同种异体皮质骨锚钉结合缝线桥技术修复肩袖损伤  

Repair of rotator cuff tear by ailogenic cortical bone anchor with suture bridge

作　　者：王明新[1] 刘玉杰[1] 何蔚[1] 李海峰[1] 安佰京[2] 

机构地区：[1]解放军总医院骨科,北京100853 [2]武警总医院骨科

出　　处：《中华医学杂志》2012年第25期1747-1750,共4页National Medical Journal of China

摘　　要：目的观察异体皮质骨锚钉结合缝线桥技术修复肩袖损伤的临床疗效。方法2006年6月至2009年6月，共收治肩袖损伤患者18例，男7例，女11例，年龄34—65岁，平均45．2岁。左肩11例，右肩7例。在关节镜下使用异体皮质骨锚钉结合缝线桥技术修复肩袖。采用加利福尼亚大学洛杉矶分校（UCLA）标准评分评判疗效。结果随访平均17．6个月（12～36个月）。治疗优良率100％，所有患者肩袖损伤均愈合，有2例外展活动轻微痛，无明显关节活动受限。术后3个月骨锚钉与受区完全融合。结论采用同种异体皮质骨锚钉结合缝线桥技术修复肩袖损伤，创伤小，腱骨结合面积大，固定牢固，费用低，是一种较好的肩袖损伤治疗方法。Objective To evaluate the repair of rotator cuff tear by allogenic cortical bone anchors with the technique of suture bridge. Methods A total of 18 patients with rotator cuff tear were recruited during the period of June 2006 to June 2009. There were 7 males and 11 females with an average age of 45.2 years old （range ： 34 - 65 ）. The locations included left shoulder （ n = 11 ） and right shoulder （ n = 7 ）. Rotator cuff tear was repaired by allogenic cortical bone anchors with the technique of suture bridge under arthroscopy. The efficacy was evaluated by University of California Los Angeles （UCLA） standard score. Results The average follow-up period was 17.6 months （ range ： 12 - 36）. The excellent rate of treatment was 100%. All rotator cuff tears were healed. Only 2 cases had minor pain and there was no limitation of joint activity. The bone anchor fully integrated with the subject area at Month 3 post-operation. Conclusion The advantages of repairing rotator cuff tear by allograft cortical bone anchors with the technique of suture bridge includes minimal trauma, a large tendon bone area, firm fixation and a low cost. It is a better approach of repairing rotator cuff tear.

关 键 词：肩袖 骨钉 缝线 移植 同种 

分 类 号：R687.3[医药卫生—骨科学]