【翻译文章】自体肱二头肌与异体跟腱肩关节上囊重建：2年对比研究

Q3 Medicine

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-06-16 DOI:10.1016/j.recot.2025.06.006

D.J. Gómez, S. Ávila Posada, N. Gabotto, G.M. Viollaz, Á.J. Muratore, N.N. Altamirano, D. Moya

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引用次数: 0

摘要

目的回顾性评价采用自体肱二头肌长头移植（LHB）和跟腱同种异体移植（AA）进行上囊重建术（SCR）患者的临床功能、治愈率、并发症和手术时间。材料与方法本回顾性研究纳入24例应用SCR治疗的冈上和冈下不可修复的肩袖撕裂患者。治疗组分为两组，AA组12例，LHB组12例。所有患者至少随访2年。结果LHB组和AA组的SSV分别为73.7±25.3∶86.0±8.7 (p = 0.26)， Constant评分分别为76.8±20.1∶83.7±4.6 (p = 0.12)， VAS评分分别为1.6±2.3∶1.7±0.5 （p = 0.9）。AA组肌腱愈合率为66.7%，LHB组为100% （p = 0.001）。AA组并发症发生率为50%，LHB组为0%。AA的平均手术时间为127.7±37.6 min， LHB的平均手术时间为84.3±14.3 min （p = 0.01）。结论scr联合LHB与AA相比，在肌腱愈合方面具有更好的效果，并发症少，手术时间短。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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[Translated article] Superior capsular reconstruction of the shoulder with biceps autograft vs. Achilles allograft: A 2-year comparative study

Purpose

To retrospectively evaluate the clinical–functional outcomes, healing rates, complications, and surgical time in patients treated with superior capsular reconstruction (SCR) using long head of the biceps autograft (LHB) and Achilles allograft (AA).

Materials and methods

This retrospective study included 24 patients with irreparable rotator cuff tears of the supraspinatus and infraspinatus, treated with SCR. Two treatment groups were formed: one with 12 cases using AA and another with 12 cases using LHB. All patients were followed for a minimum of 2 years.

Results

The SSV was 73.7 ± 25.3 vs. 86.0 ± 8.7 (p = 0.26), the Constant score was 76.8 ± 20.1 vs. 83.7 ± 4.6 (p = 0.12), and the VAS was 1.6 ± 2.3 vs. 1.7 ± 0.5 (p = 0.9) for the LHB and AA groups, respectively. Tendon healing was 66.7% in AA and 100% in LHB (p = 0.001). Complications were 50% in AA and 0% in LHB. The average surgical time was 127.7 ± 37.6 min for AA and 84.3 ± 14.3 min for LHB (p = 0.01).

Conclusions

SCR with LHB showed better results in terms of tendon healing, fewer complications, and reduced surgical time compared to the use of AA.

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来源期刊

Revista Espanola de Cirugia Ortopedica y Traumatologia Medicine-Surgery

CiteScore

1.10

自引率

0.00%

发文量

156

审稿时长

51 weeks

期刊介绍： Es una magnífica revista para acceder a los mejores artículos de investigación en la especialidad y los casos clínicos de mayor interés. Además, es la Publicación Oficial de la Sociedad, y está incluida en prestigiosos índices de referencia en medicina.