关节镜下改良MasonAllen针与自体跖腱移植桥接治疗不可修复的肩袖撕裂的放射学和临床结果:至少2年预后的病例系列

IF 1.8 Q2 ORTHOPEDICS
Clinics in Shoulder and Elbow Pub Date : 2023-12-01 Epub Date: 2023-07-18 DOI:10.5397/cise.2022.01445
Hyun-Gyu Seok, Sam-Guk Park
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引用次数: 0

摘要

背景:大规模肩袖撕裂(RCT)的手术治疗一直具有挑战性。本研究描述了在不可修复的随机对照试验中使用足底肌腱进行桥接移植的患者的临床和影像学结果。方法:2017年6月至2020年1月期间,对13例大规模随机对照试验患者进行关节镜下自体足底肌腱折叠植入治疗。临床评估采用视觉模拟量表(VAS)、美国肩肘外科医生(ASES)评分、臂、肩和手残疾(DASH)评分、Constant-Murley评分和运动范围值。影像学评估采用标准化磁共振成像和超声检查介入肌腱的完整性。结果:在最终随访时,VAS评分(-3.0,P=0.003)、ASES评分(24.9,P=0.002)、D ASH评分(-20.6,P=0.001)和Constant-Murley值(14.2,P=0.010)均有统计学显著改善。此外,术后屈曲度(17.3°,P=0.026)和外旋度(27.7°)也有显著改善。结论:关节镜下桥接移植物用于不可修复的随机对照试验,使用改良的Mason-Allen针和自体跖骨移植物可改善短期放射学和临床结果。在大多数患者中,移植物的完整性维持了2年。证据等级:四级。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Radiologic and clinical outcomes of an arthroscopic bridging graft for irreparable rotator cuff tears with a modified MasonAllen stitch using a plantaris tendon autograft: a case series with minimum 2-year outcomes.

Background: Surgical management of a massive rotator cuff tear (RCT) is always challenging. This study describes the clinical and radiological outcomes of patients who underwent bridging grafts using a plantaris tendon for an irreparable RCT.

Methods: Thirteen patients with a massive RCT were treated with arthroscopic interposition of a folded plantaris tendon autograft between June 2017 and January 2020. For clinical evaluation, a visual analog scale (VAS), American Shoulder and Elbow Surgeons (ASES) score, Disabilities of the Arm, Shoulder, and Hand (DASH) score, Constant-Murley score, and range of motion values were collected. For radiographic evaluation, standardized magnetic resonance imaging and ultrasonography were performed to check the integrity of the interposed tendon.

Results: A statistically significant improvement at the final follow-up was evident in scores for the VAS (-3.0, P=0.003), ASES (24.9, P=0.002), D ASH (-20.6, P=0.001), and Constant-Murley values (14.2, P=0.010). In addition, significant improvement was shown in postoperative flexion (17.3°, P=0.026) and external rotation (27.7°, P<0.001). In postoperative radiologic evaluations, the interposed tendons were intact at the last examination in 12 of the 13 patients. No complications related to donor sites were reported.

Conclusions: An arthroscopic bridging graft for irreparable RCTs using a modified Mason-Allen stitch and a plantaris autograft resulted in improved short-term radiological and clinical outcomes. Graft integrity was maintained for up to 2 years in most patients. Level of evidence: IV.

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CiteScore
0.30
自引率
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发文量
55
审稿时长
15 weeks
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