共查询到20条相似文献,搜索用时 0 毫秒
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Brody A. Flanagin Raffaele Garofalo Eddie Y. Lo LeeAnne Feher Alessandro Castagna Huanying Qin Sumant G. Krishnan 《International journal of shoulder surgery》2016,10(1):3-9
Purpose:Arthroscopic transosseous (TO) rotator cuff repair has recently emerged as a new option for surgical treatment of symptomatic rotator cuff tears. Limited data is available regarding outcomes using this technique. This study evaluated midterm clinical outcomes following a novel arthroscopic TO (anchorless) rotator cuff repair technique.Results:Statistically significant improvements were noted in forward flexion, external rotation and internal rotation (P < 0.0001). Average postoperative subjective shoulder value was 93.7, simple shoulder test 11.6, and American Shoulder and Elbow Surgeons (ASES) score 94.6. According to ASES scores, results for the 109 shoulders available for final follow-up were excellent in 95 (87.1%), good in 8 (7.3%), fair in 3 (2.8%), and poor in 3 (2.8%). There was no difference in ROM or outcome scores in patients who underwent a concomitant biceps procedure (tenodesis or tenotomy) compared with those who did not. Furthermore, there was no significant difference in outcome between patients who underwent either biceps tenodesis or tenotomy. Age, history of injury preceding the onset of pain, tear size, number of TO tunnels required to perform the repair, and presence of fatty infiltration did not correlate with postoperative ROM or subjective outcome measures at final follow-up. Two complications and four failures were noted.Conclusions:Arthroscopic TO rotator cuff repair technique leads to statistically significant midterm improvement in ROM and satisfactory midterm subjective outcome scores with low complication/failure rates in patients with average medium-sized rotator cuff tears with minimal fatty infiltration. Further work is required to evaluate radiographic healing rates with this technique and to compare outcomes following suture anchor repair.
Level of Evidence:
Level IV 相似文献4.
《Journal of orthopaedic research》2017,35(2):289-296
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Angela E. Kedgley Benjamin J. Shore George S. Athwal James A. Johnson Kenneth J. Faber 《International journal of shoulder surgery》2013,7(2):46-51
Purpose:
Double-row suture anchor fixation of the rotator cuff was developed to reduce repair failure rates. The purpose of this study was to determine the effects of simulated rotator cuff tears and subsequent repairs using single- and double-row suture anchor fixation on three-dimensional shoulder kinematics. It was hypothesized that both single- and double-row repairs would be effective in restoring active intact kinematics of the shoulder.Materials and Methods:
Sixteen fresh-frozen cadaveric shoulder specimens (eight matched pairs) were tested using a custom loading apparatus designed to simulate unconstrained motion of the shoulder. In each specimen, the rotator cuff was sectioned to create a medium-sized (2 cm) tear. Within each pair, one specimen was randomized to a single-row suture anchor repair, while the contralateral side underwent a double-row suture anchor repair. Joint kinematics were recorded for intact, torn, and repaired scenarios using an electromagnetic tracking device.Results:
Active kinematics confirmed that a medium-sized rotator cuff tear affected glenohumeral kinematics when compared to the intact state. Single- and double-row suture anchor repairs restored the kinematics of the intact specimen.Conclusions:
This study illustrates the effects of medium-sized rotator cuff tears and their repairs on active glenohumeral kinematics. No significant difference (P ≥ 0.10) was found between the kinematics of single- and double-row techniques in medium-sized rotator cuff repairs.Clinical Relevance:
Determining the relative effects of single- and double-row suture anchor repairs of the rotator cuff will allow physicians to be better equipped to treat patients with rotator cuff disease. 相似文献9.
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Rotator cuff healing using demineralized cancellous bone matrix sponge interposition compared to standard repair in a preclinical canine model 下载免费PDF全文
Matthew J. Smith Ferris M. Pfeiffer Cristi R. Cook Keiichi Kuroki James L. Cook 《Journal of orthopaedic research》2018,36(3):906-912
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目的 探讨肩关节镜下锚钉缝合治疗旋袖肌撕裂的疗效.方法肩关节镜下锚钉缝合修复17例旋袖肌撕裂患者.采用UCLA评分评估术前、术后半年肩关节功能.结果 17例均获得随访,时间6~27(14.5±2.5)个月.患者疼痛症状缓解或消失.UCLA评分:术前为35.2~50.6(45.1±3.2)分,术后6个月为85.3~96.7(89.9±1.2)分,差异有统计学意义(P〈0.05),其中优8例,良6例,中2例,差1例.结论 肩关节镜下锚钉缝合治疗旋袖肌撕裂,患者疼痛症状缓解明显,肩关节功能恢复较理想. 相似文献
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