Gustavo DE Mello Ribeiro Pinto, Cristiano Nabuco Dantas, Marcelo Costa DE Oliveira Campos, Jorge Henrique Assunção, Mauro Emilio Conforto Gracitelli, Eduardo Angeli Malavolta
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引用次数: 0
摘要
简介：大而大量的肩袖撕裂的治疗仍然具有挑战性。本研究评估了肱二头肌肌腱长头（LHBT）加固治疗大面积可修复的肩袖撕裂的疗效和安全性。方法：这是一个前瞻性的病例系列，涉及25例患者，他们接受了大而大块的肩袖撕裂开放修复与LHBT加固。所有患者均由同一位外科医生手术，随访1年。结果：疼痛评分（VAS: 6.6±2.30 vs. 2.68±2.73）结论：肱二头肌肌腱长头加固修复大、块状肩袖撕裂，临床效果满意，并发症发生率低。证据等级：IV，案例系列。
REINFORCEMENT WITH THE LONG HEAD OF THE BICEPS TENDON IN LARGE AND MASSIVE REPAIRABLE ROTATOR CUFF TEARS: A PROSPECTIVE CASE SERIES.
Introduction: The treatment of large and massive rotator cuff tears remains challenging. This study evaluates the efficacy and safety of reinforcement with the long head of the biceps tendon (LHBT) in patients with large and massive repairable rotator cuff tears.
Methods: This is a prospective case series involving 25 patients who underwent open repair of large and massive rotator cuff tears with LHBT reinforcement. All patients were operated by the same surgeon and followed up for one year.
Results: Pain scores (VAS: 6.6 ± 2.30 vs. 2.68 ± 2.73; p<0.001) and function scores (ASES: 36.86 ± 19.27 vs. 73.96 ± 23.73; p<0.001; UCLA: 13.04 ± 3.83 vs. 26.04 ± 7.39; p<0.001) improved significantly postoperatively compared to preoperatively. The biceps healing rate was 84%, while the rotator cuff retear rate was 60%. No complications related to the biceps or surgical site infections were documented.
Conclusion: Reinforcement with the long head of the biceps tendon in the repair of large and massive rotator cuff tears shows satisfactory clinical outcomes and a low complication rate. Level of Evidence: IV, Case Series.
期刊介绍：
A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.
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