Factors associated with clinical and structural outcomes after arthroscopic rotator cuff repair with a suture bridge technique in medium, large, and massive tears
Factors associated with clinical and structural outcomes after arthroscopic rotator cuff repair with a suture bridge technique in medium, large, and massive tears
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DOI：
10.1016/j.jse.2014.02.021
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发表时间：
2014-11-01
影响因子：
3
通讯作者：
Kang, Hyunseong
中科院分区：
文献类型：
--
作者：
Choi, Sungwook;Kim, Myung Ku;Kang, Hyunseong
背景资料：本研究的目的是评估临床结果，维修的完整性，和再撕裂率后，关节镜下肩袖修复术的缝合桥技术与中型，大型和大型肩袖tears.Methods：我们评估了147例患者进行了关节镜下肩袖修复。使用Constant和加州大学洛杉矶分校评分进行临床和功能评价。所有患者均被证实有肌腱愈合的磁共振成像证据至少12个月postoperation.Results：平均术后时间随访磁共振成像为23.4个月（范围，12-48个月）。共观察到25例（17.0%）再撕裂。随访时所有临床结局评分均显著改善。较大的术中撕裂尺寸与较高的再撕裂率相关。术前脂肪变性程度较高的病例再撕裂的发生率也较高。再撕裂的发生率随着年龄的增长而增加，在重体力劳动组（e。例如，在一个实施例中，结论：尽管在许多情况下修复的完整性不能维持，但通过缝合桥技术进行的关节镜下肩袖修复在临床结果测量方面得到了改善，并且患者满意度相对较高。(C)2014年《肩肘外科杂志》董事会。
Background: This study was conducted to evaluate clinical outcomes, maintenance of repair integrity, and retear rate after arthroscopic rotator cuff repair by a suture bridge technique among patients with medium, large, and massive rotator cuff tears.Methods: We evaluated 147 patients who had undergone arthroscopic rotator cuff repair. Clinical and functional evaluations were performed with the Constant and University of California-Los Angeles scores. All patients were confirmed to have magnetic resonance imaging evidence of tendon healing at least 12 months postoperatively.Results: The average postoperative time to follow-up magnetic resonance imaging was 23.4 months (range, 12-48 months). A total of 25 (17.0%) retears were observed. All clinical outcome scores were improved significantly at follow-up. Larger intraoperative tear sizes were correlated with higher retear rates. The incidence of retear was also higher in cases in which the preoperative fatty degeneration grade was higher. The incidence of retear increased with age and in the heavy worker group (e. g., farmers, carriers, car mechanics) but was not statistically significant.Conclusions: Arthroscopic rotator cuff repair by a suture bridge technique yields improvements in clinical outcome measures and a relatively high degree of patient satisfaction despite the fact that repair integrity is not maintained in many cases. (C) 2014 Journal of Shoulder and Elbow Surgery Board of Trustees.