带 anchors用于增强旋转部撕裂的愈合:一个回顾性队列研究
Shixin Nie1,2, Hao Qin2, Hao Tan2
1Department of Orthopaedics, Sports Injury Division, Fujian Medical University Union Hospital, Fuzhou, 350001, China.
BMC musculoskeletal disorders
|May 13, 2025
概括
带 anchors (STAs) 和传统的 anchors (TSAs) 都可以改善旋转器袖口修复的结果. 与TSA相比,STAs表现出优异的肌愈合和肌肉强度,尽管其反率相似.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 生物材料科学 生物材料科学
背景情况:
- 旋转带损伤很普遍,特别是在老年人中,关节镜修复往往导致高率.
- 本研究研究了两种关节镜双排桥修复技术的有效性:带 anchors (STAs) 与传统 anchors (TSAs).
研究的目的:
- 为了比较使用无结的STAs与结结的TSAs进行的关节镜双排桥旋转手套修复的临床和结构结果.
- 评估类型对肌愈合,缩率和功能恢复的影响.
主要方法:
- 一项回顾性队列研究,涉及86名患有全厚旋转手套撕裂的患者,正在进行关节镜修复.
- 在STA和TSA组之间的临床结果 (VAS,Constant,UCLA,ASES得分) 和结构性结果 (肌厚度,通过MRI复发) 的比较,随访1年.
- 使用手动肌肉测试来评估肌肉力量.
主要成果:
- 无论是STA和TSA组都显示了功能评分的显著术后改善 (P <0.05).
- 与TSA组相比,STA组表现出明显更好的肌厚度和上肌肉强度 (P <0.05).
- 两组之间没有观察到重复率的显著差异 (STA为11.1%,TSA为12.0%,P>0.05).
结论:
- 一年后,STA和TSA都为旋转手套修复带来了有利的临床结果.
- STAs在保持肌厚度和增强肌肉力量方面显示出优势.
- 虽然复发率相似,但STAs可能会促进更好的肌愈合和功能恢复.
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