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用一个来修复旋转机破裂≤3*3厘米2是否足够?
Ala' Hawa1, Alexander Tham2, James Bilbrough2
1Department of Surgery, Orthopedics Division, Faculty of Medicine, Yarmouk University, Irbid, Jordan.
PloS one
|April 21, 2025
概括
对于1x1厘米以上的旋转手套撕裂,多个可以显著降低与单个相比的撕裂率. 然而,对于较小的撕裂,单 anchors 提供类似的结果与较短的操作时间.
科学领域:
- 整形外科手术 整形外科手术
- 生物医学工程 生物医学工程
- 运动医学 运动医学
背景情况:
- 生物力学研究表明,增加的数量可以在手术时增加旋转手腕的修复强度.
- 旋转手腕修复的最佳数仍然是研究的主题.
研究的目的:
- 为了比较单和多旋转手套修复的复发率和临床结果.
- 为了确定单个是否足以修复袖口撕裂,从撕裂率和临床结果来看.
主要方法:
- 一项回顾性队列研究 (证据水平,3) 涉及346名匹配患者.
- 患者通过高级外科医生使用单个或多个杆进行旋转手套修复,以减少≤3x3cm2的撕裂.
- 在手术后6个月通过超声波评估修复完整性,以及患者和外科医生报告的结果.
主要成果:
- 对于≤1x1cm2的撕裂,单个和多个基组之间没有观察到重复撕裂率的显著差异.
- 对于中侧或前后直径超过1厘米 (但不超过两者) 的撕裂,撕裂率在各组之间是相似的.
- 与多组 (10.9%) (P < 0.05) 相比,在单组中发现水率显著更高 (25.4%).
- 操作时间显著缩短 (14分钟而不是20分钟),单个只用于≤1x1cm2的撕裂.
结论:
- 对于旋转撕裂≤3x3厘米2的单维修与多维修不逊色,除非两个撕裂尺寸都超过1厘米.
- 建议在破裂大于1x1厘米2的情况下使用多个,以达到6个月后更低的破裂率.
- 单修复为较小的撕裂 (≤1x1cm2) 提供了显著的操作时间优势.
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