单排关节镜下肩袖修复术在至少3年的随访中改善了功能结果

Q4 Medicine

JSES reviews, reports, and techniques Pub Date : 2025-04-15 DOI:10.1016/j.xrrt.2025.03.010

Hastomo A. Wibowo MD , Iman W. Aminata MD , Andri M.T. Lubis MD, PhD , Indah S. Widyahening MD, PhD , Achmad F. Kamal MD, PhD , Aryadi Kurniawan MD, PhD , Ismail H. Dilogo MD, PhD , Wahyu Widodo MD , Thomas Erwin C.J. Huwae MD, PhD , Renaldi P.N. Rasyid MD, PhD , Oryza Satria MD , Dina Aprilya MD , Ali R. Alkaff MD

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引用次数: 0

摘要

研究背景：评估使用单排技术接受关节镜下肩袖修复（ARCR）的患者，并在至少3年的随访中比较手术前后的功能结果。方法：本回顾性队列研究回顾了2015年至2020年间38例单排技术行ARCR的患者的功能结局，随访时间至少为3年。在所有的手术中，修复都是在关节软骨外侧进行的，在脚印上有骨隧道（深红色羽绒被）。通过视觉模拟量表评分、肌肉力量、活动范围、Constant-Murley评分和美国肩关节外科医生评分来评估功能结果，并对术前和术后进行比较。结果所有病例均有中、大型冈上肌撕裂，中位年龄60岁（40 ~ 77岁）。多达68%的眼泪发生在惯用手，大多数病例（79%）是非创伤性的。除肌腱修复外，还进行了其他手术，如肩峰成形术（26%）、二头肌肌腱固定术（8%）和二头肌肌腱切断术（18%）。女性在所有病例中占主导地位（58%）。对比ARCR前后的结果，患者的中位视觉模拟量表评分（8-1）、肌肉力量和活动范围均有显著改善。功能性美国肩肘外科医生评分和Constant-Murley评分也分别从50分提高到91分和46分提高到85分(P <；. 05)。结论单排arcr技术治疗中、大型撕裂有良好的效果，随访3年。

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Single-row arthroscopic rotator cuff repair improves functional outcomes at a minimum follow-up of 3 years

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 (P < .05).