用三行技术修复关节镜旋转手套的风险因素
Ryosuke Takahashi1, Ryosuke Sagami1, Yohei Harada2
1Department of Orthopaedic Surgery, Ichinomiya Nishi Hospital, Ichinomiya, Japan.
JSES international
|February 9, 2026
概括
关节镜旋转袖口修复的三行技术提供了良好的结果,但重复撕裂与更大的撕裂和脂肪透有关,导致结果较差. 识别诸如内脂肪透等危险因素是改善患者管理的关键.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 肌肉骨研究 研究
背景情况:
- 关节镜旋转手套修复 (ARCR) 中的三行 (TR) 技术旨在改善肌与骨之间的接触和修复完整性.
- 在ARCR中使用TR技术后,临床结果和风险因素的研究有限.
研究的目的:
- 使用TR技术,比较ARCR复发后有或没有复发的患者之间的临床结果.
- 通过TR技术识别ARCR后与复发相关的风险因素.
主要方法:
- 包括181名接受TR技术ARCR和至少24个月的随访的患者.
- 患者被划分为试剂组和非试剂组.
- 临床结果 (运动范围,VAS,恒定肩部,UCLA分数) 和复发率通过MRI在3,6和24个月后进行评估. 分析了风险因素.
主要成果:
- 11%的患者经历了复发. 的小组年龄较大,眼较大,脂肪透量较大 (P < .001).
- 两组都表现出良好的结果,但在24个月后,Retear组的Constant Shoulder和UCLA得分较低,VAS疼痛得分更高.
- 脊髓内脂肪透是复发的独立危险因素. 高塔利尔等级≥3与较低的外部旋转和整体结果相关.
结论:
- 使用TR技术的ARCR产生了有利的结果,即使有延迟.
- 患有复发的患者,特别是那些有大到大规模的撕裂或严重的脂肪透的患者,经历了较差的临床结果.
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