9;9(9):23259671211022241. doi: 10.1177/23259671211022241. eCollection 2021 Sep.
6
Risk factors affecting rotator cuff retear after arthroscopic repair: a meta-analysis and systematic review.关节镜修复术后影响肩袖再撕裂的危险因素:一项荟萃分析和系统评价
J Shoulder Elbow Surg. 2021 Nov;30(11):2660-2670. doi: 10.1016/j.jse.2021.05.010. Epub 2021 Jun 2.
7
Partial Rotator Cuff Repair for Massive Tears Rarely Require Revision Surgery.大面积肩袖撕裂的部分修复很少需要翻修手术。
Arthrosc Sports Med Rehabil. 2020 Dec 26;3(1):e121-e126. doi: 10.1016/j.asmr.2020.08.017. eCollection 2021 Feb.
8
Effects of applying platelet-rich plasma during arthroscopic rotator cuff repair: a systematic review and meta-analysis of randomised controlled trials.关节镜下肩袖修复术中应用富血小板血浆的效果:随机对照试验的系统评价和荟萃分析。
Sci Rep. 2020 Oct 14;10(1):17171. doi: 10.1038/s41598-020-74341-0.
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Long-term Results of Arthroscopic Rotator Cuff Repair: A Follow-up Study Comparing Single-Row Versus Double-Row Fixation Techniques.关节镜肩袖修复的长期结果:单排与双排固定技术的随访比较研究。
Am J Sports Med. 2020 Jun;48(7):1568-1574. doi: 10.1177/0363546520919120. Epub 2020 May 11.
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Defining massive rotator cuff tears: a Delphi consensus study.定义巨大肩袖撕裂:德尔菲共识研究。
J Shoulder Elbow Surg. 2020 Apr;29(4):674-680. doi: 10.1016/j.jse.2019.10.024.