骨质疏松对肩袖损伤修复的影响研究进展

老年人群因合并有不同程度的骨质疏松，肩袖损伤修复再撕裂率高。为解决这一难题，手术医师尝试通过增加锚钉初始固定强度、改变局部骨质情况等方法来降低这类患者肩袖损伤的再撕裂率。组织工程学的快速发展也使生长因子的辅助应用成为可能。但在目前的临床工作中，合并有骨质疏松的肩袖损伤修复仍然是临床工作者面临的一个巨大挑战。如何更好地增加锚钉固定强度，改善腱骨愈合微环境，降低肩袖再撕裂率成为了近年来的研究热点。本文从骨质疏松与肩袖损伤的关系、骨质疏松对肩袖腱骨愈合的影响及目前采用的减少骨质疏松对腱骨愈合的不同方法3个方面进行综述，以便更好地指导临床治疗，提高患者的手术效果及术后满意率。

Progress on effect of osteoporosis on rotator cuff repair

The rate of rotator cuff injury repair and retear is high in elderly patients due to the combination of different degrees of osteoporosis. To solve this problem,many surgeons try to reduce retear rate of rotator cuff injuries in these patients by increasing the initial fixation strength of anchors and changing local bone conditions. The rapid advances of tissue engineering have made it possible to use growth factors as an aid. However,repair of rotator cuff injury with osteoporosis is still a great challenge for clinical workers. How to better increase anchor fixation strength,improve micro-environment of tendon and bone healing,reduce the rotator cuff retear rate have become the research focus in recent years. The paper reviewed literatures on the relationship between osteoporosis and rotator cuff injury,effect of osteoporosis in rotator cuff tendon healing,methods of reducing osteoporosis on rotator cuff tendon healing,in order to guide clinical treatment,improve operative effect and postoperative satisfaction.