镜下“中国结”修复冈上肌腱腹交界区撕裂
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刘震,主治医师,研究方向:髋膝关节置换、运动医学,(电话)15166708770,(电子信箱)2007passer@163.com

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R683.41

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济宁市科技助推新旧动能转换计划项目(编号:2017SMNS014)


"Chinese knot" for arthroscopic repair of supraspinatus tear in muscle- tendon junction
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    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效果。[方法] 2020 年 2 月—2021 年 1 月采用“中国结”缝合技术治疗邻近腱腹交界区域肩袖撕裂患者 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 例患者均顺利完成手术,无严重并发症,平均手术时间 (92.23±15.34) min,平均随访时间 (7.22±1.85) 个月。随术后时间推移,UCLA 评分、Constant 评分、肩关节活动范围显著增加,而 VAS 评分显著降低(P<0.05)。术后 9 个月复查 MRI 均可观察到肩袖组织呈连续性影像。[结论]镜下“中国结”技术治疗邻近腱腹交界区域冈上肌撕裂临床效果可靠,技术可行。

    Abstract:

    [Objective] To introduce the surgical technique and preliminary clinical outcomes of "Chinese knot" for arthroscopic repair of supraspinatus tear in muscle-tendon junction. [Methods] Form February 2020 to January 2021, 14 patients underwent arthroscopic re- pair of supraspinatus tear in muscle-tendon junction with this Chinese knot technique. The Ethibond sutures were placed in the proximal end of the torn rotator cuff in a reverse triangle shape, like a "Chinese knot" in appearance, and then an anchor was inserted on the outside row, tied under the appropriate tension to repair the rupture. The side-side sutures were added to strengthen the rotator cuff repair if neces- sary. [Results] All the 14 patients were successfully operated on without serious complications, with operation time of (92.23±15.34) min. and were followed up for (7.22±1.85) months on average. The UCLA score, Constant score and range of motion of shoulder significantly in- creased (P<0.05) , while VAS score significantly decreased over time (P<0.05) . The MRI checks in regular revealed rotator cuff tissue heal- ing about 9 months after operation. [Conclusion] This “Chinese knot" technique for arthroscopic repair of supraspinatus tear in muscletendon junction is feasible, and achieves reliable clinical outcomes.

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刘震,王晗,王晓光,等. 镜下“中国结”修复冈上肌腱腹交界区撕裂[J]. 中国矫形外科杂志, 2022, 30 (8): 745-748. DOI:10.3977/j. issn.1005-8478.2022.08.15.
LIU Zhen, WANG Han, WANG Xiao-guang, et al. "Chinese knot" for arthroscopic repair of supraspinatus tear in muscle- tendon junction[J]. ORTHOPEDIC JOURNAL OF CHINA , 2022, 30 (8): 745-748. DOI:10.3977/j. issn.1005-8478.2022.08.15.

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  • 收稿日期:2021-07-01
  • 最后修改日期:2021-10-13
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  • 在线发布日期: 2023-06-10
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