镜下“中国结”修复冈上肌腱腹交界区肩袖撕裂
DOI:
作者:
作者单位:

济宁市第二人民医院

作者简介:

通讯作者:

中图分类号:

基金项目:

济宁市科技助推新旧动能转换计划


Clinical application of “Chinese knot” suture technique in the treatment of Rotator cuff injury near the tendon-abdominal junction
Author:
Affiliation:

1.JININ NO.2 people'2.'3.s hospital

Fund Project:

Jining City Science and Technology Boosts New and Old Kinetic Energy Conversion Plan

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    [目的] 介绍镜下“中国结”技术修复冈上肌腱腹交界区肩袖撕裂的手术技术和初步临床结果。[方法] 2020年2月至2021年1月期间采用“中国结”缝合技术治疗临近腱腹交接区域肩袖撕裂患者14例,以爱惜邦缝合线在撕裂肩袖组织上呈倒三角分布编织“中国结”外观,适当张力下以外排锚钉固定,视情况结合“侧侧缝合”增强修复肩袖。[结果] 14例患者手术均顺利完成,无严重并发症,平均随访时间7.22±1.85个月,平均手术时间92±15min。随术后时间推移,患者疼痛明显缓解,患侧肩关节功能持续改善。与术前相比,术后9月随访时美国加州大学肩关节功能评分(University of California at Los Angeles,UCLA)、Constant 评分、肩关节活动范围显著增加,VAS评分显著降低(P<0.05)。术后9月随访MRI均可观察到肩袖组织呈连续性影像。[结论] 镜下“中国结”技术治疗临近腱腹交接区域冈上肌撕裂临床效果可靠,是可行治疗方案。

    Abstract:

    Objective To investigate the early curative efficacy of“Chinese knot”suture technique for treatment of Rotator cuff injury near the tendon-abdominal junction under shoulder arthroscopy. Methods fourteen cases of rotator cuff injury near the tendon-abdominal junction were treated with “Chinese knot”suture technique from February 2020 to January 2021. With the ETHIBOND suture stitches on the rotator cuff tissue is an inverted triangular distribution of the woven "Chinese knot" appearance, appropriate tension under the anchor fixing, depending on the situation combined with "side stitching" to enhance the repair of rotator cuff. Results The follow-up time was 6 to 9 months with an average time of 7.22±1.85months. The Average operation time was92±15min. Before the operation and 9 months after operation, The differences of the all indexes before and after operation were statistically significant (P < 0. 05). All 14 patients had continuous MRI images of rotator cuff in the follow up. Conclusion The“Chinese knot”suture technique is simple and convenient for repairing the Rotator cuff injury near the tendon-abdominal junction, and its clinical effect is reliable.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2021-06-09
  • 最后修改日期:2021-09-30
  • 录用日期:2021-10-27
  • 在线发布日期:
  • 出版日期: