关节镜下缝线桥技术修复全层肩袖损伤的疗效观察  

The outcomes of arthroscopic suture bridge technique for treatment of full thickness rotator cuff tear

作　　者：费文勇[1] Jin-Young Park 章洪喜[1] 袁即山[1] 真启云[1] 谢军[1] 

机构地区：[1]江苏大学附属人民医院骨科,镇江212002 [2]韩国建国大学附属医院肩肘关节中心

出　　处：《中华手外科杂志》2013年第1期21-24,共4页Chinese Journal of Hand Surgery

基　　金：镇江市FZ2012042基金资助项目

摘　　要：目的探讨关节镜下采用缝线桥技术（suture bridge）修复全层肩袖损伤的临床疗效。方法2009年1月至2010年6月，对22例全层肩袖损伤患者予以关节镜下缝线桥技术修复，并对随访结果进行统计学分析。结果22例患者均获得随访，时间平均为25．8个月（18～35个月）。肩袖撕裂平均为（3．60±0．25）cm，术后无锚钉拔出现象。患者术后患肩前屈、外展、中立位外旋主动活动度较术前均明显增加（P〈0．001），前屈及中立位外旋肌力亦较术前明显增加（P〈0．05）；美国肩肘外科医师（ASES）评分由术前的66．5分提高到90．6分（P〈0．001），Constant评分由64．4分提高到93．8分（P〈0．001），患者对手术结果均表示满意。结论肩关节镜下缝线桥技术在修复全层肩袖损伤方面是一种可靠且有效的肩袖修复技术。Objective To discuss and evaluate the arthroscopic suture bridge technique for treatment of flail thickness rotator cuff tear. Methods Between January 2009 and June 2010, 22 cases of full-thickness rotator cuff tears were treated by arthroscopic suture bridge technique, and the results were analyzed statistically. Results All the patients were reviewed and the average follow-up period was 25.8 months （range, 18 to 35 months）. Average tear measured （3.60±0.25） cm and no anchor was loosened. At the last follow-up, the range of active forward flexion, abduction, external rotation at the side improved （ P 〈 0. 001 ） and muscle strength of forward flexion, external rotation at the side also improved obviously （ P 〈 0.05） when compared to the pre-operatiov evaluations. The average American shoulder and elbow surgeons （ASKS） score improved from 66.5 to 90.6 （ P 〈 0.001 ）. The average Constant score improved from 64.4 to 93.8 （ P 〈 0. 001 ）. All the patients were satisfied with the patients were satisfied with the operations. Conclusion The arthroseopic suture bridge technique was sueeesgul for treatment of full thickness rotator cuff tear.

关 键 词：关节镜 全层 肩袖撕裂 缝线桥技术 

分 类 号：R687.4[医药卫生—骨科学]