Hoffmeister Thomas M, Denard Patrick J, Tashjian Robert Z, Sethi Paul M
ONS Foundation for Clinical Research and Education, ONS, Greenwich, Connecticut.
Southern Oregon Orthopedics, Medford, Oregon.
JBJS Rev. 2025 Apr 16;13(4). doi: 10.2106/JBJS.RVW.25.00007. eCollection 2025 Apr 1.
» Despite enhanced understanding of risk factors for failure and enhanced surgical repair techniques, the risk for failure of the rotator cuff to heal after surgery is still substantial.» A patient-specific approach to augmentation is essential, with decisions based on tear and patient characteristics.» Augmentation can improve repair strength and promote cellular infiltration, which collectively contribute to better healing outcomes.» Augmentation strategies may improve outcomes in rotator cuff repairs, particularly in high-risk cases; however, there is a lack of consensus among surgeons on the most effective strategies for each scenario.
尽管对失败的风险因素有了更深入的了解,并且手术修复技术有所改进,但肩袖手术后愈合失败的风险仍然很大。采用针对患者的增强方法至关重要,决策应基于撕裂情况和患者特征。增强可以提高修复强度并促进细胞浸润,共同有助于实现更好的愈合结果。增强策略可能会改善肩袖修复的结果,尤其是在高风险病例中;然而,对于每种情况的最有效策略,外科医生之间缺乏共识。