使用新型缝合锚钉进行二头肌肌腱固定术的安全性和有效性

Andrea Johnson, M. Fowler, Michaline West, Justin J. Turcotte, Daniel E. Redziniak
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引用次数: 0

摘要

简介:二头肌肌腱退变或撕裂是引起肩部不适和功能障碍的重要原因。二头肌肌腱固定术通常用于治疗症状性二头肌肌腱病变。可使用多种固定技术,包括螺钉固定、内扣或缝合锚钉技术。本研究检查了使用FOOTPRINT™Ultra缝合锚定系统进行二头肌肌腱固定术的患者结果。材料与方法:对连续接受二头肌肌腱固定术的患者进行回顾性分析。所有患者均使用FOOTPRINT™Ultra缝合锚钉进行二头肌肌腱固定术。主要终点是术中或术后任何与器械相关的并发症。采用描述性和推断性统计来评估患者的特征和结果。结果:29例患者纳入本研究;20例(69.0%)行关节镜肱二头肌肌腱固定术,其余行开放手术。平均随访时间为8.51±5.28个月。一名患者在前30天内发生术后感染,需要返回手术室。2例患者术后6个月内出现并发症。没有患者出现器械相关并发症。没有患者出现肱二头肌肌腱撕裂;两名患者经历了肩袖修复的复发。平均疼痛数值评定量表从术前的5.88±2.58(0-10)改善到术后的1.94±2.32 (P < 0.001)。结论:对于接受关节镜或开放式二头肌肌腱固定术的患者,FOOTPRINT™Ultra缝合锚钉似乎是安全的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The safety and efficacy of biceps tenodesis performed using a novel suture anchor
Introduction: Biceps tendon degeneration or tearing is a significant cause of shoulder discomfort and dysfunction. Biceps tenodesis is commonly performed to treat symptomatic biceps tendon pathology. A variety of fixation techniques can be used including screw fixation, endobutton, or suture anchor techniques. This study examines the patient outcomes when the FOOTPRINT™ Ultra suture anchor system is used for biceps tenodesis. Materials and Methods: Retrospective review of consecutive patients undergoing biceps tenodesis was conducted. All patients underwent biceps tenodesis using the FOOTPRINT™ Ultra suture anchor. The primary endpoint was any device-related complication during the intraoperative or postoperative period. Descriptive and inferential statistics were performed to assess patient characteristics and outcomes. Results: Twenty-nine patients were included in this study; 20 (69.0%) underwent arthroscopic biceps tenodesis and the remainder underwent open surgery. The mean follow-up time was 8.51 ± 5.28 months postoperatively. One patient experienced a postoperative infection within the first 30 days requiring a return to the operating room. Two patients experienced a complication within the first 6 months postoperatively. No patients experienced a device-related complication. No patients experienced a retear of their biceps tendon; two patients experienced a retear to their rotator cuff repair. The mean pain Numeric Rating Scale improved from 5.88 ± 2.58 on a scale of 0–10 preoperatively to 1.94 ± 2.32 postoperatively (P < 0.001). Conclusion: The FOOTPRINT™ Ultra suture anchor appears to be safe for the use in patients undergoing arthroscopic or open biceps tenodesis.
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