Zhang Minghua, Chen Dongfeng, Chen Daohua, Lai Jiajing, Jian Chunfang
1Department of Bone and Joint Sports Medicine, Longyan First Affiliated Hospital of Fujian Medical University, No. 1 Lianzhuang South Road, Long Yan, Fujian, 364000, China.
2Department of Anesthesiology, Longyan First Affiliated Hospital of Fujian Medical University, No. 105 Jiuyi North Road, Long Yan, Fujian, 364000, China.
J Orthop Surg Res. 2025 Jun 18;20(1):601. doi: 10.1186/s13018-025-06018-1.
In arthroscopic rotator cuff repair, satisfactory postoperative outcomes can be achieved by simplifying the surgical procedure and ensuring proper integration of the deep rotator cuff tissue with the footprint area for tendon reconstruction. The purpose of this study was to evaluate the short-term efficacy of arthroscopic spinal needle sutures for the repair of rotator cuff tears.
This retrospective study included a cohort of 81 patients with rotator cuff tears who underwent arthroscopic suture repair using a spinal needle between January 2021 and March 2021, with a minimum follow-up duration of 27 months. Pre- and postoperative Constant-Murley Score (CMS), University of California-Los Angeles Shoulder Score (UCLASS), Visual Analog Scale (VAS) scores, and range of motion (ROM) measurements, including active forward flexion, abduction, and lateral rotation angles, were compared to assess shoulder anatomy, function, strength, and subjective patient satisfaction.
Statistically significant improvements were observed in CMS, UCLASS, VAS, and ROM postoperatively (P = 0.000). The excellent or good outcome rate was 81.48%. Age and preoperative ROM significantly influenced outcomes (P = 0.039 and P = 0.006), respectively, whereas gender and pain duration did not show a significant effect (P > 0.05). Patients older than 30 years demonstrated significantly better results (P < 0.001).
The use of a spinal needle for rotator cuff tear repair under direct arthroscopic visualization is a safe, efficient, and clinically effective technique.
IV CLINICAL/CONTROLLED TRIALS: Not applicable.
在关节镜下肩袖修复术中，通过简化手术过程并确保肩袖深层组织与肌腱重建的足迹区域正确整合，可以获得满意的术后效果。本研究的目的是评估关节镜下脊柱针缝合修复肩袖撕裂的短期疗效。
这项回顾性研究纳入了一组81例肩袖撕裂患者，他们在2021年1月至2021年3月期间接受了关节镜下脊柱针缝合修复，最短随访时间为27个月。比较术前和术后的Constant-Murley评分（CMS）、加州大学洛杉矶分校肩评分（UCLASS）、视觉模拟量表（VAS）评分以及活动范围（ROM）测量值，包括主动前屈、外展和外旋角度，以评估肩部解剖结构、功能、力量和患者主观满意度。
术后CMS、UCLASS、VAS和ROM均有统计学意义的改善（P = 0.000）。优良率为81.48%。年龄和术前ROM分别对结果有显著影响（P = 0.039和P = 0.006），而性别和疼痛持续时间没有显著影响（P > 0.05）。年龄大于30岁的患者结果明显更好（P < 0.001）。
在关节镜直视下使用脊柱针修复肩袖撕裂是一种安全、高效且临床有效的技术。
IV 临床/对照试验：不适用。
