单排关节镜下肩袖修补术在至少3年的随访中可改善功能预后。
Single-row arthroscopic rotator cuff repair improves functional outcomes at a minimum follow-up of 3 years.
作者信息
Wibowo Hastomo A, Aminata Iman W, Lubis Andri M T, Widyahening Indah S, Kamal Achmad F, Kurniawan Aryadi, Dilogo Ismail H, Widodo Wahyu, Huwae Thomas Erwin C J, Rasyid Renaldi P N, Satria Oryza, Aprilya Dina, Alkaff Ali R
机构信息
Department of Orthopaedic and Traumatology, Faculty of Medicine Public Health and Nursing Gadjah Mada University, Soeradji Tirtonegoro Central General Hospital, Klaten, Indonesia.
Department of Orthopaedic and Traumatology, Fatmawati Central General Hospital, Jakarta, Indonesia.
出版信息
JSES Rev Rep Tech. 2025 Apr 15;5(3):382-388. doi: 10.1016/j.xrrt.2025.03.010. eCollection 2025 Aug.
BACKGROUND
To evaluate patients who underwent arthroscopic rotator cuff repair (ARCR) using a single-row technique and compare functional outcomes before and after surgery at a minimum follow-up of 3 years.
METHODS
This retrospective cohort study reviewed the functional outcomes of 38 patients who underwent ARCR with a single-row technique between 2015 and 2020 with a minimum follow-up of 3 years. In all procedures, the repair was medialized just lateral to the articular cartilage with bone tunneling on the footprint (crimson duvet). Functional outcomes were evaluated from the visual analog scale score, muscle strength, range of motion, Constant-Murley Score, and American Shoulder and Elbow Surgeons score, which were compared before and after surgery.
RESULTS
All cases had medium and large supraspinatus tears with a median age of 60 years (40-77 years). As much as 68% of tears were in the dominant hand, and most of the cases (79%) were of nontraumatic origin. Additional procedures such as acromioplasty (26%), biceps tenodesis (8%), and biceps tenotomy (18%) were done in addition to tendon repair. Women were dominant in all cases (58%). There was a significant improvement in the median visual analog scale score (8-1), muscle power, and range of motion when comparing the results before and after ARCR. Functional American Shoulder and Elbow Surgeons score and Constant-Murley Score also significantly improved from 50 to 91 and 46 to 85, respectively ( < .05).
CONCLUSION
ARCR with a single-row technique provides good results for medium and large tears in 3 years of follow-up.
背景
评估采用单排技术进行关节镜下肩袖修补术（ARCR）的患者，并比较术后至少3年随访期内手术前后的功能结果。
方法
这项回顾性队列研究回顾了2015年至2020年间采用单排技术进行ARCR且至少随访3年的38例患者的功能结果。在所有手术中，通过在足迹处（深红色羽绒被）进行骨隧道将修复物向内侧移位至关节软骨外侧。从视觉模拟量表评分、肌肉力量、活动范围、Constant-Murley评分和美国肩肘外科医生评分评估功能结果，并对手术前后进行比较。
结果
所有病例均为中大型冈上肌撕裂，中位年龄为60岁（40-77岁）。多达68%的撕裂发生在优势手，大多数病例（79%）为非创伤性起源。除肌腱修复外，还进行了诸如肩峰成形术（26%）、肱二头肌固定术（8%）和肱二头肌切断术（18%）等额外手术。所有病例中女性占主导（58%）。比较ARCR前后的结果时，中位视觉模拟量表评分（8-1）、肌肉力量和活动范围有显著改善。美国肩肘外科医生功能评分和Constant-Murley评分也分别从50显著提高到91和从46提高到85（P<0.05）。
结论
单排技术的ARCR在3年随访期内对中大型撕裂提供了良好的结果。
Zotero 插件