Arthroscopic repair of large and massive rotator cuff tears
Arthroscopic repair of large and massive rotator cuff tears
复制标题
DOI：
10.1016/s0749-8063(03)00169-5
复制
发表时间：
2003-07-01
影响因子：
4.7
通讯作者：
Savoie, FH
中科院分区：
文献类型：
--
作者：
Jones, CK;Savoie, FH
目的：本研究的目的是在1- 5年随访时评价关节镜下修复的大面积肩袖撕裂的结局。研究类型：回顾性病历审查。方法：通过回顾性病历审查确定了60例关节镜下可修复的大或大块撕裂的连续患者。大撕裂定义为袖带中3 - 5 cm的缺损和大于5 cm的大量撕裂。其中10例患者在术后1年前失访，并从研究中排除。剩下的50人是本研究的重点。结果：37例患者有大撕裂，13例有大量撕裂。平均随访32个月（范围：12至63个月）。根据加州大学洛杉矶的肩关节评级，88%的患者结局良好或极佳。虽然根据UCLA评分，6例患者被认为失败，但98%的患者对结果感到满意。这些失效中只有1例进行了第二次翻修手术。当将大面积撕裂与整个组进行比较时，最终评分没有显著差异，但大面积撕裂的患者的所有术前评分均低于大面积撕裂。结论：88%的患者在关节镜下治疗大面积和大量撕裂后结局良好或极佳，与开放性修复后报告的结局相当。
Purpose: The purpose of this study was to evaluate the outcome of arthroscopically repaired large and massive rotator cuff tears at 1- to 5-year follow-up. Type of Study: Retrospective chart review. Methods: Sixty consecutive patients who had arthroscopically repairable large or massive tears were identified by retrospective chart review. Large tears are defined as defects in the cuff measuring from 3 to 5 cm and massive tears measuring greater than 5 cm. Ten of these patients were lost to follow-up before I year postoperatively and were excluded from the study. The remaining 50 were the focus of this study. Results: Thirty-seven patients had large tears and 13 had massive tears. Follow-up averaged 32 months (range, 12 to 63 months). Based on the University of California Los Angeles shoulder rating, 88% of patients had good or excellent outcomes. Although 6 patients were considered failures based on the UCLA score, 98% of patients were satisfied with the result. Only 1 of these failures underwent a second operation for revision repair. There was no significant difference in final scores when comparing the massive tears to the entire group, but all preoperative scores were lower for those with massive tears than the large tears. Conclusions: Arthroscopic management of large and massive tears results in good or excellent outcomes in 88% of patients, which is comparable to reported outcomes following open repairs.