镜下单排锚钉修复大型肩袖撕裂的近期效果

Arthroscopic repair with single row anchors for large rotator cuff tears

摘要:

［目的］探讨分析肩关节镜下单排锚钉修复大型肩袖撕裂的效果。［方法］2019 年 1 月—2020 年 6 月，对 24 例大型肩袖撕裂患者采用镜下 2~4 枚单排金属锚钉修复，观察围手术期、随访结果。［结果］ 所有患者均顺利完成手术，术中无血管、神经损伤等并发症。手术时间平均 （68.22±16.67） min，术中出血量平均 （15.09±4.27） ml，平均使用锚钉 （2.94±0.23） 枚，术后切口均一期愈合。术后 22 例随访 （18.87±4.99） 个月，完全负重时间为术后 （3.83±1.02） 个月。末次随访 VAS 评分、UCLA 评分均较术前显著改善（P<0.05）。所有患者功能恢复良好，无夜间痛发生。术后 6 个月，MRI 示愈合良好，有 2 例出现再撕裂，无锚钉拔出。［结论］肩关节镜下单排锚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。

Abstract:

[Objective] To investigate the clinical outcomes of arthroscopic repair with single row anchors for large rotator cuff tears. [Methods] A total of 24 patients underwent arthroscopic repair with single row metal anchors for large rotator cuff tears 3 to 5 cm in size from January 2019 to June 2020. The perioperative and follow-up documents were evaluated. [Results] All the patients were operated on smoothly without intraoperative neurovascular injuries, whereas with operation time of (68.22 ± 16.67) min, intraoperative blood loss of (15.09±4.27) ml, implant used of (2.94±0.23) anchors, and well incision healing. Of them, 22 patients were followed up for (18.87±4.99) months, with the time to resume full weight bearing activity of (3.83±1.02) months. The VAS and UCLA scores significantly improved at the latest follow up compared with those preoperatively (P＜0.05) . All the patients recovered well in term of shoulder function without night pain. MRI showed excellent rotator cuff healing without pullout of the anchor in all the patients, except 2 patients who were found retear of the rotator cuff. [Conclusion] Arthroscopic repair with single row anchors for large rotator cuff tear has the advantages of simplifying opera- tion, shortening operation time, satisfactory outcome, decreasing financial cost and declining the learning curve.