镜下单排铆钉修复大型肩袖撕裂的近期效果
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解放军960医院泰安医疗区

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Arthroscopic repair of large rotator cuff tears with single row fixation
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Taian Hospital of the 960th Hospital of PLA

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    [目的]探讨分析肩关节镜下单排铆钉修复治大型肩袖撕裂的的效果。[方法]回顾性分析2019年1月至2020年6月肩关节镜下修复治疗24例大型肩袖撕裂患者。镜下评估撕裂大小为3到5cm,手术方式采取关节镜下于2到3枚单排金属铆钉修复撕裂肩袖。手术前和术后6月肩关节评分采用视觉模拟评分(VAS)和美国加州洛杉矶大学 (University of California at Los Angeles,UCLA) 功能评分评价其疗效。[结果]术后切口均愈合,无神经损伤。术后22例获随访,2例失访。MRI复查愈合良好,有2例出现再撕裂,但功能良好,无铆钉拔出。术后患者VAS评分从术前6.6±1.9分下降至术后的2.2±0.9分(P<0.05),UCLA评分术前12.50±4.1分上升至术后30.9±1.7分(P<0.05)。[结论] 肩关节镜下单排铆钉修复治疗大型肩袖撕裂,具有操作简单,手术时间短,效果好,费用低,学习曲线短等优势,是修复大型肩袖损伤的理想方法。

    Abstract:

    [Objective] To investigate the effect of arthroscopic single row fixation of large rotator cuff tears. [Methods] 24 patients with large rotator cuff tears were treated by arthroscopic repair from January 2019 to June 2020. The tear size was 3 to 5 cm arthroscopically. Arthroscopic repair was performed with 2 to 3 single row metal fixation. Visual analogue scale (VAS) and University of California at Los Angeles (UCLA) functional score were used to evaluate the effect. [Results]All incisions were healed without nerve injury. 22 cases were followed up and 2 cases were lost. MRI showed execellent healing. 2 cases retears, but the function was execellent.No fixation was pulled out. The VAS score decreased from 6.6 ± 1.9 preoperatively to 2.2 ± 0.9 postoperatively (P < 0.05), and the UCLA score increased from 12.50 ± 4.1 preoperatively to 30.9 ± 1.7 postoperatively (P < 0.05). [Conclusion] Arthroscopic repair of large rotator cuff tear with single row fixation has the advantages of simple operation, short operation time, good effect, low cost and short learning curve, which is an ideal method to repair large rotator cuff injury.

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  • 收稿日期:2021-04-26
  • 最后修改日期:2021-10-20
  • 录用日期:2022-04-25
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